CMS has proposed a 0.09% payment update for Medicare Advantage (MA) capitation rates in 2027. This member-only analysis outlines the proposed change and provides context on recent Medicare Advantage enrollment growth and hospital cost trends in Washington.
It further highlights key operational and financial considerations for stakeholders, including contract negotiations, network participation, benefit design, and possible effects on patient access and out-of-pocket costs if the proposal moves forward. Read the analysis. (Will Stadtlander)