Becker's Healthcare October 1, 2025
Big insurers — from Humana to Cigna — are shying away from Medicare Advantage, exiting “unprofitable” markets, axing commission payments and even selling their businesses entirely.
Now, other insurance companies have a chance to step up and gain market share, especially as MA enrollment continued to grow this year.
But the opportunity is not without its risks — among them, the potential strain of utilization and supplemental benefits. CMS has been tightening MA rules, as well.
“It’s obviously not popular,” said Karen Schulte, president of Medicare at the regional insurer SCAN Group, about the regulations.
Smaller or regional insurers are not immune to these challenges, but some spot the opportunity. Health Care Service Corp. recently went big, sharing that it...
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