The rate increase comes alongside a revised risk adjustment model. The effects of these changes on the healthcare ecosystem remain to be seen, particularly on access and quality.
Our 2025 Medicare Advantage competitive enrollment report analyzes decelerating growth as the market undergoes a period of correction. We discuss six key trends and action items for health plans.
While Medicaid work requirements may reduce program costs, they would put 36 million people at risk of losing coverage—with negative impacts on access and population health.
Amid regulatory uncertainty, Medicare Advantage leaders’ priorities reveal a focus on weathering recent disruption, with an eye toward a more favorable forecast for the coming year.
Drawing on our newly updated health equity state tracker, we highlight recent activities among the states and discuss next steps for providers and health plans to advance health equity.
Uncertainty remains about how Trump’s re-election and shifts in Congress will impact health policy. Several core issues are likely to get the most attention under the new administration.
A stalemate in Congress may limit federal healthcare policy change. Healthcare leaders should keep a pulse on state ballot initiatives, state legislation, and court decisions.
While healthcare received limited debate time, the candidates discussed a handful of key issues. Analysis of their platforms surfaces their current positions on additional pressing healthcare issues.
Medicare Advantage plans and provider organizations can take specific data-driven steps to improve their relationship and create a mutually beneficial outcome while ensuring access for patients.
The ruling could affect 2024 star ratings, bonuses, and new contract bids. Regardless, ongoing changes will make attaining 4 or more stars increasingly difficult.
Contact us
Get in touch
Let us know how we can help you advance healthcare.
