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inforceReport | Academy-IQ

What You Need to Know: Medicare Advantage 101

This briefing serves as a one-stop-shop background tool on MA, providing must-know details on the currently enrollment, payer, regulatory, and health system landscapes.

Key Takeaways

  • MA is now more popular with seniors than traditional Medicare.

  • Patients have a dizzying array of choices for MA plans - most with no premiums.

  • MA is still the major profit pool until 2026, but new changes are tightening margins and lowering enrollment projections.

  • CMS is limiting MA profitability through policy changes in star ratings and the 2025 Proposed Rule, among several others.