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Medicare Advantage margins outstrip commercial health plans: Study

Posted On: Mar. 1, 2023 10:14 AM CST

Insurers’ margins in Medicare Advantage returned to pre-pandemic levels in 2021 but remain far ahead of other sectors of the market, according to a new analysis, Fierce Healthcare reports. Commercial insurance plans, meanwhile, have lagged, the Kaiser Family Foundation report found. Gross margins per member in Medicare Advantage were $1,730 in 2021, compared to $745 in the individual market, $689 for group plans and $768 in Medicaid managed care.