Centers For Medicare & Medicaid Services Announcement Of Calendar Year (CY) 2026 Medicare Advantage (MA) Capitation Rates & Part C & Part D Payment Policies

On April 7, 2025, the Centers for Medicare & Medicaid Services (CMS) published this announcement of calendar year (CY) 2026 Medicare Advantage (MA) capitation rates and Part C and Part D payment policies. The base capitation rates for Medicare Advantage plans are slated to increase by a 5.06% effective growth rate. Additionally, the Centers for Medicare & Medicaid Services (CMS) expects the underlying Medicare Advantage coding trend to increase member risk scores, which is projected to increase Medicare Advantage rates by another 2.10%, for an effective total increase of 7.2 . . .