Study finds nearly 3 million MA beneficiaries forced to find alternative coverage for 2026
A JAMA study published Feb. 18 found that 10% of Medicare Advantage beneficiaries — approximately 2.9 million — have needed to find other health coverage for 2026 due to MA plans leaving the market. This increased from 6.9% in 2025. The report found that those needing to find alternative coverage were more likely to be enrolled in preferred provider organization plans, non-special needs plans, small carrier plans and lower star-rated plans, and live in rural areas in markets with lower MA penetration. Drivers of increased MA plan exit could include changes to plan payments and risk adjustment, along with unanticipated increases in coverage use among MA enrollees, the study noted.
Related News Articles
Headline
The U.S. District Court for the Eastern District of Pennsylvania Aug. 5 granted a motion for the AHA and the Hospital and Healthsystem Association of…
Headline
The Centers for Medicare & Medicaid Services July 27 released its Contract Year 2025 Part C and Part D Program Audit and Enforcement Report, outlining key…
Blog
Medicare Advantage now covers more than half of eligible Medicare beneficiaries, making its impact on hospitals, health systems and patients impossible to…
Headline
The Medicare Payment Advisory Commission June 15 released its June report to Congress that estimated the association between Medicare Advantage enrollment and…
Headline
The Department of Health and Human Services Office of Inspector General June 11 released two reports on high rates of coverage denials by Medicare Advantage…
Headline
Members of Congress and hospital and health system leaders today gathered for a briefing in Washington, D.C., to discuss how payment delays in Medicare…