
With Medical Expense Rising, What Are Health Plans To Do?
Insurer stocks were rocked recently by news that both United Healthcare and Humana saw unexpected medical expense increases. After filings with the Securities and Exchange Commission (SEC) and quarterly investors relations calls, these two companies’ stocks as well as those of other insurers tumbled. Elevance Health also reported its Q4 2023 and full year 2023 results. It beat the trend. It reported medical expense in line with expectations, but did note some increases in areas. We are sure to see other plans report unexpected increases, with the biggest impacts likely seen at plans with major enrollment in Medicare Advantage (MA). And many plans are gearing up for additional layoffs and other administrative cuts due to the medical expense concerns. Why are plans seeing increases in medical costs? First, utilization is slowly returning to normal in the healthcare industry post the COVID pandemic. Second, inflation is taking root again and it