Healthcare DIVE June 23, 2020
Dive Brief:
The COVID-19 outbreak appears to have impacted claims patterns for Medicare Advantage (MA) enrollees, according to a new analysis by Avalere Health. Even though seniors are historically the most vulnerable population health-wise, their claims were down dramatically during the month of April.
The survey suggests it could impact risk score factors for MA plans in 2021, driving them down by at least several percentage points. As a result, some MA health plans could wind up getting paid less for their enrollees than projected in 2021, which could impact their overall profitability as well as their medical loss ratios (MLR).
Avalere recommends that MA health plan managers carefully analyze their own claims data...
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