Innovista Health’s Post

In 2026, CMS plans a 4.3% payment increase to Medicare Advantage plans, aiming to ensure affordable care and support the Inflation Reduction Act. The updates focus on improving care management, competition, and outcomes. https://lnkd.in/gEaPEPzS #MedicareAdvantage #CMS #HealthcarePayments #InflationReductionAct #AffordableCare #HealthPolicy #Medicare2026 #MedicarePartD #CareManagement #HealthcareReform

In 2026, CMS plans a 4.3% payment increase to Medicare Advantage plans, aiming to ensure affordable care and support the Inflation Reduction Act. The updates focus on improving care management, competition, and outcomes. https://lnkd.in/gCx5kcTK #MedicareAdvantage #CMS #HealthcarePayments #InflationReductionAct #AffordableCare #HealthPolicy #Medicare2026 #MedicarePartD #CareManagement #HealthcareReform

In 2026, CMS plans a 4.3% payment increase to Medicare Advantage plans, aiming to ensure affordable care and support the Inflation Reduction Act. The updates focus on improving care management, competition, and outcomes. https://lnkd.in/g3fEu-TR #MedicareAdvantage #CMS #HealthcarePayments #InflationReductionAct #AffordableCare #HealthPolicy #Medicare2026 #MedicarePartD #CareManagement #HealthcareReform

In 2026, CMS plans a 4.3% payment increase to Medicare Advantage plans, aiming to ensure affordable care and support the Inflation Reduction Act. The updates focus on improving care management, competition, and outcomes. https://lnkd.in/gVj9dEBt #MedicareAdvantage #CMS #HealthcarePayments #InflationReductionAct #AffordableCare #HealthPolicy #Medicare2026 #MedicarePartD #CareManagement #HealthcareReform

Medicare Advantage, covering over half of Medicare beneficiaries, is at a crossroads. Hospitals are frustrated with denied payments, insurers struggle with profitability, and CMS tightens regulations. Will benefits be slashed? Can hospitals maintain these plans? How will new rules shape patient care? 👉 Explore the top 10 questions shaping the future of Medicare Advantage and its impact on providers, insurers, and policymakers: https://bit.ly/3VaZy4Q #Healthcare #MedicareAdvantage #InsuranceTrends

In 2026, CMS plans a 4.3% payment increase to Medicare Advantage plans, aiming to ensure affordable care and support the Inflation Reduction Act. The updates focus on improving care management, competition, and outcomes. https://lnkd.in/gv885sZh #MedicareAdvantage #CMS #HealthcarePayments #InflationReductionAct #AffordableCare #HealthPolicy #Medicare2026 #MedicarePartD #CareManagement #HealthcareReform

With downward pressure on Medicare Advantage plans reimbursement, here are 10 critical questions for providers and payors regarding MA. 11th question: Where do you go from here to deliver Value-based care to members? #valuebasedcare #MA #Medicareadvantage #Ruralhospital #BeckersHealth

Medicare Advantage plans, while offering beneficiaries expanded coverage and lower premiums, have introduced significant financial and operational challenges for the EMS industry. Lower reimbursement rates coupled with increased administrative burdens and stricter medical necessity criteria have placed considerable strain on EMS providers, particularly those serving rural and underserved communities. As Medicare Advantage continues to grow in popularity, it is crucial that policymakers address these issues to ensure that EMS services can continue to provide life-saving care without being financially jeopardized. The Impact of Medicare Advantage Plans on the EMS Industry: https://ow.ly/QnLw50UpVBF

🚨 Major Update for Medicare Advantage! 🚨 The Centers for Medicare & Medicaid Services (CMS) has proposed a $21 billion boost to Medicare Advantage payments for Calendar Year 2026! 📈💰 Key Highlights: - Average Payment Increase: 4.33%, enhancing stability and accuracy in MA payments. - Updated Methodologies: Incorporation of the latest risk adjustment model and compliance with the Inflation Reduction Act of 2022. - Stakeholder Engagement: Public comments open until February 10, 2025, with a final announcement set for April 7, 2025. This proposal reflects CMS's commitment to addressing rising healthcare costs while ensuring robust funding for MA plans. 💡 Stakeholders are encouraged to review these changes and provide feedback! For more details on this pivotal step in healthcare policy, click the link! #CMS #HealthFunding #HealthcarePolicy #HealthcarePolicyandRegulation #Medicare #MedicareAdvantage #RegulatoryAgencies #MarketAccess #MarketAccessToday

Value-based care and delivery system transformation progress continues as the Medicare Shared Savings Program (MSSP) achieves its largest net savings to date, $2.1 billion in 2023 and improved scores in quality measures (be them as they may) according to results released earlier this week. ▪MSSP accountable care organizations (ACOs) earned $3.1 billion in shared savings payments and scored better on quality measures than other non-MSSP physicians. ▪MSSP ACOs led by primary care providers realized significantly higher net per capita savings. ▪As of Jan. 2024, there were 480 MSSP ACOs in which more than 680,000 clinicians participating covering close to 11 million Medicare beneficiaries. Kind of blows the mind having watched and commented on the program since inception. #MSSP #Valuebasedcare