As health plans withdraw from certain Medicare Advantage markets, some are finding new business opportunities customizing coverage for the sickest Americans. Private Medicare is becoming less about geographic saturation than seeking a profitable niche caring for seniors with chronic conditions like diabetes, heart failure or kidney disease, a recent analysis from ATI Advisory found. It’s part of a broader trend in which the greatest-needs population is driving insurers’ revenue growth. Health plans also are catering to low-income people with complex health needs who are eligible for both Medicare and Medicaid. Those offerings are expected to increase 15% next year.
Read the full article: Medicare Advantage Plans Embrace Riskier Patients //
Source: https://www.axios.com/2025/10/20/medicare-advantage-plans-riskier-patients