Navigating Medicare Advantage from 2025 through 2027 requires staying current with evolving policy direction, reimbursement pressure, insurer strategy changes, and heightened compliance expectations. Medicare Advantage is undergoing a significant transition, driven by CMS payment and risk adjustment changes, expanded oversight, and early policy signals outlined in recent and upcoming Medicare Advantage Advance Notices. At the same time, insurers are responding with plan withdrawals, tighter utilization controls, contract reassessments, and increased scrutiny of documentation and coding accuracy—making reactive or siloed approaches increasingly risky.
This webinar is designed to help providers, revenue cycle teams, compliance professionals, and healthcare leaders strengthen their understanding of Medicare Advantage requirements and risk areas across 2025–2027. We will cover key policy signals, payer trends, documentation and coding expectations, audit risk, and practical revenue cycle strategies that support compliant reimbursement and operational readiness. While this session is designed for experienced Medicare Advantage professionals, it will also include structured context and practical explanations to ensure alignment across teams with varying levels of experience. Whether you manage Medicare Advantage performance daily or oversee financial and compliance strategy, this session will provide clear, actionable guidance to help you anticipate change and protect revenue in an increasingly volatile MA environment.
Webinar Objectives
Medicare Advantage changes across 2025–2027 are increasing complexity for providers, revenue teams, and compliance leaders. This session is designed to help participants achieve the following outcomes:
- Gain clarity on how Medicare Advantage policy, payment, and oversight changes will impact providers through 2027
- Develop a stronger understanding of how Advance Notices influence payer behavior and downstream provider risk
- Improve readiness for reimbursement pressure tied to risk adjustment, utilization controls, and audit activity
- Strengthen internal alignment between documentation, coding, billing, and compliance functions
- Reduce exposure to denials, payment variability, and retrospective audit findings
- Enhance organizational preparedness ahead of open enrollment and contract renewal cycles
- Leave with a clear action framework to support revenue protection and compliance stability
Webinar Agenda
During this session, participants will explore the following topics:
- Medicare Advantage policy and payment direction shaping the 2025–2027 landscape
- Key insights from recent and upcoming Medicare Advantage Advance Notices
- Insurer responses to CMS signals, including plan withdrawals, network changes, and contract reassessments
- Documentation and coding expectations supporting compliant risk adjustment
- Revenue cycle considerations under tighter utilization management and prior authorization
- Common Medicare Advantage audit focus areas, including RADV-related review activity
- Operational planning considerations ahead of open enrollment and multi-year contract cycles
- Practical strategies to improve coordination across revenue, compliance, and operational teams
Webinar Highlights
- A clear overview of Medicare Advantage trends and risk through 2025–2027
- Coverage of Medicare Advantage Advance Notices and their provider impact
- Practical guidance on documentation and coding under heightened scrutiny
- Revenue cycle strategies to protect reimbursement amid payer tightening
- Key audit risks and compliance considerations providers must address
- Actionable steps to take before open enrollment and contract cycles
- Strategies you can apply immediately within existing workflows
Who Should Attend
- Revenue Cycle Managers & Directors
- Medical Coding & Documentation Specialists
- Billing & Reimbursement Professionals
- Medical Auditing Specialists
- Managed Care & Contracting Professionals
- Practice Administrators
- Operations and Finance Leaders
- Compliance Officers & Compliance Committees
- Physicians and Clinical Leaders involved in documentation oversight
