Even though the policy perspective of “Medicare for All” will be dominating the 2020 coverage, Medicare Advantage plans are dominating the market today.
Anthem’s Medicare Advantage enrollment is up over 35% to more than 1 million enrollees.
“Our individual Medicare Advantage business is on track to achieve our mid-double digit growth target,” Anthem CEO Gail Boudreaux told analysts during the company’s fourth quarter earnings call last week. “In total, we estimate our Medicare Advantage growth will exceed 20% by the end of 2019.”
Cigna’s Medicare Advantage and United HealthCare’s enrollments are also both up from last year.
What does this mean for your bottom line though? Medicare Advantage plans typically have lower reimbursement, more authorization requirements, and more up-front patient responsibility. These new plans can have a significant impact on your bottom line as your payer mix shifts from traditional Medicare to Medicare Advantage.
Don’t get left behind! Contact us today to see how we can help you navigate these reimbursement changes in 2019.