Medicare Program; Contract Year 2027 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare Cost Plan Program

CMS has issued a proposed rule outlining policy and technical updates to Medicare Advantage (Part C), Part D prescription drug plans, and Medicare Cost Plans for contract year 2027. The proposal addresses revisions to Star Ratings methodology, marketing and communications standards, enrollment procedures, special needs plans, and drug coverage policies. Because the majority of PT patients are Medicare beneficiaries, changes to MA plan structures and Star Ratings can indirectly affect coverage decisions, prior authorization practices, and patient access to physical therapy services.

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