The coming year is expected to be an even more “intense and disruptive” period for Medicare Advantage, as rising utilization, pharmacy costs and shifting market dynamics put new pressure on plans, while also creating opportunities for provider-sponsored models. Becker’s connected…
Medicare Advantage
Priority Health, the insurance arm of Grand Rapids, Mich.-based Corewell Health, is focused on long-term Medicare Advantage sustainability as the industry navigates rising costs and utilization. Becker’s connected with Interim President Nick Gates about how the insurer continues to integrate…
As major insurers pull back on their Medicare Advantage offerings, health system-owned plans told Becker’s they’re eyeing an opportunity to regain ground ahead of the annual enrollment season. “We’re hopeful that CMS and the current administration are really going to…
Major insurers are retrenching their Medicare Advantage strategies as federal cost‑containment measures and rising medical expenses squeeze profitability. Amid the growing financial pressures the industry has faced for nearly two years, the largest MA carriers are cutting supplemental benefits, exiting…
Alignment Healthcare posted its first quarterly profit and raised its full-year membership, revenue, adjusted profit and adjusted EBITDA outlooks in its second quarter earnings published July 30. “Our strong Q2 performance proves two things: one that there is a model…
Advertisement
St. Louis-based Mercy is targeting closer partnerships with fewer organizations, Gavin Helton, MD, president of primary care at the system, told Becker’s. One of these partnerships is with Humana. Mercy and Humana opened their first collaborative 65Prime+ Clinics in Springfield…
HHS says it has launched a study into “misleading” Medicare Advantage marketing practices “and the harms they cause to individuals.” “In recent years, concerns about aggressive and deceptive marketing practices in Medicare Advantage have become more pressing,” the HHS OIG…
Humana is launching a collaboration with Epic’s MyChart, allowing members to see health plan details alongside the rest of their medical information. The partnership is the first of its kind, Humana said in a July 15 news release. “This integration…
On average, Medicare Advantage beneficiaries have access to plans offered by eight different insurers, but in most counties, one or two companies control the majority of the market, according to an analysis from KFF. The vast majority of MA beneficiaries…
Medicare Advantage insurers are eliminating commission payments for some of their plans, a move that has drawn criticism from broker associations. Insurers typically pay brokers commission payments for enrolling new members, or renewing existing members in Medicare Advantage and Medicare…