Becker's Healthcare February 12, 2024
Challenges in the Medicare Advantage market may force insurers to cut back on extra benefits like vision and dental in 2025, The Wall Street Journal columnist David Wainer wrote Feb. 11.
Insurers are facing two major headwinds in Medicare Advantage — rising medical utilization in the program, and lowered benchmark payments from CMS. MA plans are likely to prioritize margins over growth, cutting back on extra benefits that can attract consumers to plans, Mr. Wainer wrote.
The program has grown rapidly in recent years, accounting for over half of Medicare enrollees in 2023, up from 29% a decade ago, according to KFF. This growth could slow down if insurers offer more modest benefits, Mr. Wainer wrote.
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