HealthLeaders Media February 28, 2024
The recent proposed MA rate cuts could cut into payers’ profits, and payers are fighting back.
KEY TAKEAWAYS
– Newly proposed MA rate cuts are causing pushback from payers
– The proposed rates could see MA cuts drop by 1% per month per beneficiary next year
– Insurers are arguing the CMS did not calculate the rising utilization costs that payers are facing
Medicare Advantage (MA) has long been a favorite of payers, often doubling their profits. But will potential rate cuts send payers fleeing out of the program?
Originally, CMS expected MA rate cuts to drop about 0.16%. But a recent study from the payer lobbying group Better Medicine Alliance, which represents payers in Medicare, found that if the...
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