Medicare Advantage Payment Update Eases Concern But Raises Longer-Term Questions

Managed Healthcare Executive examines how the final Medicare Advantage payment rates provided some relief while longer-term sustainability questions remain. The coverage features extensive commentary from ACHP CEO Ceci Connolly, who said “We’re pleased by CMS’ early moves on risk adjustment and chart review flexibility” but warned that “the system’s core inequities remain, continuing to favor larger carriers and distort competition.” Connolly noted that in 2023, taxpayers paid the largest MA carrier $6 billion more in risk adjustment than all ACHP plans combined, adding “The modest rate increase provides some short-term stability, but it falls short of rising cost pressures, especially for plans serving rural and underserved communities.”

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