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CMS takes measures to improve Medicare Advantage

Jan 27, 2026

The CAP has recommended several changes to the Medicare Advantage (MA) insurance program, including adding hospital-based specialties to network adequacy requirements, prohibiting in-network steering in the MA program, and expanding efforts to ease the burden of prior authorization.

Background: The Centers for Medicare & Medicaid Services (CMS) has asked for ways to modernize and strengthen the Medicare Advantage program.

We submitted our comments on January 26.

Go deeper: The CAP is committed to working with CMS to further enhance Medicare Advantage for patients. Read our full comment letter.

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