Becker's Healthcare November 26, 2025
CMS published its 2027 Medicare Advantage and Part D proposed rule on Nov. 25 that includes an overhaul of how star ratings are calculated, new enrollment flexibilities, and rollbacks of Biden-era health equity requirements.
The proposed rule is subject to a 60-day public comment period. A final rule is expected in spring 2026, with most provisions taking effect for contract year 2027.
Seven notes:
1. The proposed rule would not implement the Excellent Health Outcomes for All (EHO4All) reward (previously called the Health Equity Index), which was finalized under the Biden administration and set to take effect in the 2027 star ratings. The measure was designed to reward plans for high performance among enrollees with social risk factors, including dual...







