Becker's Healthcare October 28, 2024
Rylee Wilson

Several Medicare Advantage plans are challenging CMS’ star ratings, and a new audit from HHS’ Office of Inspector General examined the widespread use of in-home visits and chart reviews in the program.

Here are seven recent updates to note:

  1. Low star ratings put Medicare Advantage plans at risk for a “Darwinian death spiral,” according to Sachin Jain, MD, president and CEO of SCAN Group.
  2. Insurers are trying to maintain stability for enrollees amid a tumultuous Medicare open enrollment.
  3. Eighteen insurers have exited Medicare Advantage markets for 2025, with more than 1.8 million people currently enrolled in plans that will not exist next year, according to a report from OliverWyman. Market exits by Humana, Aetna and UnitedHealthcare...

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