cms-part c and part d

Navigating the 2025 Advance Notice: Implications for Medicare Advantage and Part D

On January 31, 2024, the Centers for Medicare & Medicaid Services (CMS) released a draft of the 2025 Advance Notice describing the Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA) Capitation Rates and Part C and Part … Read More

Medicare Medical Loss Ratio

Will Reporting Medical Loss Ratio (MLR) Constrain Payments to Medicare Advantage Plans?

Medicare Advantage plans (MAO) have been increasingly popular, with Medicare-eligible beneficiaries enrolling 51% of the eligible population in 2023, taking in $454 billion (or 54%) in Medicare spending.[1] Notwithstanding the popularity of the MA program, payments to private health plans … Read More