The only unexpected element in MA was higher spend on influenza-like illnesses, but the insurer is confident it’s factored in ongoing medical trends into its plan bids for 2024, Asher said. Overall, Centene recorded a medical loss ratio of 87.7% in 2023, the same as in 2022. Lower medi...
The company works with the top 15 major health insurers and approximately 700 total insurers to determine how much out-of-network providers should be paid. A New York Times investigation revealed the insurers and MultiPlan work closely to greatly reduce reimbursements to providers a...