Oliver Wyman October 10, 2024
Gregory Berger, Lindsay Knable, Brooks Conway, Shannan Brown, and Brinda Doshi

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...

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