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The nonprofit giant plans to step into northern Nevada next year by partnering with regional system Renown. The deal includes a majority investment in Renown’s health plan, though financial terms were not disclosed.
The nonpartisan scorekeeper’s new report reinforces longstanding concerns about the 340B drug discount program, including that it incentivizes behaviors that increase health costs for federal and private payers.
The move will give more Americans a coverage alternative with low monthly premiums come November’s open enrollment, but could come at the expense of people who remain in standard Affordable Care Act plans.
The research from nonprofit payer group the Alliance for Community Health Plans adds to existing evidence that major insurers are unfairly profiting from MA’s risk adjustment system, driving billions of dollars in unnecessary costs for Medicare.