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[BUSINESS] · United States · 5 sources

started · updated

Part of situation: US health insurance and Medicare Advantage market shifts (3 clusters)

UnitedHealthcare and Humana to cut Medicare Advantage plans for 2027

Medicare Advantage UnitedHealthcare Humana healthcare costs insurance plan reductions

UnitedHealthcare and Humana, the two largest Medicare Advantage insurers, are discontinuing plans that cover approximately 990,000 Americans in 2027. The decision is driven by rising medical expenses and pressure to increase profitability.

UnitedHealthcare confirmed that roughly 390,000 members will be affected, with the company focusing reductions on Preferred Provider Organization (PPO) plans while prioritizing Health Maintenance Organization (HMO) and Special Needs Plans (SNPs). Humana is discontinuing plans for about 600,000 members, representing roughly 8% of its Medicare Advantage enrollment. Humana stated it is targeting lower-performing plans rather than making widespread reductions.

In addition to plan closures, insurers are scaling back certain benefits. Reports indicate that UnitedHealthcare’s dental benefit reductions have affected nearly 70% of its members. Affected seniors must review coverage options before the December 7 enrollment deadline to secure healthcare for 2027.

Entities

Humana · Medicare Advantage · UnitedHealthcare

Sources

UnitedHealthcare and Humana Drop Medicare Advantage Plans for Almost 1 Million Seniors [coinpaper.com]
Healthfirst Sues CMS, Says Star Rating Costs $380M [distilinfo.com]
Gần 1 triệu người Mỹ bị hủy chương trình Medicare Advantage từ năm 2027 - Nhật Báo Calitoday [www.baocalitoday.com]
Nearly 1 Million UnitedHealthcare and Humana Medicare Advantage Members Should Pick New Plans or Risk Losing Drug Coverage [www.medicaldaily.com]
The sweepstakes to pick a Medicare plan is on - NH Business Review [www.nhbr.com]