Medicare Program; Contract Year 2027 and Certain Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare Cost Plan Program

CMS has issued a final rule updating Medicare Advantage (Part C) and Medicare Prescription Drug Benefit (Part D) programs for contract years 2026 and 2027. The rule addresses Star Ratings methodology, marketing and communications standards, drug coverage requirements, enrollment processes, and special needs plan policies. While not targeting physical therapy directly, these changes affect the managed care environment in which many PT practices operate and receive reimbursement.

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