• 52. MA's Challenges, Its Future, And Its Value

  • Dec 6 2024
  • Length: 26 mins
  • Podcast

52. MA's Challenges, Its Future, And Its Value

  • Summary

  • Medicare Advantage is struggling right now, but a new study shows how important MA is to Medicare’s future.
    About The Podcast:
    Millions of Americans feel confused and frustrated in their search for quality healthcare coverage. Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change. Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most pressing issues and events in American healthcare. Marc seeks to help Americans become wiser consumers and navigate the healthcare maze with more confidence and certainty through The Healthcare Labyrinth website and his book of the same name. Marc is an unconventional Republican who believes that affordable universal access is a wise and prudent investment. He recommends common-sense solutions to reform American healthcare. Tune in every week as Marc examines the latest developments in the space, offering analysis, insights, and predictions on the changing state of healthcare in America. About The Episode: On this episode, Marc discusses Medicare Advantage. It is struggling right now and could see some relief from the incoming Trump administration. A new study shows how important MA is to Medicare’s future. Key Takeaways: Opponents of Medicare Advantage (MA) say plans are massively over-reimbursed, but many of their statistics are fanciful. Medicare Advantage is struggling right now due to no rate hikes, low Star scores, and a return of high costs. The incoming Trump administration could offer some rate relief for 2026. Trump will be very supportive of MA overall and could propose it as a default option for seniors and the disabled. But we should continue to expect certain reforms of MA to continue. A new study shows that MA has saved dollars in the traditional program as MA penetration grew. Provider behavior appears to have changed in the traditional program as MA grew. Providers began to focus on cost-savings and outcomes on both MA and traditional Medicare lives. This new study as well as those showing better outcomes in MA need to be part of the playbook on Capitol Hill and at CMS. Connect with Marc Marc on LinkedIn Marc on Twitter THL Podcast Resources THL’s Newsfeed THL’s Blog The Healthcare Labyrinth: A Guide to Navigating Health Plans and Fixing American Health Insurance
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