Healthcare DIVE May 30, 2024
Worries about higher-than-expected medical spending have reached Medicaid, as redeterminations spark turbulence in the program.
Insurers are already struggling to manage elevated spending in Medicare Advantage. But now, another government program — Medicaid — is sparking concerns, after executive comments at an investor conference and a securities filing flagged higher costs in the public health insurance scheme.
Stocks in major payers slid yesterday after UnitedHealth and Centene disclosed a potential mismatch in patient utilization with the rates their Medicaid businesses are paid by states.
That’s been an ongoing source of pressure for insurers as states recheck Medicaid beneficiaries’ eligibility for the safety-net program, removing millions of low-income individuals from the program — and reshaping insurers’ risk pools, potentially without a...
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