Reform Center video series: Medicare Advantage
ACA reimbursement changes are likely to bring shifts in growth and profitability across counties.
ACA reimbursement changes are likely to bring shifts in growth and profitability across counties. Poor stars performance has the potential to shift ~600k covered lives to new carriers if performance doesn't improve, and stars performance is likely to highly impact carrier margins. Although provider-based carriers have maintained a stars performance edge over their competition, their market share has remained constant - a dynamic that may change in the future due to the increased reimbursement impact of stars performance.