Healthcare DIVE May 26, 2023
Rebecca Pifer

Dive Brief:

  • CVS expects its 2024 operating income to drop by $800 million to $1 billion next year due to lost bonus payments from lower plan star ratings in the Medicare Advantage program.
  • Just 21% of CVS’ MA members are currently in plans with a star rating of at least four, down from 87% at the end of 2021, the payer disclosed in a filing with the Securities and Exchange Commission on Thursday. Plans with a rating of four or above are eligible for bonus payments.
  • CVS’ score for its largest MA plan, Aetna National PPO, dropped from 4.5 to 3.5 stars. That was the main driver of the overall decrease in MA members in highly rated plans, CVS...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

Continue Reading

 
Topics: Insurance, Medicare Advantage, Provider
Related Articles:
DEA Releases Special Registration Framework, Telehealth Final Rule
New radiology research highlights inherent ‘unfairness’ in RVU system
Telemedicine helps SSM Health triple volume of psychiatric care
Infographic: Must-Watch Trends for CNOs in 2025
Exploring novel deep learning-based models for cancer histopathology image analysis

Share This Article