News Briefs: Milliman Paper Signals Decreasing Value-Adds for MA Enrollees in 2025

  • Dec 19, 2024

    The total added value for standard Medicare Advantage plan enrollees is dropping by nearly $16 next year, according to a new Milliman analysis using its proprietary MACVAT tool. MACVAT uses each MA plan’s benefit offerings and premiums to create an associated “value added.” Between 2022 and 2023, the average total value added for general enrollment plans (i.e., non-Special Needs Plans) grew by roughly 9%, or $22.35, due to enhancements in Part C and Part D benefits, coupled with reductions in member premiums, according to the Milliman white paper. From 2023 to 2024, the total value added was relatively flat, but between 2024 and 2025, it will decrease by more than 6%. That’s partly because of “leaner MA plan benefit offerings,” as national carriers are “notably scaling back benefits,” Milliman observed. Part C benefit value, in particular, will decrease by nearly $11 per member per month next year, added the actuarial and consulting firm.  

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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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