Medicare Advantage Customers Confront Shrinking Insurer Pool Amid Payment Adjustments

Thursday, 12 September 2024, 03:31

Medicare Advantage customers are facing a shrinking pool of insurers due to recent benchmark payment decreases. As CMS has finalized a slight decline in these rates for 2025, customers may find their options limited. Additionally, the alterations in risk adjustment strategies will add complexity to plan enrollments.
Kiplinger
Medicare Advantage Customers Confront Shrinking Insurer Pool Amid Payment Adjustments

Growing Concerns Over Medicare Advantage Plans

Medicare Advantage (MA) customers must brace themselves as the landscape of available insurers narrows. Recent decisions by CMS reflect a slight but significant adjustment in benchmark payments for 2025.

Impact of Payment Rate Adjustments

The finalized decrease in payment rates for 2025 not only limits consumer choices but also raises questions about how plans will adjust their offerings. The modifications in how member risk is assessed could complicate enrollments further.

Key Takeaways

  • CMS has made changes to Medicare Advantage benchmark payments.
  • A smaller pool of insurers could lead to fewer plan options for customers.
  • Adjustments in risk assessments will impact how insurers operate.

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This article was prepared using information from open sources in accordance with the principles of Ethical Policy. The editorial team is not responsible for absolute accuracy, as it relies on data from the sources referenced.


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