AAMC Comments on CY27 MA and Part D Proposed Policy and Technical Changes

The AAMC submitted Jan. 20 comments (PDF) to the Centers for Medicare & Medicaid Services (CMS) in response to the Contract Year (CY) 2027 Medicare Advantage (MA) and Part D Policy and Technical Changes proposed rule [refer to Washington Highlights, Dec. 5, 2025]. Comments supported the CMS’ proposals to improve data access in MA and streamline eligibility for special enrollment periods due to provider network changes. The AAMC also urged the agency to continue to maintain adequate oversight of prior authorization practices, ensure beneficiaries are able to enroll in plans best suited for their needs, and ensure patients and beneficiaries retain access to critical information on plan performance and compliance with CMS requirements through STAR ratings. 

Further, the AAMC provided feedback to the CMS in response to the multiple requests for information (RFIs) included in the proposed rule. In response to the competition and risk adjustment RFI, the AAMC urged the agency to improve payment accuracy in MA to better reflect beneficiary clinical complexity and reduce variability in coding practices. The AAMC also supported the CMS’ interest in the role of nutrition and wellness in MA and suggested the agency evaluate the use of nutrition- and wellness-related supplemental benefits for impact on beneficiary health outcomes and overall health.