Medicare Advantage in the headlines: 10 recent updates – Hospinov-The platform for certified medical innovations

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Rylee Wilson – Friday, September 13th, 2024

Medicare Advantage plans are planning market exits for 2025, and preparing for open enrollment amid a turbulent year.

Here are 10 Medicare Advantage updates Becker’s has reported since Sept. 4.

Some Medicare Advantage plans say the turbulence facing the industry is not slowing them down. Here are four insurers shrugging off headwinds.
Medicare beneficiaries are given the opportunity to switch Medicare Advantage plans annually, but some evidence suggests that committing to multi-year contracts could lead to better health outcomes.
Bonus payments to Medicare Advantage plans will decline by around 8% in 2024 compared to 2023, according to a report from KFF. 2024 is the first year bonus payments to MA plans have declined since 2015. UnitedHealthcare was paid the highest share of bonuses in 2024.
CMS is suspending new enrollment for a Centene Medicare Advantage subsidiary in Missouri after the company failed to meet the required medical loss ratio for three years in a row.
Significant changes are headed for Medicare Advantage. Some are calling the changes the “great disruption,” according to SCAN Group CEO Sachin Jain, MD.
Medicare Advantage plans are tasked with educating members about significant changes coming to the program in 2025. They also have to find a way to break through the noise of an election year.
Clever Care, a regional Medicare Advantage company, says its biggest challenge is not related to rising hospital utilization among its members. Karen Walker Johnson, interim CEO at Clever Care, told Becker’s how the company is navigating ongoing industry headwinds.
Medicare Advantage beneficiaries are getting savvier and expecting more from their plans, executives at the top-rated insurers for customer satisfaction told Becker’s. Here is what the leaders at four of J.D. Power’s top plans say members expect now.
Humana will stop offering Medicare Advantage in 13 counties in 2025, CFO Susan Diamond told investors. The exits will affect 560,000 Humana members.
The challenges Medicare Advantage insurers are facing now aren’t without precedent, according to an analysis from OliverWyman. Medicare Advantage plans can learn from the challenges Medicare+Choice, the precursor to MA, faced In the late 1990s.