loader from loading.io

69. 2025 Medicare Advantage Enrollment Shows Struggle Of Industry

The Healthcare Labyrinth

Release Date: 04/04/2025

87. 2024 Medicare Advantage and Part D Program Audit Enforcement Report Out: What Does It Tell Us? show art 87. 2024 Medicare Advantage and Part D Program Audit Enforcement Report Out: What Does It Tell Us?

The Healthcare Labyrinth

CMS’ Medicare Advantage (MA) program audits are getting tougher and more detailed every year.   About The Podcast: Millions of Americans feel confused and frustrated in their search for quality healthcare coverage. Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change. Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most pressing issues and events in American...

info_outline
86. Will The New 100% RADV Audits Be Fair To Medicare Advantage Plans? show art 86. Will The New 100% RADV Audits Be Fair To Medicare Advantage Plans?

The Healthcare Labyrinth

While justified, there is some question about whether the new RADV audits will be fair to MA plans. About The Podcast: Millions of Americans feel confused and frustrated in their search for quality healthcare coverage. Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change. Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most pressing issues and events in American...

info_outline
85. Healthcare Developments Beyond The One Big Beautiful Bill show art 85. Healthcare Developments Beyond The One Big Beautiful Bill

The Healthcare Labyrinth

The Big Beautiful Bill buried some other important healthcare developments. About The Podcast: Millions of Americans feel confused and frustrated in their search for quality healthcare coverage. Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change. Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most pressing issues and events in American healthcare. Marc seeks to help...

info_outline
84. The One Big Beautiful Bill Passes show art 84. The One Big Beautiful Bill Passes

The Healthcare Labyrinth

The one big beautiful bill has passed. Listen in to learn about how it happened and the impact of healthcare reductions. About The Podcast: Millions of Americans feel confused and frustrated in their search for quality healthcare coverage. Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change. Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most pressing issues and...

info_outline
83. Are There Smarter Healthcare Cuts? show art 83. Are There Smarter Healthcare Cuts?

The Healthcare Labyrinth

There are smarter healthcare cuts and sensible reforms that could be made and spare major impacts to coverage. About The Podcast: Millions of Americans feel confused and frustrated in their search for quality healthcare coverage. Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change. Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most pressing issues and events in...

info_outline
82. Will Health Plan Pain Continue? show art 82. Will Health Plan Pain Continue?

The Healthcare Labyrinth

As bad as health plans have had it the past few years, trends seem to show the pain continuing. About The Podcast: Millions of Americans feel confused and frustrated in their search for quality healthcare coverage. Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change. Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most pressing issues and events in American...

info_outline
81. How Mighty Big Healthcare Has Fallen show art 81. How Mighty Big Healthcare Has Fallen

The Healthcare Labyrinth

The mighty big healthcare companies have fallen, in this case a victim of their own financial mismanagement and shenanigans. About The Podcast: Millions of Americans feel confused and frustrated in their search for quality healthcare coverage. Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change. Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most pressing issues...

info_outline
80. Republicans Are In Stealth Mode On Healthcare Coverage Cuts, But The Impact Is Real show art 80. Republicans Are In Stealth Mode On Healthcare Coverage Cuts, But The Impact Is Real

The Healthcare Labyrinth

The GOP is not following the same overt repeal of healthcare coverage as it did in 2017, but the stealth approach still has real impact. About The Podcast: Millions of Americans feel confused and frustrated in their search for quality healthcare coverage. Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change. Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most...

info_outline
79. Managed Care Enters New Cycle; Medicare Advantage Needs To Pivot To Thrive show art 79. Managed Care Enters New Cycle; Medicare Advantage Needs To Pivot To Thrive

The Healthcare Labyrinth

Managed care is entering a new conversion cycle just as Medicare Advantage plans have to pivot to thrive. About The Podcast: Millions of Americans feel confused and frustrated in their search for quality healthcare coverage. Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change. Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most pressing issues and events in American...

info_outline
78. The Budget Reconciliation Saga show art 78. The Budget Reconciliation Saga

The Healthcare Labyrinth

The House has passed the budget reconciliation bill, but the Senate intends to put its mark on the bill and there are competing forces as in the House. Final passage is some time off still. About The Podcast: Millions of Americans feel confused and frustrated in their search for quality healthcare coverage. Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change. Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast...

info_outline
 
More Episodes
While Medicare Advantage grew from 2024 to 2025, the lackluster performance during the 2025 enrollment season shows the financial woes of the industry.
 
About The Podcast:
 
Millions of Americans feel confused and frustrated in their search for quality healthcare coverage.
 
Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change.
 
Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most pressing issues and events in American healthcare.
 
Marc seeks to help Americans become wiser consumers and navigate the healthcare maze with more confidence and certainty through The Healthcare Labyrinth website and his book of the same name.
 
Marc is an unconventional Republican who believes that affordable universal access is a wise and prudent investment. He recommends common-sense solutions to reform American healthcare.
 
Tune in every week as Marc examines the latest developments in the space, offering analysis, insights, and predictions on the changing state of healthcare in America.
 
About The Episode:
 
On this episode, Marc discusses the 2025 Medicare Advantage enrollment season. While MA grew from 2024 to 2025, the lackluster performance during the 2025 enrollment season shows the financial woes of the industry.
 
Key Takeaways:  
 
2025 Medicare Advantage enrollment season results were delayed due to issues at CMS and the new administration.
 
While MA grew from 2024 to 2025, the statistics show the financial woes of the industry.
 
Growth year over year was just 4.4%, about half of the average of the last 4 years.
 
Benefit and footprint contractions by Big MA players caused the lower growth.
 
MA remains attractive, however, due to the great value proposition compared with the traditional program.
 
As of March, over 35 million are now in MA.
 
Non-Big MA plan enrollment grew at a healthy pace year over year – about 688K or 8.7% from January 2024 to February 2025. This compares to just 3.1% for Big MA plans.
 
Some Big MA plans shed lives to financially realign.
 
Special Needs Plans continued to see huge growth, up over 9% from 2024 to 2025. This is about half of the growth from 2023 to 2024.
 
Plans contracted benefit offerings for both HMOs and PPOs.
 
After PPOs grew in prior years more than HMOs, HMOs beat PPOs in growth from 2024 to 2025. Many plans shed PPO enrollment due to their financial pictures with the more expensive product.
 
Connect with Marc
 
 
Resources