Healthcare Finance News January 20, 2026
MA payments are $76B above what spending would have been in Medicare fee-for-service in 2026, says MedPAC report.
Medicare Advantage payments are $76 billion above what spending would have been in fee-for-service Medicare in 2026, according to a report by the Medicare Payment Advisory Commission (MedPAC).
MedPAC, which provides Congress with policy and analysis, found this year’s projected comparison of Medicare Advantage to Medicare fee-for-service spending is lower than last year’s projection.
Coding and selection push MA benchmarks, bids and payments higher relative to what spending would have been in FFS, according to the report.
However, the V28 risk adjustment model introduced by the Centers for Medicare...
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