VBC Insights: Medicare Advantage 2027: Navigating Margin Pressure and Market Change

On this episode host Daniel J. Marino welcomes Cliff Frank, President and Founder of Healthcare Management Solutions, to examine the forces shaping Medicare Advantage as organizations prepare for 2027. With more than 30 years of experience in payer strategy, managed care contracting, and provider relationships, Cliff shares his perspective on the struggle to protect margins while navigating an increasingly complex reimbursement environment. Medicare Advantage continues to grow and reshape the healthcare landscape, with CMS projecting that 34 million people, approximately 47.4% of Medicare beneficiaries, will be enrolled in MA plans in 2027. At the same time, financial pressures, rising denial rates, administrative complexity, and changing risk models are creating new challenges for health plans and providers alike. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio” Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen