Insights | Meridian Research Group | Page 14

Medicare Advantage (MA) RADV

The Centers for Medicare & Medicaid Services (CMS) issued a statement announcing its intent to restart Risk Adjustment Data Validation (RADV) audits, clear the existing backlog of incomplete audits by early 2026, and boost its auditing workforce/capabilities (i.e., 40 coding experts to 2k, new technology, auditing of every plan, from 35 records...

Medicare Advantage (MA) & UnitedHealthcare

Reports indicate the DOJ has launched a criminal investigation into alleged improper Medicare Advantage (MA) billing practices by UnitedHealth Group (UNH). These reports come on the heels of a similar civil investigation being launched by the agency in February of this year. It is unclear at this stage whether the investigations are separate or...

Tech / Media / Telecom

Recent/upcoming developments… As part of the House Energy & Commerce (E&C) Committee’s portion of Republicans’ reconciliation (tax/spending) legislation, lawmakers have included language that would place a 10-year moratorium on states implementing laws and regulations addressing AI. * Exceptions to the moratorium include laws that (1)...

Tech / Media / Telecom

Recent/upcoming developments… Yesterday, President Trump posted about his desire to see the “reconciliation” (tax/spending) legislation include a provision that provides 600 MHz of spectrum for wireless/wifi use. The House Energy and Commerce (E&C) Committee passed legislation requiring spectrum auctions as part of its broader contribution to...

House Republicans are making a final push to pass their partisan reconciliation (tax/spending) legislation, with President Trump and House conservatives currently meeting at the White House to overcome their concerns about the bill’s SALT, Medicaid, and IRA clean energy provisions. The next step for the bill is for it to pass in the Rules...

Bank Capital/Liquidity (SLR)

Multiple press reports (stories here and here) indicate that the Trump administration is potentially within weeks of issuing revisions to the Supplementary Leverage Ratio (SLR). This is consistent with Secretary Bessent’s recent comments that implied SLR changes are on a fairly fast track, whereas Basel III/other capital reforms are not in as...