Filed Under:Health Insurance, Individual Health

Insurers win Medicare Advantage battle

Health insurers have persuaded Medicare Advantage bidding managers to admit that the underlying cost of care is likely to go up about 3 percent in 2014, not fall more than 2 percent.

But other program changes could still make the 2014 bidding process hard on insurers, according to Humana Inc. (NYSE:HUM).

"Although the Office of  the Actuary agrees that Congress is very likely to override the physician fee reduction, the  assumption conflicts with the office's professional judgment that, as in all past years, the  determination should be based on current law, not an assumed alternative," CMS officials said.

Karen Ignagni, president of America's Health Insurance Plans (AHIP), said her group is still studying the final call letter, but she the news that CMS is changing the growth rate assumption.

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Nichole Morford

Nichole Morford
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