More big carrier news coming

[axeman462]

Cigna already pulled all of their PPOs in Florida for 2025. If you didn't already know, PPOs are the plans that are having a tough time being profitable

maybe we will see a more EPO style MAPD in the future, or some other new hybrid model?

 

[wolf5150]

Cigna already pulled all of their PPOs in Florida for 2025. If you didn't already know, PPOs are the plans that are having a tough time being profitable

Yup, seems the HMO's are impervious to these recent changes, generally speaking.

 

[axeman462]

Yup, seems the HMO's are impervious to these recent changes, generally speaking.

now that you mention it, I do recall during several rollouts this year carrier reps trying to push the HMOs more and talk agents out of selling the PPOs

 

[Medicare bro]

Yup, seems the HMO's are impervious to these recent changes, generally speaking.

I’ve never had an issue selling HMO’s.

 

[wolf5150]

now that you mention it, I do recall during several rollouts this year carrier reps trying to push the HMOs more and talk agents out of selling the PPOs

hmm....makes you wonder.

 

[LostDollar]

That makes no sense. If no one’s using the plans where do they get the cash? The cash comes from having members enrolled in the plan.

I didn't say they weren't designed to be sold. I suggested maybe they weren't designed to be used, only to be sold so the carrier could get the money from the government.

Then when the a plan like that actually gets used and the carrier doesn't get to keep the free money from the government, well ..............

 

[LostDollar]

maybe we will see a more EPO style MAPD in the future, or some other new hybrid model?

what a horrible thought.

 

[straightnochaser]

I didn't say they weren't designed to be sold. I suggested maybe they weren't designed to be used, only to be sold so the carrier could get the money from the government.

Then when the a plan like that actually gets used and the carrier doesn't get to keep the free money from the government, well ..............

Yea that’s not how this works.

 

[axeman462]

what a horrible thought.

yeah, we should should just force everyone onto the same plan and take away their freedom to choose what is best for themselves

 

[Medicare bro]

what a horrible thought.

EPO’s are the best option.