Insights
Analysis and guidance for Medicare Advantage plans, ACOs, and PACE programs navigating quality, risk adjustment, and regulatory change.
Your Stars Problem Isn't Member Engagement. It's Documentation.
Most Medicare Advantage plans address the wrong end of the quality pipeline — and pay for it at the cut point.
CMS CY2027 Final Rule: What Medicare Advantage Plans Should Do in 2026
The April 2026 Final Rule is the most consequential MA regulatory change since 2023. Most structural changes hit 2029 ratings — but the operational work starts now.