MedCity News June 30, 2024
Health plans must take a consistent, thoughtful approach to sustaining their business by managing costs without compromising member access to quality healthcare.
The sustained financial pressures that Medicare Advantage (MA) health plans are facing – due to increased utilization, rate cuts, Star Ratings, and changes to risk adjustment – will persist throughout the foreseeable future. That means health plans must take a consistent, thoughtful approach to sustaining their business by managing costs without compromising member access to quality healthcare.
Striking that balance will be imperative as MA enrollment continues to rise. This year marks “Peak 65,” a noteworthy demographic milestone where the number of Americans turning 65 years old – about 11,200 per day – hits the high-water mark. Those...
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