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UnitedHealth Group Reshapes Medicare Advantage Amid Regulatory Pressure

UnitedHealth Group Reshapes Medicare Advantage Amid Regulatory Pressure

Published:
2025-10-01 22:50:03
19
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BTCCSquare news:

UnitedHealth Group stock edged higher despite announcing a significant Medicare Advantage retrenchment. Shares climbed 0.41% to $346.73, recovering from an earlier dip. The healthcare giant confirmed plans to exit Medicare Advantage in 109 counties by 2026, affecting 180,000 members.

The strategic withdrawal targets rural markets where rising care costs and lower reimbursement rates have made operations unsustainable. UnitedHealth expects Medicare funding to drop 20% by 2026 compared to 2023 levels, forcing aggressive portfolio adjustments. The company will discontinue over 100 plans covering 600,000 members, primarily PPO offerings, shifting focus to more cost-effective HMO models.

This restructuring reflects broader industry challenges as insurers adapt to CMS payment pressures. UnitedHealth's pivot demonstrates how major players are rebalancing growth ambitions with financial sustainability in an evolving regulatory landscape.

|Square

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