Medicare & Medicaid
Executives cite rising medical costs due to increased utilization and an MA payment rate that came in below the medical cost trend.
HHS made the announcement in its Notice of Benefit and Payment Parameters for 2027 Proposed Rule.
HHS is looking at how the care plan is supporting the patient, says Sandy Griffiths, senior product manager for Homecare Homebase.
“2025 [was] a strong finish to a rough year,” says CFO Andrew Asher.
The $600M in no-cost and discounted technology products and services will also aid in the broader modernization of Medicaid systems, CMS says.
Adjusted operating results were impacted primarily by higher medical cost trends, insurer says.
The Indiana Hospital Association wants state and federal lawmakers to modernize the Medicaid reimbursement rate and take other measures to support financial stability.
For the first time Part B drugs are being negotiated, with prices effective in 2028.
Stocks slide after Q4 revenue and full-year revenue outlook fall short of forecasts.
"When considering estimated risk score trend in MA driven by coding practices and population changes, the expected average change in payments will be 2.54%," CMS says.