Radar on Medicare Advantage

Timeline: A History of the Biden Administration’s Medicare Advantage Payment Policies

  • Jan 16
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    Jan 16, 2025

    Less than two weeks before the inauguration of President-elect Donald Trump, CMS on Jan. 10 released its last set of payment updates for Medicare Advantage and Part D under President Joe Biden. In the 2026 Advance Notice of Methodological Changes for Medicare Advantage Capitation Rates and Part D Payment Policies, the Biden administration proposed to complete its three-year transition to the 2024 CMS-Hierarchical Condition Categories (CMS-HCC) risk adjustment model (aka, version 28 or v28). At the same time, it included an update to the Medicare Part D RxHCC risk adjustment model to reflect the impact of benefit changes under the Inflation Reduction Act, which Biden signed into law in 2022. 

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    • Lauren Flynn Kelly

    Lauren has been covering health business issues since the early 2000s and specializes in in-depth reporting on Medicare Advantage, managed Medicaid and Medicare Part D. She also possesses a deep understanding of the complex world of pharmacy benefit management, having written AIS Health’s Radar on Drug Benefits from 2004 to 2005 and again from 2011 to 2016. In addition to her role as managing editor of Radar on Medicare Advantage, she oversees AIS Health’s publications and manages the health editorial staff. She graduated from Vassar College with a B.A. in English.

    Carina Belles

    Carina has been covering public-sector health care since 2018. As a data reporter for Radar on Medicare Advantage, she creates infographics and data stories on issues impacting Medicare, Medicaid and Part D. She also develops AIS Health Daily, a free daily newsletter that showcases AIS’s strong reporting across our four publications and parent company Norstella’s suite of market access and data solutions. Prior to joining the editorial team, she managed Medicare and Medicaid data for the Directory of Health Plans, AIS’s industry-standard health coverage database. She graduated from Ohio University with a B.S. in Journalism.

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Meet Our Reporters

Lauren Flynn Kelly

Executive Editor, AIS Health, and Managing Editor, Radar on Medicare Advantage

View Lauren Flynn Kelly's Profile

Angela Maas

Managing Editor, Radar on Specialty Pharmacy and Spotlight on Market Access

View Angela Maas's Profile

Leslie Small

Managing Editor, Health Plan Weekly and Radar on Drug Benefits

View Leslie Small's Profile

Tim Casey

Reporter, Health Plan Weekly and Radar on Drug Benefits

View Tim Casey’s Profile

Carina Belles

Reporter, Radar on Medicare Advantage and Spotlight on Market Access

View Carina Belles's Profile

Jinghong Chen

Reporter, Health Plan Weekly and Radar on Drug Benefits

View Jinghong Chen's Profile

Jill Drachenberg

Reporter, Health Plan Weekly and Radar on Drug Benefits

View Jill Drachenberg's Profile

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Medicare Advantage
Risk Adjustment
Inflation Reduction Act
Medicare Part D
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