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.

R. Sharma, is a seasoned healthcare professional with over 20 years of clinical and operational experience. As a registered nurse and midwife, his deep clinical foundation spans hands-on patient care, health information management, revenue cycle management, and health technology systems. He has held various leadership roles across both outpatient and inpatient settings, and was responsible for managing large-scale operations for one of the top 10 hospital groups in the United States. He brings a unique, frontline-informed perspective to discussions on healthcare delivery, operational efficiency, and technology integration.