For example, in 2023, MA plans had gross margins over twice those of Medicaid managed care plans and group market plans, such as most employer plans.[xxii] Figure 1 Source: KFF, Health Insurer Financial Performance in 2023. Much of the profitability of MA plans is driven by enormous overpayment

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10.3389/fendo.2021.700705 43 MeraP.LaueK.FerronM.ConfavreuxC.WeiJ.MassG.et al (2016)