The Centers for Medicare and Medicaid Services (CMS) has proposed changes to the Medicare Advantage payment rule for 2027, including excluding chart reviews from risk scoring. The proposal aims to address issues with overpayment and upcoding, but insurers have warned that the changes could lead to benefit cuts and market exits. The exact outcome and details of the proposal are still uncertain, with some outlets reporting that the rates for 2027 have been finalized, while others indicate that the proposal is still under consideration.