- 2,370
The overall process of designing a competitive MA plan is amazing to me.
You have carriers who submit their plans to CMS midyear for the following year. They have no idea what the competition is doing. Are they lowering their co-pays, upping their premium, etc. No one knows but the carrier designing the plan.
October 1st is when the plans are released to the public. That is when all the carriers know how competitive they are. If they are not competitive, they are dead in the water for a year.
CMS used to allow for midyear changes as long as the benefits were an improvement. Now carriers have to wait until the following year.
It just amazes me that they all have to basically throw their plans on the wall and pray it sticks.
You have carriers who submit their plans to CMS midyear for the following year. They have no idea what the competition is doing. Are they lowering their co-pays, upping their premium, etc. No one knows but the carrier designing the plan.
October 1st is when the plans are released to the public. That is when all the carriers know how competitive they are. If they are not competitive, they are dead in the water for a year.
CMS used to allow for midyear changes as long as the benefits were an improvement. Now carriers have to wait until the following year.
It just amazes me that they all have to basically throw their plans on the wall and pray it sticks.