Oliver Wyman October 10, 2024
Medicare Advantage plans left several markets in 2025. The disruption will force insurers to pay close attention to their product portfolio going forward.
A confluence of factors is leading to a significant shake-up in the Medicare Advantage landscape in 2025. Key elements include the redesign of the Part D benefit due to regulatory changes included in the Inflation Reduction Act, lower-than-expected benchmark rates, the transition to the v28 Risk Adjustment model, and rising medical trends. These warning signs about the financial sustainability of benefit-rich Medicare Advantage plans have prompted several insurers to pull back in 2025, resulting in product closures and exits from markets. Despite these disruptions, consumers will still have a broad range of choices and can shop for...