Workweek February 13, 2024
MA Rate notice leaves insurers in disarray:
As Medicare Advantage profitability declines from recent highs amid a multi-year phase-in of risk adjustment and elevated utilization trends, insurers are crying foul about the advance rate notice. You have to think CMS plays ball a bit given this commentary with the finalized rate releasing in April, but we’ll see:
- “Bearing in mind the continued expectation for the multiyear phase-in of the risk adjustment model change that was finalized in 2023, we view the preliminary rates as insufficient with respect to general medical cost trend expectations.” – Centene’s Sarah London
- “For us, the rate change as it sits today is approximately minus 1.3% before risk coding trend.” – Centene’s Andrew Asher
- “Last...
Today's Sponsors
Today's Sponsor