The future of Medicare Advantage

The future of Medicare Advantage is undergoing significant shifts, with US health insurers facing pressures from demographic changes, regulations, and member preferences. These challenges require a strategic response to contain costs, adapt product designs, and navigate rating pressures. Additionally, opportunities in Special Needs Plans (SNPs) and constraints in broker channels further shape the landscape. Payers must address workforce shortages, embrace next-gen care models, and invest in Medicaid capabilities to remain viable. The impact of CMS’s proposed compensation caps on brokerages adds another layer of complexity. Navigating these dynamics will determine the future success of Medicare Advantage programs.