Medicare and Medicare Advantage remains a growth segment for health insurers and has become a major focus for growth among large, integrated health systems who see profit potential in serving seniors as a Medicare ACO or as a provider-based Medicare Advantage plan. The recent and parallel trends toward consolidation among health plans, among hospitals, and in hospitals’ purchasing of physician groups has created a new competitive dynamic in many markets, where strong integrated providers can leverage their existing patient base, local brand, and market knowledge to compete in Medicare.


Related Reports

Premera Blue Cross | 2021 | National MCO Analyzer Brief

As the COVID-19 pandemic emergency slowly resolves, watch for Premera Blue Cross to return its attention to behavioral health to improve health outcomes for patients. For example, in April 2021, th...

View Details

Health Care Service Corp. | 2021 | National MCO Analyzer

The national antitrust settlement of a long-running antitrust suit against the Blue Cross Blue Shield Association and the nationos Blue plans is forcing significant strategic changes for the Blues,...

View Details

Molina Healthcare | 2021 | National MCO Analyzer Brief

Molina Healthcare accomplished its goal to begin 2021 with more than 3.5 million members, thanks to a major boost in Medicaid enrollment during late spring and summer 2020 and a collection of acqui...

View Details

Aetna | 2021 | National MCO Analyzer

During its announcement of its year-end earnings for 2020, CVS Health executives announced that the carrier will return to the ACA marketplace individual segment for 2022 in an as-yet-undetermined...

View Details