Medicare Advantage Cost Containment Strategies - Can Employer-Sponsored Health Plans Use Them?

There are 22 Million Members in the Medicare Advantage Market.

Here Are Some Helpful Statistics on Medicare Advantage:

1) $1K/member/month Capitated Payments by Government to Insurance Carriers

2) $1.6K/member/yr Margins for Insurance Carriers for Medicare Advantage Members vs. ONLY $855 for Employer-Sponsored Health Plan Members.

That's Right, the Profit Margin on Medicare Advantage Members is DOUBLE Commercial Insurance Members.

3) Medicare Advantage Cost Control Is Via Gatekeep HMOs and Narrow Network PPOs.

Sources:
https://www.kff.org/medicare/issue-br...

https://www.kff.org/medicare/issue-br...

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