MACPAC Comments on Proposed Medicare Advantage Rule for Contract Year 2027
The Medicaid and CHIP Payment and Access Commission submitted comments to CMS on proposed Medicare Advantage policy and technical changes for contract year 2027. The letter focuses on dual eligible special needs plans (D-SNPs), which serve beneficiaries enrolled in both Medicare and Medicaid. MACPAC has prioritized D-SNPs given their widespread use and the coordination challenges between Medicare Advantage plans and state Medicaid programs. The comment letter addresses proposed changes affecting how these plans operate and coordinate care for dual eligibles.
D-SNP policy changes directly affect state Medicaid agencies' ability to coordinate benefits and manage care for dual eligibles, who represent disproportionate Medicaid spending and often receive long-term services and supports.