Lexology December 2, 2025
Executive Summary
EHO4All, D-SNP Quality, and the LTSS Integration Imperative
The Landscape for Medicare Advantage (MA) quality, as we know is ever evolving, particularly in light of the just released Contract Year (CY) 2027 Proposed Rule. The proposal, as currently written, proposes major changes to Star Ratings and the ongoing integration initiatives for dual- eligible members. While these policies are not yet finalized, they offer signals from The Centers for Medicare and Medicaid Services (CMS) about where this administration is hoping to take the MA industry. Health plans and state agencies should take note of these signals now, as they reinforce the importance of outcome-focused care and more effective alignment between Medicare and Medicaid.
Notably, CMS has proposed not to...
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