MedCity News August 24, 2025
Many insurers seem to be retreating from Medicare Advantage by exiting unprofitable markets and reducing benefits. This could be extremely disruptive to patients, experts warn.
Faced with higher utilization and changes to risk adjustment, insurers seem to be pulling back on Medicare Advantage — and this could cause significant disruption for seniors, especially given how most seniors are enrolled in Medicare Advantage plans compared with traditional Medicare.
UnitedHealthcare — the largest MA insurer — announced that more than 600,000 Medicare members will be affected by 2026 product exits, “primarily in less managed products such as [Preferred Provider Organization] offerings,” CEO Tim Noel said during its recent earnings call. PPO is a type of insurance plan in which patients can receive...
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