Health Insurers Take a Hit: What's Next for Medicare Advantage?
USATue Jan 27 2026
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The stock market is feeling the pinch after the Trump administration dropped a bombshell on health insurers. They proposed keeping Medicare Advantage rates almost unchanged for next year. This news sent shockwaves through the industry, with big names like Humana, CVS Health, and UnitedHealth Group seeing their shares drop significantly in after-hours trading.
The proposed rate increase is a mere 0. 09% for 2027, which is a far cry from what analysts were expecting. They were hoping for a boost of around 4% to 6%. This tiny increase means that Medicare Advantage plans could see over $700 million less in payments next year.
So, what's the big deal? Well, these rates decide how much insurers can charge for premiums and benefits. It's a huge factor in their profits. The Centers for Medicare and Medicaid Services (CMS) usually finalizes these rates in early April, so we'll have to wait and see if this proposal sticks.
Medicare Advantage plans are privately run but contracted by Medicare. They're popular because they offer lower premiums and extra benefits not covered by traditional Medicare. In fact, over half of Medicare beneficiaries are enrolled in these plans.
CMS is also looking to cut down on a certain billing practice that insurers use to make extra money. They want to improve payment accuracy and make sure insurers are reimbursed fairly. CMS Administrator Dr. Mehmet Oz said, "These proposed payment policies are about making sure Medicare Advantage works better for the people it serves. "
But what does this mean for the future of Medicare Advantage? It's a critical question, especially with so many people relying on these plans. The administration's proposal could have a big impact on the industry and the millions of people who depend on Medicare Advantage for their healthcare needs.
https://localnews.ai/article/health-insurers-take-a-hit-whats-next-for-medicare-advantage-83a3c67f
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