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Medicare Blog | Medicare News | Medicare Information

MA Beneficiaries Spend Less than Fee-for-Service Medicare Beneficiaries

Posted by www.psmbrokerage.com Admin on Tue, Jul 06, 2021 @ 03:35 PM

Tags: Medicare Advantage News

Enrollment Trends in Medicare Options

Posted by www.psmbrokerage.com Admin on Tue, Jul 06, 2021 @ 03:06 PM

Tags: Medicare Advantage News

Medicare Advantage in 2021: Enrollment Update and Key Trends

Posted by www.psmbrokerage.com Admin on Fri, Jun 25, 2021 @ 04:27 PM

Tags: Medicare Advantage News

2022 Medicare Advantage / PDP Agent Commissions (FMV)

Posted by www.psmbrokerage.com Admin on Thu, Jun 03, 2021 @ 11:18 AM

Tags: Medicare Advantage News, PDP, commissions

State of Medicare Advantage 2021

Posted by www.psmbrokerage.com Admin on Mon, May 24, 2021 @ 04:11 PM

Tags: Medicare Advantage News

Study: Rural patients struggle with access under Medicare Advantage

Posted by www.psmbrokerage.com Admin on Wed, Mar 03, 2021 @ 03:16 PM

Tags: Medicare Advantage News

16% increase of Medicare customers choosing Medicare Advantage plans

Posted by www.psmbrokerage.com Admin on Thu, Feb 25, 2021 @ 04:25 PM

Tags: Medicare Advantage News

Why Medicare Advantage Star Ratings Are Important

Posted by www.psmbrokerage.com Admin on Wed, Feb 24, 2021 @ 02:01 PM

Tags: Medicare Advantage News

Long-Term Care Providers Drive Growth in Special Medicare Advantage Plans

Posted by www.psmbrokerage.com Admin on Wed, Dec 26, 2018 @ 12:32 PM

Long-Term Care Providers Drive Growth in Special Medicare Advantage Plans


(Image: Freepik)

By SkilledNursingNews – December 19, 2018

Health care providers selling Medicare Advantage (MA) products isn’t a new trend, but typically “providers” refers to hospitals, health systems, or physician groups. Few would expect nursing homes and assisted living operators to be able or willing to manage health care risk for some of the highest-cost Medicare beneficiaries.

And yet, as these charts illustrate, long-term care providers are largely responsible for driving rapid growth (23%) in the number of MA special needs plans enrolling institutionalized Medicare beneficiaries over the last two years. The number of provider-sponsored I-SNPs doubled from 2016 to 2018, and enrollment has more than doubled. Long-term care providers now lead 21 of the 24 provider-led I-SNPs.

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Tags: Medicare Advantage, Medicare Advantage News

Medicare Advantage 2017 Spotlight: Enrollment Market Update

Posted by www.psmbrokerage.com Admin on Wed, Jun 07, 2017 @ 10:11 AM

Medicare Advantage 2017 Spotlight - Enrollment Market

Medicare Advantage plans have played an increasingly larger role in the Medicare program as the share of Medicare beneficiaries enrolled in Medicare Advantage has steadily climbed over the past decade. The trend in enrollment growth is continuing in 2017, and has occurred despite reductions in payments to plans enacted by the Affordable Care Act of 2010 (ACA).

This Data Spotlight reviews national and state-level Medicare Advantage enrollment trends as of March 2017 and examines variations in enrollment by plan type and firm. It analyzes the most recent data on premiums, out-of-pocket limits, and quality ratings. Key findings include:

Enrollment Growth- Since the ACA was passed in 2010, Medicare Advantage enrollment has grown 71 percent. As of 2017, one in three people with Medicare (33% or 19.0 million beneficiaries) is enrolled in a Medicare Advantage plan.

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Market Concentration - UnitedHealthcare and Humana together account for 41 percent of enrollment in 2017; enrollment continues to be highly concentrated among a handful of firms, both nationally and in local markets. In 17 states, one company has more than half of all Medicare Advantage enrollment – an indicator that these markets may not be very competitive.

Medicare Advantage Penetration - At least 40 percent of Medicare beneficiaries are enrolled in Medicare private plans in six states: CA, FL, HI, MN, OR, and PA. In contrast, fewer than 20 percent of Medicare beneficiaries are enrolled in Medicare Advantage plans in 13 states, plus the District of Columbia.

Premiums and Cost-Sharing - While average Medicare Advantage premiums paid by MA-PD enrollees have been relatively stable for the past several years ($36 per month in 2017), enrollees may be liable for more of Medicare’s costs, with average out-of-pocket limits increasing 21 percent and average Part D drug deductibles increasing more than 9-fold since 2011; however, there was little change in out-of-pocket limits and Part D drug deductibles from 2016 to 2017.

Medicare Advantage enrollment is projected to continue to grow over the next decade, rising to 41 percent of all Medicare beneficiaries by 2027. As private plans take on an even larger presence in the Medicare program, it will be important to understand the implications for beneficiaries covered under Medicare Advantage plans and traditional Medicare, as well as for plans, health care providers and program spending.

OVERALL TRENDS IN ENROLLMENT

NATIONWIDE ENROLLMENT

In 2017, one in three (33%) Medicare beneficiaries – 19.0 million people – is enrolled in a Medicare Advantage plan (Figure 1). Total Medicare Advantage enrollment grew by about 1.4 million beneficiaries, or 8 percent, between 2016 and 2017. The growth reflects the ongoing expansion of the role of Medicare Advantage plans in the Medicare program.

TRENDS IN ENROLLMENT BY PLAN TYPE

As has been the case each year since 2007, about two out of three (63%) Medicare Advantage enrollees are in HMOs in 2017. One-third of enrollees are in PPOs – with more in local PPOs (26%) than regional PPOs (7%) – and the remainder are in Private Fee-For Service (PFFS) plans (1%) and other types of plans (3%), including cost plans and Medicare Medical Savings Accounts (MSAs).

• HMOs - Enrollment in HMOs increased by 0.6 million to 11.9 million beneficiaries in 2017 (Figure 2 and Table A1).

• PPOs - Enrollment in local PPOs increased by 0.8 million, with 4.9 million beneficiaries in local PPOs. In 2017, 1.3 million beneficiaries are in regional PPOs, similar to 2016.
A key difference between an HMO and a PPO is that the latter covers part of the cost of care from providers outside of the plan’s provider network. Local PPOs, like HMOs, are required to serve areas no smaller than a county, whereas regional PPOs are required to serve areas defined by one or more states.

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Read the full report

Source - http://files.kff.org/attachment/Issue-Brief-Medicare-Advantage-2017-Spotlight-Enrollment-Market-Update

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Tags: Medicare Advantage, Medicare Advantage News

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