The 2027 open enrollment season will be one of the most tumultuous in recent years. Key trends in the Medicare marketplace are the elimination of temporary Part D premium subsidies and increased regulatory scrutiny of Medicare Advantage Plans. Overall Advantage Plan growth has slowed and aggressive hospital negotiations, benefit reductions, reduced product offerings, and retraction from unprofitable markets are common.
Other developments affecting the environment include the elimination of enhanced subsidies in the individual market in 2026 and the cuts in Medicaid slated to take effect in 2027. These changes will disrupt hospital finances and challenges to our local hospitals can affect us all.
Finally, all Americans will continue to be affected by the approval of astoundingly expensive new prescription drugs.
Please join Maura Carley for a discussion on how to avoid the landmines integral to the healthcare experience in the U.S.
Maura Carley, Founder and CEO Healthcare Navigation, LLC
Maura Carley is Founder and CEO of Healthcare Navigation LLC, a national healthcare advocacy and health insurance consulting firm.
Before founding Healthcare Navigation, Carley served in executive positions both in the hospital and insurance industries. She is a former Regional Director of Kaiser Permanente, one of the nation’s oldest and largest HMOs. She began her career as an assistant administrator at Yale-New Haven Hospital and subsequently served as Vice President of Operations at Stamford Hospital.
Carley received her Master’s in Public Health from Yale University and completed an Executive Management Program through the Stanford University Business School. She is a fellow in the American College of Healthcare Executives and a certified health insurance consultant.
She has served on many non-profit boards in Connecticut and New York. Carley served on the Board of Directors for Access Health CT and is a former Vice Chair of the Darien Social Services Commission. She currently serves on the Board of the Connecticut Women’s Forum, a chapter of the International Women’s Forum.
Carley has spoken on healthcare topics at programs across the United States and has been interviewed in articles for many major national periodicals.
Carley is also the author of Health Insurance: Navigating Traps and Gaps, which became Amazon’s #1 best seller on health insurance shortly after its publication in 2012 and was awarded the Living Now Book award in 2015. Many changes have occurred since Navigating Traps and Gaps was published but because it is a book of actual client case studies, it documents the history of challenges Americans face dealing with our healthcare environment, many of which remain today.
