Healthcare DIVE April 2, 2024
Insurers failed to see MA rates improve in the final rule despite aggressive lobbying.
Health insurers usually breathe a sigh of relief after the federal government posts final Medicare Advantage payment rates. Normally, after a public comment period (and aggressive industry lobbying), regulators finalize a friendlier notice than what they originally put out.
That was not the case on Monday, when the Biden administration finalized MA rates for 2025 essentially unchanged from a proposal that had industry up in arms earlier this year.
It’s a modest base rate cut, though regulators stressed that insurers will still get billions of dollars more in 2025 than they will this year after coding for members’ medical conditions.
Still, shares in major MA players...
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