Alignment Health Plan, SCAN Health Plan Focus on Core Markets for 2025

  • Oct 17, 2024

    Signaling a departure from previous years of land grabs and benefit enhancements, Medicare Advantage insurers in 2025 are strategically scaling back as they face reimbursement challenges and rising medical costs. AIS Health, a division of MMIT, spoke with the Medicare market presidents for two regional plans on their decisions to hold off on geographic growth and concentrate on opportunities within their existing markets.  

    For 2025, Long Beach, Calif.-based SCAN Health Plan said it will offer MA plans in 22 counties across California, Arizona, Nevada, Texas and New Mexico. According to Karen Schulte, SCAN’s Medicare president, the not-for-profit insurer chose not to alter its geographic presence but to streamline its Chronic Condition Special Needs Plan (C-SNP) portfolio — combining plans that separately addressed diabetes and heart disease — and to invest in serving more of its vulnerable members in existing service areas. Those efforts can be seen through a new grocery allowance, offered in partnership with Instacart, and the new SCAN Allied HMO plan tailored for older Asian adults.

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  • Lauren Flynn Kelly

    Lauren has been covering health business issues since the early 2000s and specializes in in-depth reporting on Medicare Advantage, managed Medicaid and Medicare Part D. She also possesses a deep understanding of the complex world of pharmacy benefit management, having written AIS Health’s Radar on Drug Benefits from 2004 to 2005 and again from 2011 to 2016. In addition to her role as managing editor of Radar on Medicare Advantage, she oversees AIS Health’s publications and manages the health editorial staff. She graduated from Vassar College with a B.A. in English.

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