Becker's Healthcare January 17, 2024
Medicare Advantage insurers are increasingly becoming providers too, according to the Medicare Payment and Advisory Commission’s 2024 status report.
The commission laid out its annual review of the MA program at a Jan. 12 meeting.
Commission staff found the percentage of expenses plans expect to receive from an organization run by the same parent company has increased since 2022 among the five largest insurers and provider-run plans. Plans owned by provider organizations had the highest share of vertical integration, according to the commission’s report.
The rise of vertical integration could make it more difficult to interpret the plan’s profitability, commission staff said. Medicare Advantage plans only report the profit margins for their plans — but the organization...
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