The Trump administration is set to unveil the final Medicare Advantage policies and payment rates for 2026 in the coming weeks, marking the dawn of a new risk adjustment era. One of the key aspects to keep an eye on is whether the government will fully implement the new risk adjustment model as anticipated.
The new risk adjustment model is expected to bring significant changes to the Medicare Advantage program, impacting how payments are calculated and distributed among health plans. This shift could have far-reaching implications for both insurers and healthcare providers, as it aims to better align payments with the actual health needs of beneficiaries.
As we await the details of the final policies and payment rates, industry stakeholders are eagerly anticipating how this new risk adjustment era will unfold. From potential changes in reimbursement rates to adjustments in care delivery models, there is much speculation about the impact of these upcoming changes on the healthcare landscape.
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Stay tuned for more updates on the evolving landscape of risk adjustment in Medicare Advantage and other key healthcare issues. And don’t forget to send your tips, gossip, and musings to Tara Bannow, who will be taking over the helm of this newsletter next week. Subscribe to Health Care Inc. for the latest news delivered straight to your inbox every Monday.
