Deloitte March 20, 2018
My Take
On March 23, the Affordable Care Act (ACA) will be eight years old. Many industry observers (myself included) expected the ACA would create a challenging future for the Medicare Advantage (MA) program. Here’s why: The Medicare Payment Advisory Commission (MedPAC) annually made the case that Medicare was overpaying health plans that participated in the MA program. In response, lawmakers used the ACA to revamp the program’s payment structure, gradually reducing payments to health plans over several years. The savings generated by reducing MA rates helped finance part of the ACA’s coverage expansion. The law also established a system that would reward MA plans that achieved high-quality ratings. Despite these significant hurdles, MA has emerged successful overall, both in...