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Payer Blog

Articles by Ross Frei

The CMR Reset: How Early Action in 2026 Will Separate the Best from the Rest
11 min read

The CMR Reset: How Early Action in 2026 Will Separate the Best [...]

The CMR Completion Rate is back in Star Ratings for MY27. Here’s how plans should rebuild MTM operations and prepare for aggressive cut points.

2026 Rate Announcement: MTM Update
2 min read

2026 Rate Announcement: MTM Update

The 2026 Rate Announcement released on 4/7/25 included a decision from CMS not to retire the CMR completion rate measure. While CMS acknowledged stakeholder feedback opposing retirement without an outcomes-based replacement, they confirmed the measure will remain on the display page due to the expanded MTM eligibility requirements.

Proposed Rule Summary - Medicare Advantage 2025 Proposed Rule
6 min read

Proposed Rule Summary - Medicare Advantage 2025 Proposed Rule

The proposed rule is a detailed outline of all changes and provisions that CMS proposes to make to the Medicare Advantage program in 2025 and beyond.

Powerful Connections. Healthy Patients. Healthier Bottom Line. Better outcomes for everyone. 

Go #BeyondTheFill with Outcomes. 

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