Will Medicare Advantage (MA) Startup Plans Be The Future?

By ANDY MYCHKOVSKY Would it blow your mind if only five startup health plans interested in Medicare Advantage (MA) have collectively raised over $3.9 billion in private funding to-date? Well, readers, that is the reality. Now I know there are some skeptics out in the healthcare ecosystem, so I’m here to break down some of the investment thesis. Not going to necessarily defend, but explain some reasons why you should love and hate these investments. Let’s start with who raised these mind-boggling sums of money. The five startups are Oscar Health, Bright Health, Clover Health, Devoted Health, and Alignment Healthcare. Oscar Health has raised $1.3 billionBright Health has raised $1.1 billionClover Health has raised $925 millionDevoted Health has raised $362 millionAlignment Healthcare has raised $240 million I think it’s safe to say that the MA insurance market (also known as Medicare Part C) has captured the imagination of the venture capital and private equity community. The changing demographic trends of an aging baby boomer population, the increased selection of MA plans versus traditional Medicare fee-for-service (FFS), and the opportunity of technology-first MA startup plans to better reduce administrative fees (“Administrative Loss Ratio” or “ALR”) and control medical spend (“Medical Loss Ratio” or “MLR”) seems too good to pass up. If you were going to start a health plan, of all the lines of business you could be focused on, MA has highest ...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Health Policy Medicare Alignment Healthcare Andy Mychkovsky Bright Health Clover Health devoted health Healthcare Pizza Medicare Advantage Oscar Oscar Health Source Type: blogs