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Why one payer CEO feels good about CMS’ Medicare Advantage rates
Becker's Healthcare April 4, 2024
Clover Health CEO Andrew Toy feels good about CMS’ 2025 Medicare Advantage rates.
The final 2025 rates, published April 1, include a slight decrease in benchmark payments. Payer industry groups have decried the rates, saying they are insufficient to cover rising costs in the Medicare Advantage market.
In an April 3 LinkedIn post, Mr. Toy wrote that consistent with CMS, Clover Health did not see elevated Medicare Advantage costs in the fourth quarter of 2024.
In its final rate notice, CMS wrote that it was aware of reports from various stakeholders that MA costs were trending above fee-for-service rates at the end of 2023.
“We are not aware of all of the specific drivers accounting for...
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