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US Medicare payments to insurers will increase slightly in 2027, but share prices fall

The U.S. government announced on Monday that it would be increasing payments to private insurance companies for Medicare Advantage plans managed by them next year. This will result in an average rate increase of 0.09 percent. Shares of the?companies? fell more than 10 percent.

In after-hours trading shares of UnitedHealth, CVS Health, and Humana fell between 8%-13%, while those of Elevance Health Centene, and Molina Healthcare dropped by nearly 5%.

The update is based on underlying costs trends, quality ratings for 2026, and changes in the risk adjustment model where insurers get paid more if their patients are sicker.

CMS Administrator Mehmet Oz stated that these proposed payment policies will ensure Medicare Advantage is better for those it serves. The agency also wants to modernize the risk adjustment system and protect taxpayers from unnecessary expenditure.

The government anticipates that a?0.09% increase will result in an additional payment of more than $700 millions in 2027.

Kevin Gade is the chief operating officer of Bahl and Gaynor which owns shares in UnitedHealth.

He added that the margins of 2027 and earnings per share for insurers would be affected.

Gade said that he expected to hear more about the impact of proposed rates during UnitedHealth's conference with analysts and investors on Tuesday, after the company announces its fourth-quarter results.

The Wall Street Journal was the first to report this news.

Morningstar analyst Julie Utterback stated that the industry will be looking to see if the agency changes its assumptions before finalizing a rule.

She said that the final rate announcement will be released in a few weeks. The proposed update does not reflect the 2.45% increase the government expects to see in payments for the coding of next year.

Medicare will announce the final rates on April 6, 2019.

Health plans welcome reforms that strengthen Medicare Advantage. Flat funding for the program at a time of high medical costs, and high use of services, will affect seniors' coverage, said Chris Bond, a spokesperson for America's Health Insurance Plans, a trade association.

Bond said that if the proposal is finalized it could lead to benefit cuts and increased costs for 35 million seniors and people who have disabilities renewing their Medicare Advantage plans in October 2026.

Medicare Advantage Plans cover more than half of those enrolled in Medicare, the government program for people 65 years and older who are also disabled.

(source: Reuters)