Becker's Healthcare April 8, 2024
Andrew Cass

A Medicare utilization surge in the fourth quarter of 2024 is clouding the health insurance industry’s outlook in 2024, according to an April 8 report from Fitch Ratings shared with Becker’s.

Five things to know:

1. The U.S. health insurance industry “continued to deliver relatively stable operating performance in 2023, despite moderately increased medical loss ratios for several companies,” according to the report.

2. The elevated medical loss ratios reflect increasing unit costs and higher utilization, particularly in the older adult market, Fitch said.

3. Companies with higher proportional exposure to Medicare Advantage generally experience increases in their medical loss ratios, Fitch said. Those with less MA exposure had...

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Topics: Insurance, Medicare Advantage, Payer, Survey / Study, Trends
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