Medicare penetration by state

Medicare Advantage penetration varies widely across large metropolitan counties in Medicare Advantage Enrollment, by Firm and Affiliates Enrollment by Firm and Affiliates Medicare Advantage enrollment tends to be highly concentrated among a small number of firms Figure 6. Additionally, as previously discussed, premiums vary across plan types and enrollment by plan type varies across states. The acquisition of Cigna by Anthem would have a less visible impact on the national Medicare Advantage market. Additionally, in a few states MN, ND, and SD , the preponderance of private plan enrollees are in cost plans, which are paid differently from Medicare Advantage plans and allow enrollees to see any Medicare provider and pay the cost-sharing they would pay in traditional Medicare. As Medicare Advantage takes on an even larger presence in the Medicare program, careful stewardship and oversight by policymakers is needed to make sure that plans provide value to the Medicare program, and the 57 million beneficiaries it covers. Enrollment will likely grow more in some parts of the country than in others, reflecting the diversity of markets and the coverage decisions of beneficiaries. Over the years, Congress and various Administrations have made a number of changes to payment and participation rules for plans.

Since the ACA was enacted in , average Medicare Advantage premiums paid by HMO enrollees and local PPO enrollees have decreased and average premiums paid by regional PPOs and PFFS enrollees have increased. Address — Street address of the business mailing address for the listed plan. These five states account for 21 percent of all Medicare private plan enrollees. Monthly Enrollment by Contract Provides monthly enrollment for each contract. Often researchers are interested in penetration rates or the percentage of Medicare beneficiaries that are enrolled in a Medicare managed care plan. If no divestitures are required in the acquisition of Humana by Aetna, then the combined firm would account for 25 percent of Medicare Advantage enrollment nationwide — more than UnitedHealthcare, which accounts for 21 percent of enrollment this year Table A7. While Medicare Advantage enrollment is increasing in many states, Medicare Advantage enrollment continues to be very low less than 10 percent of Medicare beneficiaries in 6 states AK, DE, MD, NH, VT, and WY.

A frequently updated newsfeed that tracks financial data and other company developments, such as market expansion and merger and acquisition activity. The research and data tracking is conducted by in-house researchers who work exclusively for AIS. These are the same data as in the previous column — Enrollment Tot — but in this column the membership is averaged at the bottom to show average plan size for your selection. Arizona, Iowa, Florida, Louisiana, Missouri, Nevada, and Texas. CMS assigns quality ratings at the contract level, rather than for each individual plan, meaning that each plan covered under the same contract receives the same quality rating and most contracts cover multiple plans of the same type.