Insurance Affordability

In the last 30 days, the Trump administration has initiated significant changes in Medicare Advantage (MA) payment structures, including a proposal to keep MA rates flat while recalibrating risk adjustment methodologies, prompting record levels of feedback from insurers regarding their financial implications. As the administration advances with the Medicare ACCESS model, questions arise about whether current payment rates are adequate to sustain health tech innovations while also managing costs effectively, as discussed in STAT News. Additionally, payers are increasingly expressing the need for tangible outcomes beyond mere access to services, aligning with a broader trend towards enhanced value-based care initiatives that emphasize results over volume in patient care delivery.