I hear ya. But, plans did not get worse in my state. They continually get better. But, I'll welcome some higher copays. If every plan gets worse most of my clients will stay put.
The golden age of Medicare is over . Humana stock plunging.
- Thread starter DonP
- Start date
I hear ya. But, plans did not get worse in my state. They continually get better. But, I'll welcome some higher copays. If every plan gets worse most of my clients will stay put.
jeff.j.miller
New Member
- 9
I am wondering if there is a push inside Congress and CMS to limit bonuses paid to health plans. The WSJ, NYT and many others have been harping about plans being "overpaid" by Medicare/CMS.
www.benefitspro.com
Many other articles and statements by congressional leaders. I was told that the reason MA is being attacked by Hospitals is that straight Medicare offers a 15% surcharge availability to places like May Clinic, so they have decided to eliminate MA plans from out of state entirely. Quite the development.
Humana sues feds over new Medicare ‘clawback’ rule that could cost insurers $47B | BenefitsPRO
The insurer - the second-largest provider of Medicare Advantage plans in the U.S. - is fighting back against a rule finalized earlier this year to recoup overpayments in the popular retiree health plan.
www.benefitspro.com
Many other articles and statements by congressional leaders. I was told that the reason MA is being attacked by Hospitals is that straight Medicare offers a 15% surcharge availability to places like May Clinic, so they have decided to eliminate MA plans from out of state entirely. Quite the development.
jeff.j.miller
New Member
- 9
What kind of agent doesn't value new customers more than old ones? When they pay you 200%?
Humana having serious issues. Read the comment section…..
.,[EXTERNAL LINK] - How a 'complex' Medicare Advantage market left Humana scrambling to start 2024How a 'complex' Medicare Advantage market left Humana scrambling to start 2024
.,[EXTERNAL LINK] - How a 'complex' Medicare Advantage market left Humana scrambling to start 2024How a 'complex' Medicare Advantage market left Humana scrambling to start 2024
- Thread starter
- #26
Med supp will be 3 to 7% for uhc. Bet me
I agree
Well, add on Aetna to the trifecta of companies warning about MAPD.
You're looking at the MAPD peak. Seems all those wonderful freebies will be reduced.
https://www.modernhealthcare.com/insurance/cvs-health-medicare-advantage-utilization-2024
CVS Health has downgraded its 2024 earnings guidance as its Aetna health insurance subsidiary contends with higher-than-expected Medicare Advantage costs and a looming federal rate cut, the company announced Wednesday.
Aetna's Medicare Advantage business failed to achieve its margin target in 2023, according to CVS Health's fourth-quarter and full-year earnings report. The company will respond by raising premiums and deemphasizing strategies to gain market share, executives said during a call with investor analysts Wednesday.
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Medicare Advantage claims for outpatient hip and knee procedures, supplemental services such as dental and vision care, and respiratory syncytial virus vaccinations drove higher-than-projected medical spending, CVS Health reported. Aetna's medical loss ratio increased 2.7 % to 88.5% for the fourth quarter and 2.4 % to 86.2% for the full year.
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Aetna now joins other leading Medicare Advantage carriers such as UnitedHealth Group, Humana and Centene in warning investors that the segment is under stress. In addition to accelerated medical spending, especially during the fourth quarter, the sector faces a modest reduction in Medicare Advantage benchmark rates next year under a proposed rule the Centers for Medicare and Medicaid Services published last week.
"It's in line with our expectations," CVS Health President and CEO Karen Lynch said. "However, we do not believe it covers overall cost trends that have been emerging in Medicare Advantage."
Insurers also are feeling the cumulative effects of other recent CMS policies such as modifications to the Star Ratings quality program and the risk-adjustment methodology and are cautioning policymakers and consumers that they will react to by taking steps such as raising premiums and scaling back supplemental benefits.
You're looking at the MAPD peak. Seems all those wonderful freebies will be reduced.
https://www.modernhealthcare.com/insurance/cvs-health-medicare-advantage-utilization-2024
CVS Health has downgraded its 2024 earnings guidance as its Aetna health insurance subsidiary contends with higher-than-expected Medicare Advantage costs and a looming federal rate cut, the company announced Wednesday.
Aetna's Medicare Advantage business failed to achieve its margin target in 2023, according to CVS Health's fourth-quarter and full-year earnings report. The company will respond by raising premiums and deemphasizing strategies to gain market share, executives said during a call with investor analysts Wednesday.
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Medicare Advantage claims for outpatient hip and knee procedures, supplemental services such as dental and vision care, and respiratory syncytial virus vaccinations drove higher-than-projected medical spending, CVS Health reported. Aetna's medical loss ratio increased 2.7 % to 88.5% for the fourth quarter and 2.4 % to 86.2% for the full year.
------------
Aetna now joins other leading Medicare Advantage carriers such as UnitedHealth Group, Humana and Centene in warning investors that the segment is under stress. In addition to accelerated medical spending, especially during the fourth quarter, the sector faces a modest reduction in Medicare Advantage benchmark rates next year under a proposed rule the Centers for Medicare and Medicaid Services published last week.
"It's in line with our expectations," CVS Health President and CEO Karen Lynch said. "However, we do not believe it covers overall cost trends that have been emerging in Medicare Advantage."
Insurers also are feeling the cumulative effects of other recent CMS policies such as modifications to the Star Ratings quality program and the risk-adjustment methodology and are cautioning policymakers and consumers that they will react to by taking steps such as raising premiums and scaling back supplemental benefits.
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