1 min read

CMS Seeks Public Comment About Medicare Advantage Modernization

CMS Seeks Public Comment About Medicare Advantage Modernization

The Centers for Medicare & Medicaid Services opened a Request for Information (RFI) asking for public comment about how to modernize Medicare Advantage (MA).

The RFI follows a proposed rule, issued on Nov. 25, 2025, that would revise the MA program and the Medicare Cost Plan Program, along with the Medicare Prescription Drug Benefit Program (Part D), for contract year 2027. The rule would remove 12 unique measures to create a Star Ratings system, intended to be more focused and better at measuring and incentivizing quality improvements. Additionally, the rule would offer a new special enrollment period (SEP) for provider terminations and codify related policy regarding SEP utilization.

CMS invites public feedback on MA modernization, including ways to improve competition, refine risk adjustment, and align quality incentives. The RFI seeks public input on whether CMS could meet its objectives through either a time-limited test model under the CMS Innovation Center’s authority or potential program-wide regulatory changes.

The proposed rule will be open for public comment for 60 days, until Jan. 24, 2026.

Source:

https://www.cms.gov/newsroom/press-releases/cms-proposes-new-policies-strengthen-quality-access-competition-medicare-advantage-part-d

A logo with the letters 'HD' for 'HealthDay'

CMS, CDC, and HHS Seek Public Input on Potential CLIA Updates

CMS, CDC, and HHS Seek Public Input on Potential CLIA Updates

Centers for Medicare & Medicaid Services (CMS), Centers for Disease Control and Prevention (CDC), and the Department of Health and Human Services...

Read More
White Paper: The in-house vs. outsourced billing questions answered

White Paper: The in-house vs. outsourced billing questions answered

Most labs answer them as one, and that is what makes the decision expensive. Separating them is what makes it reversible. BY TELCOR WITH KWAMI...

Read More
CMS Releases October Quarterly Update to CLFS and CLIA HCPCS Codes

CMS Releases October Quarterly Update to CLFS and CLIA HCPCS Codes

The Centers for Medicare & Medicaid Services (CMS) posted the October 2026 Quarterly Update to the Clinical Laboratory Fee Schedule (CLFS) and...

Read More