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Webinar Overview
Watch our award-winning webinar series explaining finalized policy and technical changes to Group Medicare Advantage (MA) and Part D.
Medicare Advantage Highlights Include:
- An effective growth rate of 5.33% and an expected average increase in payments of 2.48%, or over $13 billion, from the federal government to MA plans
- Year-to-year percentage changes in payment parameters
- Finalized exclusions in the current Part C risk score calculation
Medicare Part D Drug Coverage Highlights Include:
- Updates to the current Part D Risk Adjustment model: finalized exclusions in the risk score calculation, changes to the underlying data, and continued calibration of separate normalization factors
- Changes to the standard deductible and out-of-pocket spending cap
- Key provisions in the IRA continued for 2027 and beyond
- Snapshots of the Drug Price Negotiation Program
- Overview of the Medicare GLP-1 Bridge and BALANCE Model
Additional Discussion:
- Review of CMS’ annual timeline and key dates
- How final updates from CMS could impact group plan sponsors & actions they could consider
