State of the 2016 Medicare Advantage industry changes as a result of continued rate pressure

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By Ari D. Kramer, Brett L. Swanson, Julia M. Friedman | 19 February 2016
This report highlights key changes in beneficiary premiums and benefits for the 2016 Medicare Advantage (MA) market as well as the reasons for and the magnitude of the decrease of value add within the MA market between 2013 and 2016 with a more detailed look at changes between 2015 and 2016. It also summarizes the components of the Patient Protection and Affordable Care Act (ACA) and subsequent legislated actions driving the downward payments to Medicare Advantage organizations (MAOs). This report also aims to assist MAOs in making strategic decisions during 2017 bid preparations.