21-04-2025
Excellus calls on Congress to protect seniors in Upstate New York
(WIVT/WBGH) – Several non-profit health plans across Upstate New York are calling on Congress to protect older adults.
Excellus BlueCross BlueShield, CDPHP, and MVP Health Care have partnered together to urge elected officials to pass bipartisan legislation that will protect Medicare Advantage benefits and access to care for hundreds of thousands of members.
According to Excellus, nearly 450,000 Medicare Advantage members in Upstate New York may face increased premiums, higher out-of-pocket costs, and fewer choices due to the financial effects of unprecedented changes to the Medicare wage index.
'We remain grateful for the support and leadership of those in Congress who continue to fight for older adults in our communities,' said Jim Reed, President and CEO of Excellus BCBS. 'We have faith that New York's congressional delegation will find a solution to avoid catastrophic consequences for nearly 450,000 Medicare Advantage members with not-for-profit health plans in upstate New York.'
In 2023, a change in how the federal government sets hospital reimbursement rates for Medicare resulted in financial losses for non-profit health plans upstate. Excellus says non-profit plans absorbed hundreds of millions of dollars in losses. The plans cannot sustain these growing losses along with the escalating costs of health care.
'Our local, not-for-profit plans will continue to battle the effects of the wage index, which has left the future of our great health plan – and the 75,000 older adults who entrust us with their care – in jeopardy,' said Brian O'Grady, President and CEO of CDPHP.
In May 2024, Congresswoman Claudia Tenney introduced bipartisan legislation to strengthen Medicare Advantage plans in Upstate New York. However, Congress did not act on this legislation before the end of the previous Congress term in December 2024. Tenney, along with other members of Congress, have since reintroduced the legislation.
The legislation would adjust the amounts reimbursed to health plans to ensure regional, non-profit Medicare Advantage plans remain viable and members maintain access to benefits and access to care.
'We thank Congresswoman Tenney and our bipartisan Congressional delegation for supporting this imperative legislation,' said Chris Del Vecchio, CEO of MVP Health Care. 'This bill will authorize CMS to make a region-specific Medicare adjustment to level the playing field for local, not-for-profit, community-based plans. It will ensure that MVP can continue to innovate with our community provider partners and provide critical benefits to our Medicare members.'
Excellus calls on Congress to protect seniors in Upstate New York
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