The average monthly Medicare Advantage premium drops from $4.47 in 2026 to $2.81 in 2027. Premium is the most visible number in enrollment and the easiest one to subsidize.
Newsroom
Everything Lands on January 1, 2027
Six separate Medicare and Medicaid changes take effect on the same date. For health technology companies, January 1, 2027 is not a deadline. It is a convergence.
Annual Enrollment Is the Only Eight Weeks a Year When Member Experience Is Visible
Medicare Annual Enrollment runs October 15 to December 7. For plans, it is the only period where member experience converts directly into enrollment.
Three Star Ratings Measures Disappeared for 2027. If You Sold Against Them, So Did Your Pitch.
CMS removed measures covering pain assessment in older adults, medication reconciliation after discharge, and medication therapy management reviews from the 2027 Star Ratings.
The 2027 Star Ratings Publish Today, and the Number Starts Three Clocks
CMS publishes the 2027 Medicare Advantage Star Ratings today. One number sets the 2028 quality bonus, goes public on Plan Finder immediately, and feeds a bid not filed until June 2027.
Medicare Is Contracting Directly With Technology Companies, and the Program Is Expanding
The CMS Innovation Center’s ACCESS Model contracts technology organizations to partner with Medicare physicians on chronic disease. New clinical tracks are coming next spring.
Medicare Advantage Star Ratings Thresholds Just Got Harder for 2027
CMS released draft 2027 cutpoints to plans in September, raising many of the thresholds. Official results are due out in October. For vendors, the buying window is now.
Medicare Built an AI Prior Authorization Program. The Records Are Not Flattering.
About a thousand pages of CMS records concerning Medicare's AI prior authorization pilot were released in mid-September through a Freedom of Information Act lawsuit brought by the Electronic Frontier Foundation. They are worth reading closely if you sell artificial...
Member Story: How PeopleOne Health Helped a Busy Mom Catch a Health Issue Early
Sometimes, the most important healthcare moments happen before you know you need them. For busy working parents, finding time for routine care can easily fall to the bottom of the list. But Leigh’s story is a powerful reminder of why preventive care—and having access...
Joint Replacement Goes National: CJR, TEAM, and the Expanding Episode Market
The FY 2027 inpatient payment rule, finalized July 31, 2026 and effective October 1, 2026, does something easy to miss in a two-thousand-page document. It nationalizes the Comprehensive Care for Joint Replacement model, with mandatory participation beginning January...