On Health Tech Nerds Radio, Kevin interviews Medicare Director Chris Klomp about the 2027 Medicare Advantage final rate notice, which came in at a 2.48% expected average change versus 0.09% in the advance notice, after 40,000+ comments and updated cost data.
Chris explains the roughly 40 bps increase, continued normalization of coding risk patterns, a delay in further model updates given V28’s early implementation, and the finalization of the unlinked chart review policy to curb risk-coding and revenue-cycle games.
He frames “stability” as predictability for payers/providers and consistent choice and access for beneficiaries, while emphasizing program sustainability and a push to align growth with GDP.
They discuss support for Medicare Advantage and broader accountable/value-based arrangements, cost control expectations for plans and providers, and an invitation for entrepreneurs and “insurgents” to enter the market and compete on cost-adjusted quality outcomes.
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