Medicare Advantage plans to see 2025 base pay fall
AXIOS April 2, 2024
The Biden administration on Monday followed through on its proposal to cut next year’s base payments to Medicare Advantage plans an average of 0.16%, despite pressure from insurers and their allies in Congress.
Why it matters: While the plans will wind up seeing a net increase once payments are risk-adjusted to account for the health of their customers, the news sent shares of UnitedHealth, CVS Health, Humana and Centene falling amid predictions of continued financial pressure.
State of play: The base pay decrease stems from the continued phase-in of controversial changes to the risk adjustment coding system the Biden administration started last year to make MA payments more accurate.
- Insurers get more money if their enrollees have more documented...