No News Is Bad News for MAOs Hoping to See Pay Hike in 2025
The April 1 release of final rate projections for Medicare Advantage and Part D plans was largely uneventful as CMS maintained the same all-in estimate of what plans can expect to see, on average, in terms of a reimbursement update next year. But the market did not respond well: MA-exposed insurers’ shares took a tumble and equity analysts warned that a revenue decline — before coding trend — could lead to benefit cuts and footprint reductions.
Industry trade groups did not respond favorably, either. In a statement released immediately after the rate announcement, AHIP President and CEO Mike Tuffin said the finalized policies would “put even more pressure on the benefits and premiums of 33 million Medicare Advantage beneficiaries who will be renewing their coverage this fall,” particularly as the MA and Part D programs face regulatory and legislative changes.
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Jill Drachenberg Reporter, Health Plan Weekly and Radar on Drug Benefits
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Lauren Flynn Kelly Executive Editor, AIS Health, and Managing Editor, Radar on Medicare Advantage
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Angela Maas Managing Editor, Radar on Specialty Pharmacy and Spotlight on Market Access
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Leslie Small Managing Editor, Health Plan Weekly and Radar on Drug Benefits
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Tim Casey Reporter, Health Plan Weekly and Radar on Drug Benefits
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Carina Belles Reporter, Radar on Medicare Advantage and Spotlight on Market Access
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Jinghong Chen Reporter, Health Plan Weekly and Radar on Drug Benefits
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