
Proposed flat Medicare payments rock health insurers

United States health care stocks have plummeted following the Trump administrations proposing keeping federal payments to private Medicare plans roughly flat in 2027, which is far below insurers' expectations. The Centers for Medicare & Medicaid Services (CMS) proposed a net average payment of 0.09% in 2027 in a press release, which is significantly lower than the expected proposed rate between 4% and 6%. “By strengthening payment accuracy and modernising risk adjustment, CMS is helping ensure beneficiaries continue to have affordable plan choices and reliable benefits, while protecting taxpayers from unnecessary spending that is not oriented towards addressing real health needs,” CMS administrator Mehmet Oz said. CMS finalises Medicare Advantage rates in early April, and if the current proposal holds, the rate increase would result in more than US$700 million in payments to Medicare. This proposal threatens revenue and margins in a core profit engine for major health insurers. In comparison, insurers received a more than 5% payment bump for 2026. CMS also proposed eliminating a practice that allows the insurers to add diagnoses after reviewing patients' medical records — a move that addresses coding practices th







