The future of Medicare Advantage....the Fall of the House of MAPD?

[Duaine]

Higher medical spending could be the new normal in Medicare Advantage — and insurers will have to find a way to respond, McKinsey analysts wrote.

The consulting firm on March 13 published its list of five key trends insurers in the Medicare Advantage space need to consider in the next year.

Here are McKinsey's top trends for 2024:

1. Product reset: Insurers may become more selective about how many plans and benefits they offer, as medical costs rise and policymakers reconsider the value of supplemental benefits. Plans may need to offer a "concise narrative" to the beneficiaries they are trying to attract, rather than trying to be all things to all people.
   
   
2. Aging population: As the Medicare population ages and the healthcare worker shortage persists, new care models will be needed to address higher-acuity patients. A key question here is if an influx of patients with higher needs will push more payers toward vertical integration, McKinsey analysts wrote.
   
   
3. Star ratings: Plans will need to adjust to tougher star rating cut points from CMS, according to McKinsey. Insurers will also need to shift their focus to quality outcomes, as CMS will deemphasize beneficiary satisfaction ratings in its star ratings.
   
   
4. Opportunities in SNPs: Special needs plans and dual-eligible special needs plans are opportunities for growth, but insurers will need to make proactive moves to prepare for new contracting strategies from states for D-SNPs.
5. Constraints on brokers: Increased regulation of third-party marketing and broker organizations may lead insurers to upscale their own marketing and sales efforts, according to McKinsey.

Read more here.

 

[Chazm]

Not even close.

 

[axeman462]

Higher medical spending could be the new normal in Medicare Advantage — and insurers will have to find a way to respond, McKinsey analysts wrote.

The consulting firm on March 13 published its list of five key trends insurers in the Medicare Advantage space need to consider in the next year.

Here are McKinsey's top trends for 2024:

1. Product reset: Insurers may become more selective about how many plans and benefits they offer, as medical costs rise and policymakers reconsider the value of supplemental benefits. Plans may need to offer a "concise narrative" to the beneficiaries they are trying to attract, rather than trying to be all things to all people.
   
   
2. Aging population: As the Medicare population ages and the healthcare worker shortage persists, new care models will be needed to address higher-acuity patients. A key question here is if an influx of patients with higher needs will push more payers toward vertical integration, McKinsey analysts wrote.
   
   
3. Star ratings: Plans will need to adjust to tougher star rating cut points from CMS, according to McKinsey. Insurers will also need to shift their focus to quality outcomes, as CMS will deemphasize beneficiary satisfaction ratings in its star ratings.
   
   
4. Opportunities in SNPs: Special needs plans and dual-eligible special needs plans are opportunities for growth, but insurers will need to make proactive moves to prepare for new contracting strategies from states for D-SNPs.
5. Constraints on brokers: Increased regulation of third-party marketing and broker organizations may lead insurers to upscale their own marketing and sales efforts, according to McKinsey.

Read more here.

posts like this lower the intellectual value of this forum.

 

[aheff]

Why is OP's report from McKinsey that incorrect and way off the mark?

 

[axeman462]

Why is OP's report from McKinsey that incorrect and way off the mark?

because its fear porn.

much of the things that are affecting Medicare advantage right now can and will be reversed if/when Trump becomes president. On top of that the free market has already spoken, and MAPD is the drug of choice.

 

[aheff]

Forget about your political silliness. You are better than that.
For the past 15 years that I have written MA, commission have gone WAY up, Benefits WAY up, premiums WAY down. Now, it certainly appears that trend is shifting and MA plans and carriers are facing pressure, which will lead to a more challenging environment for MA. Do you disagree? The OP gave us the McKinsey report, which I appreciated, read, and found insightful.

 

[axeman462]

Forget about your political silliness. You are better than that.
For the past 15 years that I have written MA, commission have gone WAY up, Benefits WAY up, premiums WAY down. Now, it certainly appears that trend is shifting and MA plans and carriers are facing pressure, which will lead to a more challenging environment for MA. Do you disagree? The OP gave us the McKinsey report, which I appreciated, read, and found insightful.

yes I disagree.
recessions happen, they are never permanent. Same thing happen to the market in 2014. Agents cried it was the "end of the world". Carriers went under.
Those of us that were smart enough to see through the panic capitalized on it.

Its fear porn. Its the kind of stuff that MSO agents jacks off to at 2am.

 

[aheff]

Got it. I guess there should be no more studies or analyses or trends ever done, about anything-Fear porn. Ignorance is bliss.
The McKinsey report, if you bothered to read it, wasn't suggesting the end of MA and wasn't implying the sky is falling. It merely reviewed trends, likely pressure and perhaps some changes to MA. That was it.

 

[Yagents]

Its fear porn. Its the kind of stuff that MSO agents jacks off to at 2am.

Just so so wrong.

I'm in bed by 9pm and my MAPD plan covers lubricants with a $0 copay.

 

[Chazm]

Got it. I guess there should be no more studies or analyses or trends ever done, about anything-Fear porn. Ignorance is bliss.
The McKinsey report, if you bothered to read it, wasn't suggesting the end of MA and wasn't implying the sky is falling. It merely reviewed trends, likely pressure and perhaps some changes to MA. That was it.

I’m not sure if others were responding to as I was. Duaine. He was the one posting the fear with his “fear porn” title. He’s just trying to get more clicks and comments with his post.

The article resembled nothing close to his title of this post. And that’s why I posted, “not even close.”