Healthcare DIVE January 13, 2025
Rebecca Pifer

The Biden administration’s last MA rule is a boon for insurers, though it remains to be seen how the incoming Trump administration might put its stamp on the regulation before it’s finalized.

Dive Brief:

  • The Biden administration’s last word on the Medicare Advantage program gives health insurers something to look forward to in 2026. On Friday, regulators proposed a 4.3% hike on average to MA reimbursement, which would result in $21 billion in additional payments to insurers next year.
  • The rule increases the average benchmark payment to MA plans by 2.2%, with insurers’ coding for member sicknesses making up the rest of the projected payment jump. It’s the largest increase to the MA benchmark in several years.
  • The rule...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

Continue Reading

 
Topics: CMS, Govt Agencies, Insurance, Medicare Advantage
Related Articles:
STAT+: Former Trump FDA, CMS heads lay out how his return could reshape health policy
CMS Gives Notice of 4.3% Pay Hike for Medicare Advantage Plans
To Empower Consumer Choice, Standardize And Measure Quality Of Medicare Advantage Supplemental Benefits
CMS 2026 Proposed Rules: Key Takeaways for Quality and Stars Managers
Medicaid And CHIP: Program Improvements And The Need To Protect Them

Share This Article