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Managed Care Markets

Expert articles and analysis related to managed care markets.

1 articles•Last 24 Hours

AI Summary — Last 24 Hours

CMS’s new cost report requirement for hospitals to report Medicare Advantage negotiated rates adds another transparency lever into MA-provider contracting, with implications for rate benchmarking, network strategy, and hospital-payer disputes over MA reimbursement adequacy and administrative burden (Forvis Mazars). Meanwhile, Devoted Health’s 2027 MA plan materials—including D-SNP, C-SNP, HMO, and PPO offerings—signal continued product-level positioning around special needs populations and benefit design, underscoring how MA plans are preparing for risk adjustment, Stars, supplemental benefit, and total-cost pressures in managed care markets.