Fierce Healthcare February 5, 2024
Humana reaffirmed its guidance in the face of likely cuts in Medicare Advantage (MA) payment rates for 2025 despite saying the proposed decrease was higher than it expected.
The Centers for Medicare & Medicaid Services (CMS) last week issued its proposed advance notice, which sets payment rates in MA for 2025. Based on the proposal, benchmark payments would incur a 0.16% decrease next year.
In a filing with the Securities and Exchange Commission, Humana said the proposed notice would lead to a change in funding that’s 160 basis points lower than what it had projected for a flat rate environment.
“This difference is primarily due to the proposed effective growth rate restatements, which the company did not anticipate in light...
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