Workweek February 13, 2024
Blake Madden

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...

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