Fierce Healthcare March 9, 2023
Smaller Medicare Advantage plans could feel the heat from a series of new regulations from the Centers for Medicare & Medicaid Services, which could exacerbate consolidation in the popular marketplace, experts and analysts said. (Getty Images/designer491)
The booming Medicare Advantage (MA) market has been rocked in recent months over major regulations that could lead to payment cuts for next year as well as changes to risk adjustment standards and audits.
However, experts and analysts say that new regulations are more likely to hit smaller “insurtech” startups and nonprofit plans than the big players like UnitedHealth Group and Humana. The end result could mean more consolidation in a marketplace already dominated by a few larger insurers.
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