Medicare Medical Loss Ratio

Will Reporting Medical Loss Ratio (MLR) Constrain Payments to Medicare Advantage Plans?

Medicare Advantage plans (MAO) have been increasingly popular, with Medicare-eligible beneficiaries enrolling 51% of the eligible population in 2023, taking in $454 billion (or 54%) in Medicare spending.[1] Notwithstanding the popularity of the MA program, payments to private health plans … Read More

cms-star-ratings-2024

2024 Medicare Advantage and Part D Star Ratings: Key Observations and Takeaways

2024 Star Ratings, which CMS released on October 13, 2023, has forced the industry to reflect upon and restrategize the path forward with newer evaluation dynamics at play. The resulting turbulence has clearly underscored the fact that auto-pilot mode is … Read More