Nov 16, 2025

Hello friends,

I just heard some promising updates about Medicare Advantage and wanted to share the highlights with you. Next year, the monthly Part B premium for outpatient services will increase by about $17.60, reaching roughly $203. This change reflects the overall rise in healthcare costs and the growing demand for services across the country. At the same time, Medicare Advantage plans will still offer an average premium of around $14, keeping them an appealing choice for many seniors looking for comprehensive coverage.

What’s particularly interesting is that the Centers for Medicare and Medicaid Services (CMS) leadership is considering a “reset” of how Medicare Advantage plans are regulated and paid. While private plans have generally had strong support, there’s now a push to ensure payments are fair and data-driven. This could mean more audits, pilot programs testing new payment models, and updates to the star ratings that assess plan quality. These changes are designed to keep the program sustainable and ensure seniors continue to receive high-value benefits.

Some Medicare Advantage plans will be trimming back on extra perks such as transportation and nutrition support next year. But don’t worry—coverage for dental, vision, and hearing remains steady, and specialized plans for seniors with specific health needs will still provide strong supplemental services. Even more exciting is the growing emphasis on long-term care support, including in-home care, which will help seniors age comfortably and safely in their own homes.

Major insurers like UnitedHealthcare, Humana, and Aetna seem optimistic about CMS’s approach. They appreciate the focus on solid oversight and maintaining high standards, while hoping for stability given that medical costs continue to rise faster than payments to plans. It sounds like stakeholders are genuinely working toward balancing responsible management with keeping these plans beneficial and attractive for seniors.

What’s also encouraging is that despite talk about reform, federal payments to Medicare Advantage insurers have actually increased by over $25 billion this year. Plus, CMS has simplified some administrative processes related to care authorization, making it easier for providers and patients alike. So, while we might see some policy updates ahead, the Medicare Advantage program’s outlook remains upbeat, with a clear focus on improving care and value for seniors.

That’s the latest on Medicare Advantage and its evolving landscape. It’s exciting to see such energy going into making sure this vital program continues to adapt and serve seniors well. I’ll keep watching for more news and share updates with you soon.

Stay well and informed,

Summy

Stay Well!