CVS · 10-Q · 2026Q2 · Full report

Medicare Advantage Payment Outlook

CVS HEALTH Corp · 2026-08-05 · Importance 56 · Surprise 68 · In source text

On April 6, 2026, the U.S. Centers for Medicare & Medicaid Services issued final 2027 Medicare Advantage payment rates. The final rates imply an expected average 2.48% revenue increase for the Medicare Advantage industry, excluding CMS’s estimate of Medicare Advantage risk-score trend. CVS Health had 4.2 million Medicare Advantage members as of June 30, 2026, making the payment update relevant to its Health Care Benefits segment.

Key facts

Impact estimates

metricdirectionstageexpectedbasis
revenuepositiveprobableOn April 6, 2026, CMS issued final 2027 Medicare Advantage payment rates resulting in an expected average increase in revenue for the…