Payer Markets
Expert articles and analysis related to payer markets.
AI Summary â Last 30 Days
CMS under the Trump administration is tightening the strategic environment for Medicare Advantage while leaving plans with mixed signals: the 2027 MA final rule adds some beneficiary protections but rolls back others, alongside payment and Star Ratings changes that will reshape plan economics, benefit design, and provider contracting strategy (KFF). At the same time, bipartisan legislation aimed at MA access and quality, plus reports of network disruptions and forced disenrollment, point to rising scrutiny of whether MAâs managed-care tools are undermining continuity of careâan issue directly affecting VBC organizations dependent on stable attribution, referral networks, and longitudinal population management (Fierce Healthcare.
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OKEMOS, Mich., April 15, 2026 /PRNewswire/ â Wakely Consulting Group, an HMA Company, today released a new analysis of the Affordable Care Act (ACA) individual market that points to meaningful changes...
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