Becker's Healthcare August 13, 2025
Priority Health, the insurance arm of Grand Rapids, Mich.-based Corewell Health, is focused on long-term Medicare Advantage sustainability as the industry navigates rising costs and utilization.
Becker’s connected with Interim President Nick Gates about how the insurer continues to integrate its health plans with care delivery services for 1.3 million members, including 240,000 Medicare Advantage enrollees.
MA strategy headed into 2026
“Recent financial pressures have us really focused on sustainability. We’ve worked closely with our teams and agents, gathering feedback from our community to balance strong medical benefits and supplemental benefits that our members value. Our focus is on long-term sustainability.”
Where is utilization pressure coming from?
“Rising drug costs, high-cost injectables (particularly in oncology), and an increase in inpatient...
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