The U.S. government on Wednesday proposed an average 0.93% increase
in its payments in 2021 to the health insurers that manage Medicare
Advantage insurance plans for about 22 million people aged 65 or older
or disabled.
The government will finalize the rate in April.
UnitedHealth Group Inc, Humana Inc, Anthem Inc, CVS Health Corp and
Centene Corp are among the largest players in the Medicare Advantage
market, in which private insurers are paid a set rate by the government
to manage member healthcare.
The government payment rates affect how much insurers charge for
monthly premiums, plan benefits and ultimately, how much they profit.
Medicare Advantage covers about one-third of the people enrolled in the
government’s Medicare program.
The Centers for Medicare and Medicaid Services, a division of the
U.S. Department of Health and Human Resources, releases the proposed
rate early each year and then opens a public comment period. The final
rate adopted in April could be higher or lower than the proposed one.
Evercore ISI analyst Michael Newshel said in a research note ahead of
the report that he was expecting about a 2.5 percent increase, in line
with the 2.53 percent increase the government put in place for 2020
plans.
The government also proposed payment rates for advanced kidney disease.
https://www.reuters.com/article/us-usa-healthcare-insurance/u-s-government-proposes-higher-payments-to-medicare-insurers-in-2021-idUSKBN1ZZ336
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