CMS softens Medicare Advantage funding changes

Published on NewsOK Modified: April 1, 2013 at 6:34 pm •  Published: April 1, 2013
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Medicare Advantage customers may not see the drastic benefit cuts or premium hikes next year that insurers have been warning about after all.

Health insurers had predicted big, painful changes for many of their Medicare Advantage customers after the federal government said in February that the amount it pays per person for the popular coverage could fall more than 2 percent in 2014.

The Centers for Medicare and Medicaid Services then changed course on Monday and said it now expects that the cost per person to climb more than 3 percent.

"That's a huge positive" for the industry, said Sheryl Skolnick, an analyst who covers health insurers for CRT Capital Group.

The shares of several health insurers rose sharply in extended trading Monday following the CMS announcement. Medicare Advantage plans have become a key source of growth for insurers, which receive about $10,000 per member to provide customers with basic Medicare coverage topped with vision or dental coverage, or premiums lower than standard Medicare rates.

Insurers offer hundreds of different Medicare Advantage plans around the country, and they flood TV airwaves each fall with commercials during the annual open enrollment period for the popular plans.

More than 13 million people were enrolled in Medicare Advantage plans last year, or about 27 percent of the Medicare population, according to the Kaiser Family Foundation. That total has nearly doubled since 2006.

Many Medicare Advantage plans will ultimately get paid less next year due to several other variables like a premium tax that is called for in the health care overhaul, the massive federal law that aims to cover millions of uninsured people. Analysts also expect insurer profits from the plans to be strained by the growing cost of care.



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