In 2024, 56% of large firms offering retiree health benefits to Medicare-age retirees utilize Medicare Advantage plans, a significant increase from 26% in 2017. While these plans can lower costs for employers, they may limit retirees' access to healthcare providers and services, raising concerns about the implications for Medicare spending and the program's solvency.
At the Fierce Health Payer Summit, former HHS Secretary Alex Azar expressed optimism about Medicare Advantage (MA) while criticizing the Biden administration's impact on the program. He highlighted the successes of value-based care models and argued against a recent MedPAC report that claimed MA costs more than Medicare fee-for-service, attributing current challenges to detrimental cuts and a post-pandemic utilization spike. Azar anticipates a shift towards MA as payers adapt to changes from the Inflation Reduction Act, which he believes will accelerate MA membership growth.
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