CY 2027 Medicare Advantage final rule: What physicians need to know

Medicare Advantage Final Rule: Key Changes Physicians Should Know

The American Medical Association (AMA) released an April 10 advocacy update outlining the CY 2027 Medicare Advantage final rule and its implications for physicians.

Key highlights include:

• More accurate risk score calculations through the exclusion of unlinked chart review records
• New continuity-of-care protections for certain Medicare Advantage enrollees
• A 2.48% average payment increase for plans

The update also notes ongoing concerns:

• Reduced oversight and accountability for Medicare Advantage plans
• Changes to prior authorization and utilization management requirements
• Continuing administrative challenges for physicians

Read more on the AMA website.