Private Insurers See Big Money in Dual Eligibles

People eligible for both Medicare and Medicaid, known as dual eligibles, are expected to generate billions of dollars in profit for health insurers in the coming years. Despite being a group with expensive health care costs, a new report by McKinsey shows that earnings for MA plans before interest, taxes, depreciation, and amortization from covering the dual eligibles population will grow by more than 10 percent between 2022 and 2027, with profits expected to go up from $7 billion in 2022 to $12 billion in 2027. Click here for the report. With Congress dragging its feet on prior authorization legislation, many states are tackling the problem, click here.