Oliver Wyman August 28, 2024
Scott Ptacek, Sarah Snider, Lindsay Knable, and Martin Graf

Medicare Advantage is entering a challenging period that’s likely to cause a shift in the competitive landscape. Insurers cannot be paralyzed by indecision.

History has a way of repeating itself. Medicare Advantage is entering a period that is eerily similar to one that resulted in a significant shift in the competitive landscape nearly 30 years ago. Regulatory and market pressures are bearing down on insurers, and they need to avoid missteps of the past to be in a position to succeed in the coming years.

In the current environment, lower than average rate increases, post pandemic spikes in utilization, and a tighter risk adjustment model have taken a bite out of the momentum that has driven historic growth in the...

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