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 deeply introspect and re-strategize the path forward with newer evaluation dynamics at play. The resulting turbulence has clearly underscored the fact that auto-pilot mode is … Read More