Medicare Advantage & Managed Care
Expert articles and analysis related to medicare advantage & managed care.
AI Summary — Last 24 Hours
Humana is signaling additional Medicare Advantage market exits for 2027—potentially affecting hundreds of thousands of members—as it prioritizes margin recovery amid Star Ratings pressure and reduced GAAP guidance, reinforcing that MA plans are becoming more selective about geographies, benefits, and risk exposure rather than chasing enrollment growth (Healthcare Dive). For VBC stakeholders, the immediate implication is tighter payer contracting and potential member disruption in MA-heavy markets, even as MA enrollment is projected to keep expanding over the next decade. Separately, ACOs face a concrete CMS digital quality measurement transition window for MSSP from 2027–2030, making FHIR-based reporting readiness a near-term infrastructure priority rather than a long-range compliance project (Wakely).
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Humana Tumbles 8.7% Despite Q2 Earnings Beat as Star Ratings Hit Forces GAAP Guidance Cut - finance.biggo.com
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