ACHP submitted comments to CMS on the CY 2027 Medicare Advantage Advance Notice, urging reforms to risk adjustment, the effective growth rate, USPCC calculations and Star Ratings to support regional health plans and seniors.
ACHP supports CMS proposals to modernize Medicare Advantage risk adjustment, eliminate the Health Equity Index and strengthen quality measurement for 33M beneficiaries.
ACHP exposes how aggressive coding in Medicare Advantage inflates costs, disadvantages seniors and why CMS reform is urgently needed.
New analysis by ACHP shows that gaming within the Medicare Advantage program by large national carriers persists, wasting tens of billions of taxpayer dollars each year. The examination of risk adjustment payments found that the largest national MA insurer collected up to $785 more per beneficiary than local, nonprofit plans in 2023 alone. That difference cost Medicare more than $6 billion.
