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Payer insights

Reform Center video series: Medicare Advantage

Filed under: Medicare, Reform

Video Summary

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.

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