--- title: "15-Minute Monday Advantage Mini Webinar: First Edition" description: "The Finals: How MA Plans should position themselves after the Final Rate and Final Rule for 2026. Watch our min-webinar or read a quick rundown." image: https://info.nymblscience.com/hubfs/Mini-webinar%20Featured%20Image.jpeg --- [![Nymbl Science](https://info.nymblscience.com/hs-fs/hubfs/Nymbl_PrimaryLockup-RGB.png?width=3924&height=1586&name=Nymbl_PrimaryLockup-RGB.png "Nymbl Science")](http://www.nymblscience.com) [Open the Nymbl App](https://my.nymblscience.com/InApp/) # 15-Minute Monday Advantage Mini Webinar: First Edition The Nymbl Team May 19, 2025 Copy Link   ## Mini-webinar Rundown   - **Revenue Boost, But With Strings Attached.** CMS finalized an average 5% revenue increase for MA plans in 2026, driven primarily by higher fee-for-service Medicare costs. While this is a financial positive, it comes with heightened regulatory scrutiny and rising expectations around access, quality, and fiduciary responsibility. - **Inflation Reduction Act Becomes Reality.** Several IRA provisions are now formally codified: $2,000 annual out-of-pocket cap for Part D, Manufacturer discount program, and the N3P monthly cost smoothing program. These changes mean more financial risk for plans, particularly in the catastrophic phase of Part D coverage. - **Stars & Quality: Be Proactive, Not Reactive.** Breast cancer screening measures will expand to include ages 40-49 by 2027. Plans should begin analyzing this population now. For D-SNPs, integration is no longer optional. Plans must implement integrated IDs and HRAs by 2027 and prepare for enhanced alignment requirements. - **SSBCI Nutrition Restrictions Are Coming.** CMS will prohibit coverage of “non-healthy” food under SSBCI starting in 2026. Plans should proactively redefine benefits, update FlexCards, and communicate changes to avoid member frustration and Stars penalties. - **Unaddressed but Critical: AI, Obesity Drugs, and More.** Despite growing use of AI in UM and coding, CMS has not yet issued clear guardrails—plans piloting AI should implement governance policies now. No final decision on GLP-1 or anti-obesity drug coverage, but mounting pressure suggests this could become a major financial and policy issue soon. ## Speakers   - [Dr. Ed Likovich](https://www.linkedin.com/in/edwardlikovich/), PHD, CEO of Nymbl. - [Jessica Muratore](https://www.linkedin.com/in/jessicamuratore/), Strategic healthcare advisor helping health plans and vendors navigate complex government programs.  - [Andrew Bell](https://www.linkedin.com/in/andrew-bell-9428265a/), Managing Director at Prosphire, a national healthcare consulting firm, overseeing their Medicare Advantage practice.   ### Book a Meeting ![Voss_Circle Headshot](https://info.nymblscience.com/hs-fs/hubfs/Signatures/Voss_Circle%20Headshot.png?width=250&height=250&name=Voss_Circle%20Headshot.png)Jeff Voss SVP of Sales   [![Book a meeting button (2)](https://info.nymblscience.com/hs-fs/hubfs/Book%20a%20meeting%20button%20(2).png?width=300&height=39&name=Book%20a%20meeting%20button%20(2).png)](https://calendly.com/jeff-voss-nymblscience/30min) Nymbl Science 2000 S. 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