Health Payer Intelligence January 23, 2023
Medicare Advantage plans have seen growing enrollment in recent years, but they have also seen persistent coding intensity problems that lead to excess payments.
Medicare Advantage enrollment as a share of overall Medicare enrollment continued to rise in 2022, but payment inequity calls for serious reforms, according to a presentation from MedPAC.
The Medicare Advantage status report showed that Medicare Advantage beneficiaries accounted for 49 percent of Medicare enrollment in 2022, up from 46 percent in the year prior. Since 2016, Medicare Advantage plans’ share of enrollment has grown from a third of all Medicare beneficiaries to nearly half.
As in past years, health maintenance organizations (HMOs) dominated the Medicare Advantage enrollment landscape.