Advisory Board June 26, 2024
Earlier this month, insurers, providers, and other stakeholders met at the AHIP 2024 conference to discuss several issues impacting the health insurance industry, including regulatory challenges, new technologies, and more. Here are the five key topics from the conference, their current impact, and where they might go in the future.
2 ways commercial health plans can respond to the Medicaid unwinding
Medicare Advantage
According to Modern Healthcare, CMS has increased oversight of Medicare Advantage (MA) in ways that have impacted health insurers’ bottom lines. For example, the agency reduced the benchmark payment rate for next year, implemented limits on marketing, and restricted prior authorizations.
“We’re continuing to watch regulatory changes and litigation in MA, where it feels like programmatic change...