In the current Medicare Advantage (MA) playing field, competition is fierce. With 39 MA health plans available to the average beneficiary in an MA contract service area, health plans that don’t offer the best value in premiums, supplemental benefits, and provider networks could be squeezed by lower enrollment and increased churn. Achieving fierceness in the face of this competition requires a commitment to excellence in member engagement, Star Ratings, and risk adjustment to ensure the plan is appropriately compensated for the clinical risk burden of its population.
To become fierce and focused in 2022, here are three key areas that MA plans should bolster within their risk adjustment programs to ensure premium accuracy, offer the best benefit designs possible, and excel in today’s crowded segment.
