(This episode originally aired on October 22, 2024.)

For years, the best word to describe Medicare Advantage (MA) was “untouchable.” Hugely popular among seniors, profitable for health plans—the hybrid public-private payment model grew to the point that it now covers more seniors than traditional Medicare. But in the past few years, the tide has started to change. And if you’ve been paying attention in recent months, you’ll have seen headlines announcing that payers that are scaling back their MA offerings and providers are exiting MA contracts. The MA market has gone from “untouchable” to “volatile.”

The question is: why is this happening, and what does it mean for payers, providers, and seniors moving forward? In this episode, hosts Rachel (Rae) Woods and Abby Burns invite health plan experts Max Hakanson and Chelsea Needham to dissect what is going on in MA and how plans and providers are—or should be—navigating the changing tide.

Links:

• Ep. 203: Value series: Is the future of VBC in specialty care? Zing Health & Strive Health say yes.
• Ep. 149: Senior Care (Part 1): Specialized primary care for an aging population
• Ep. 150: Senior Care (Part 2): The rapid growth of Medicare Advantage
• 3 traits health plans want in a provider partner
• 4 traits providers want in a health plan partner
• Around the nation: CMS releases Medicare Advantage Star Ratings

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