Healthcare Finance News March 2, 2023
Jeff Lagasse

By the end of 2021, gross margins per enrollee had returned to pre-pandemic levels in the Medicare Advantage market.

Payers saw their Medicare Advantage margins revert back to pre-pandemic levels in 2021, yet those margins were still double those seen in other markets, according to a new analysis from the Kaiser Family Foundation.

By the end of 2021, gross margins per enrollee had returned to pre-pandemic levels in the Medicare Advantage market, while gross margins in the individual and group markets were lower and Medicaid margins were higher, the data showed.

It was gross margins, or the amount by which total premium income exceeds total claims costs per enrollee per year, that KFF examined in its analysis. Gross margins are...

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