News Briefs: Quality Bonus Payments Issued to MA Plans Since 2015 Exceed $49B

  • Sep 01, 2022

    The federal government this year will distribute at least $10 billion in quality bonus payments to Medicare Advantage plans for a total of more than $49 billion in payments since the star ratings bonus program was implemented in 2015. The level of bonuses has increased as MA enrollment has grown each year, with roughly two-thirds of bonuses going to individual plans, although the bonuses per enrollee are highest for employer plans, according to a new report from the Kaiser Family Foundation (KFF). More than three-quarters of MA enrollees are in plans that will receive bonus payments in 2022, down slightly from an all-time high of 80% in 2021, observed KFF. MA market leader UnitedHealthcare will receive the largest sum of payments — $2.8 billion — in 2022, added KFF. Meanwhile, a separate KFF analysis found that the share of eligible Medicare beneficiaries enrolled in MA has risen from 19% in 2007 to 48% this year. Read more
  • Lauren Flynn Kelly

    Lauren has been covering health business issues, including drug benefits and specialty pharmacy, for more than a decade. She served as editor of Drug Benefit News (the predecessor to Radar on Drug Benefits) from 2004 to 2005 and again from 2011 to 2016, and now manages Radar on Medicare Advantage. Lauren graduated from Vassar College with a B.A. in English.

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