S&P, Fitch, Moody’s Predict Smoother — but not Bump Free — Year for Health Insurers

  • Jan 03, 2025

    In 2024, U.S. health insurers’ Medicare and Medicaid businesses began to falter after experiencing years of growth and profitability amid the country’s increasing reliance on private companies to administer the two government health care programs. Experts at credit-rating firms predict that some of those headwinds are likely to ease this year, but they probably won’t go away entirely. Meanwhile, two business lines that were safer bets for insurers last year — commercial and individual market — may face new challenges. 

    “We expect the industry’s operating performance will generally improve in 2025 based on Medicare Advantage repricing and product changes, as well as select county exits,” James Sung, director at S&P Global Insurance Ratings, tells AIS Health, a division of MMIT.  

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  • Leslie Small

    Leslie has been working in journalism since 2009 and reporting on the health care industry since 2014. She has covered the many ups and downs of the Affordable Care Act exchanges, the failed health insurer mega-mergers, and hundreds of other storylines spanning subjects such as Medicaid managed care, Medicare Advantage, employer-sponsored insurance, and prescription drug coverage. As the managing editor of Health Plan Weekly and Radar on Drug Benefits, she writes and edits for both publications while overseeing a small team of reporters who also focus on the managed care sector. Before joining AIS Health, she was a senior editor for the e-newsletter Fierce Health Payer, and she started her career as a copy editor at multiple local newspapers. She graduated with a dual degree in journalism and political science from Penn State University.

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