CMS has released portions of the February 2026 Medicare Advantage enrollment files. While membership by individual plan and plan/county has not yet been published, parent organization-level enrollment data (excluding PDP) provides early insight into market movement following a year of plan exits and regulatory pressure.

The 2026 HCCA Managed Care Compliance Conference made one thing clear: compliance in managed care is no longer a static, check-the-box function. It is rapidly evolving—shaped by advancing technology, heightened regulatory scrutiny and growing expectations that compliance teams operate as strategic risk partners across Medicare, Medicaid and commercial lines of business. Across sessions, speakers emphasized the need for compliance programs that are proactive, operationally emb

On Monday, the Centers for Medicare & Medicaid Services released the Calendar Year (CY) 2027 Advance Notice for the Medicare Advantage (MA) and Part D programs. At more than 160 pages, the document pairs a modest projected payment increase with some of the most consequential refinements to MA risk adjustment in recent years.

Medicare Advantage & Part D Advance Notice