UHS · 10-Q · 2026Q2 · Full report

Medicare Advantage Payment Update

UNIVERSAL HEALTH SERVICES INC · 2026-08-07 · Importance 25 · Surprise 32 · In source text

CMS expects Medicare Advantage payments to increase 2.48% on average from 2026 to 2027, excluding the CMS estimate of Medicare Advantage risk-score trend. The CY 2027 increase reflects a favorable change in the risk-model adjustment factor percentage. This follows a 5.06% average payment increase from 2025 to 2026, excluding risk-score trend, supporting reimbursement for the company’s managed Medicare business.

Key facts

• Insurance exchange subsidies (enhanced premium tax credits) expired on December 31, 2025 and exchange enrollment has been adversely impacted; the U.S. House passed H.R.1834 on January 8, 2026 to extend EPTCs for three years but no law extending EPTCs has been enacted. source
• CMS CY 2027 MA payment increase: Payments from the government to MA plans are expected to increase on average by 2.48% from 2026 to 2027 excluding the CMS estimate of Medicare Advantage risk score trend. source
• Change since CY 2027 announcement: This change represents an increase of 2.39% since the CY 2027 announcement. source
• CMS CY 2026 MA payment increase: Payments from the government to MA plans are expected to increase on average by 5.06% from 2025 to 2026 excluding the CMS estimate of Medicare Advantage risk score trend. source
• Change since CY 2026 announcement: This change represents an increase of 2.83% since the CY 2026 announcement. source

Impact estimates