Final Rule Drop: What Providers Need to Know About the New MA Landscape
Check out what Celtic Consulting Founder & CEO, Maureen McCarthy, had to say to McKnight’s Long-Term Care News about the newly released CY 2026 Medicare Advantage updates. Read the full article here.
One notable shift: new limits on retroactive payment takebacks, now restricted to only the most egregious cases. While this change offers some welcome stability, Maureen noted that even positive changes require ongoing vigilance to ensure they’re carried out consistently in practice.
She also weighed in on the continued conversation around the use of AI in coverage determinations. AI holds promise for improving efficiency, but as Maureen pointed out, you can’t put meaningful guardrails on a tool we’re all still learning to use responsibly.
We’re staying close to these changes—and helping providers stay one step ahead.
Celtic offers custom education and strategic advisory on the CY 2026 Medicare Advantage Final Rule, helping you understand and implement the updates that matter most to your organization.
We also provide comprehensive support with medical record review response systems, denial management, and other managed care challenges. If you’re looking for guidance in these areas, we’re here to help. Contact us today.
