PQA Summary of Advance Notice for the 2026 Medicare Advantage and Part D Rate Announcement

Advance Notice of Methodological Changes for Calendar Year (CY) 2026 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies

The Centers for Medicare & Medicaid Services (CMS) released the Advance Notice of Methodological Changes for Calendar Year (CY) 2026 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies.

PQA drafted this high-level summary for our members, focused primarily on Part D and issues relevant to our work. PQA measures are represented by bolded text throughout the summary. For further detail on any of the points below, we have included page numbers and encourage you to refer to the document’s full language, which can be accessed here.

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