Here are eight Medicare Advantage updates Becker’s has reported since March 15.
- Older couples typically enroll and disenroll in Medicare Advantage plans together, a study published in JAMA found.
- Community Care Physicians, a Latham, N.Y.-based multispecialty medical group, went out of network with Humana Medicare Advantage plans on March 13. In a letter to patients, the medical group said the requirements imposed by the insurer have “become increasingly cumbersome.”
- Humana is seeking to dismiss a class action lawsuit alleging the insurer used an AI algorithm to wrongfully deny Medicare Advantage beneficiaries care.
- A group of Republican lawmakers asked CMS to reconsider its proposed 2025 rates for Medicare Advantage. Forty-five lawmakers signed a letter to CMS Administrator Chiquita Brooks-LaSure expressing concerns the proposed rates could lead health plans to cut benefits for older adults and harm the viability of the program.
- Health system-owned Medicare Advantage enrollment continues to grow overall, but providers’ share of the national MA market currently sits at 13%, compared to 17% in 2019. Geisinger Health Plan’s Chief Medical Officer, John Bulger, DO, sat down with Becker’s to explain how Geisinger is bucking this trend.
- Higher medical spending could be the new normal in Medicare Advantage — and insurers will have to find a way to respond, according to McKinsey analysts. Here are five key Medicare Advantage trends for payers to watch in 2024, according to the consulting firm.
- The Medicare Payment and Advisory Commission called for a “major overhaul” of Medicare Advantage policies in its annual report to Congress. The commission estimated that in 2024, the government will spend $83 billion dollars more on Medicare Advantage beneficiaries than if they were enrolled in fee-for-service Medicare.
- A lack of payments from Medicare Advantage plans is one reason a Connecticut hospital is laying off staff, according to its CEO.
