Amid Headwinds, Regional MA Insurers Take Member-Centric Tack for 2025
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Jan 16, 2025
Triggered by the 2024 hangover of heightened utilization and reimbursement changes that led many plans to scale back benefits and network providers to jump ship, Medicare Advantage insurers are grappling with serving a membership base that may be disenchanted with their health care. For our annual series of Outlook stories on the year ahead, AIS Health, a division of MMIT, spoke with three leading regional MA plans to discuss the risks currently facing the industry and the unique opportunities they present. Common themes include helping members navigate change, tailoring benefits to meet members’ needs and support healthy living and investing in member engagement and education.
Priority Health is a Michigan-based health plan serving more than 1.3 million members. It was one of the top-performing provider-sponsored plans during both the 2024 Annual Election Period (AEP) and Open Enrollment Period (OEP), per a previous AIS Health analysis. While the final 2025 AEP numbers are not available from CMS, preliminary enrollment data shows Priority as having more than 250,000 members, including dual eligibles, according to the Directory of Health Plans.
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