National trends are useful, but Medicare competition is ultimately local. In line with that, we split the US into nine regions to see how each region compared to national trends. (MyMedicareBot can drill into the specific counties where each plan operates, not shown in this report.)
Local PPOs and D-SNPs are Growing
Local PPOs are outpacing HMOs
Compared to a national average of 25% growth of local PPOs, New England saw significantly higher growth at 29%. If Employer Group Health Plans were excluded, the numbers would be even more dramatic: 46% growth in New England vs 26% national average.
PPOs grew the least in the Southeast, including South Atlantic, at about 10%. Conversely, these areas had the greatest HMO growth: 14% in the Southeast and 12% in South Atlantic. D-SNPs are another source of growth
The Midwest Lakes region had a growth rate of 46% for Special Needs Plans for Dual Eligibles. This region also led the nation for Medicare-Medicaid Plans.
The Southwest and West/Pacific had the lowest growth in D-SNPs at about 10%.
The membership level of Employer Group Health Plans remained flat. Only in New England did the growth rate keep pace with other plans.
Medigap+PDPs are Down and MAPDs are Up
MAPDs were up 10.5% nationally
The Midwest Plains lead at 13%.
The Mid-Atlantic and West/Pacific regions lagged the most, at around 7% MAPD growth.
PDPs were down 3.1% nationally
The Southeast region were down the most at a 5.7% decline.
The West/Rockies region had the least PDP decline at 0.7%.