Healthcare DIVE November 9, 2020
Dive Brief:
- The drop-off in utilization during the COVID-19 pandemic could lead to reduced payments to Medicare Advantage health plans next year, a new analysis of claims data by Avalere Health concludes.
- Depending on 2021 utilization trends, overall payments could drop between 4% and 6% due to Medicare risk scores that will likely be adjusted downward, the consulting group said.
- Moreover, Avalere warned that MA plans should brace themselves for dealing with chronically ill enrollees whose overall health has declined due to foregoing care during the pandemic, meaning they could require more services over the longer term.
Dive Insight:
The COVID-19 pandemic has had immediate but disparate impacts on providers and payers. The former was hit hard by...
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