Click HERE or the image above to view the enrollment map. Medicare Advantage plans may also restrict the availability of these extra benefits to certain subgroups of beneficiaries, such as those with diabetes or congestive heart failure, making different benefits available to different enrollees. "We believe that registries at specialist centers where Leqembi is likely to be initially administered will not be a substantial hurdle.". State Health Facts | KFF Some states are taking steps to minimize procedural disenrollments. The result of these differences was a lower estimated rate of Medicare Advantage penetration using the CMS MA State/County Penetration file compared to other sources. Florida and Hawaii lead in enrollment, as Michigan and Maine mark new entries into the top 10 list. Revised CMS Figures Show Medicare Advantage Surpassing 40% of Medicare Having more consistent data from all states would help provide a clearer picture of how the unwinding is unfolding across states. With more than 40% penetration nationwide, Medicare Advantage continues to earn the trust of older Americans and cement its place in the Medicare success story.. Consequently, many enrollees may not know what to expect or how to complete the renewal process, which may be contributing to the high rates of procedural disenrollments in some states. See here for a complete list of exchanges and delays. In some cases, data are only for a subset of the total Medicaid populations or disenrollments are reported but without breakouts for procedural disenrollments. Lock Twenty insurers are entering the Medicare Advantage market for the first time, and seven insurers are exiting the market, suggesting that Medicare Advantage remains an attractive, profitable market for insurers. Find and compare the quality of care at over 4,000 Medicare-certified hospitals. The independent source for health policy research, polling, and news. A panel of FDA advisers will discuss whether Leqembi should receive traditional approval next week, and a decision could come by early July. In June, BMA engaged CMS staff to share our findings and ask the Agency to investigate the discrepancy. The rise in SNPs for people who require an institutional-level of care (I-SNPs) has been particularly notable, more than doubling from 83 plans in 2017 to 184 plans in 2022 (an increase of 10 plans since 2021). Some of these people may churn back onto the Medicaid program, but others may not regain coverage. Its time to build a better Medicare for all those who rely on it now, and will in the future. "We continue to believe that registry as a condition of coverage is an unnecessary barrier," the Alzheimers Association said in a statement. Data.Medicare.gov lists official data used on the Medicare.gov Compare websites and directories. Following our discussion, CMS reviewed their enrollment data, acknowledged an error, and indicated that the Agency would update the MA State/County Penetration file to ensure the data was accurate. The vast majority of Medicare Advantage plans for individual enrollment (89%) will include prescription drug coverage (MA-PDs), and 59 percent of these plans will charge no premium, other than the Part B premium, somewhat higher than 2021 (54 percent). Will there be any way to track whether people who are disenrolled but remain eligible are able to reenroll in Medicaid? As in recent years, virtually all Medicare beneficiaries (99.7%) have access to a Medicare Advantage plan as an alternative to traditional Medicare, including almost all beneficiaries in metropolitan areas (99.99%) and the vast majority of beneficiaries in non-metropolitan areas (98.4%). Medicare Advantage 2022 Spotlight: First Look, more than 26 million Medicare beneficiaries, A separate overview of the 2022 Medicare Part D marketplace is also available, a total of 2,159 Part D plans will participate in this model, continues to be an attractive market for insurers, beyond what was allowed under traditional Medicare prior to the COVID-19 public health emergency, Medicare Advantage in 2021: Star Ratings and Bonuses, 7 in 10 Medicare Beneficiaries Report That They Did Not Compare Their Coverage Options During a Recent Open Enrollment Period, Medicare Part D: A First Look at Medicare Prescription Drug Plans in 2022. More than 90% of individual plans offer access to vision, fitness, telehealth, hearing or dental benefits in 2022. Research indicates that about 10% of Medicaid enrollees churn in a normal year, while another analysis focused on children found that disenrollment and churn are higher at annual renewal. Data.CMS.gov - Centers for Medicare & Medicaid Services Ill always stand up for these seniors coverage decisions by working to champion Medicare and Medicare Advantage in Congress., Daniel E. Dawes, Executive Director of the Satcher Health Leadership Institute at the Morehouse School of Medicine and a member of Better Medicare Alliances Council of Scholars, added Better Medicare Alliances Medicare Advantage enrollment map paints a clear picture of not only the strength of Medicare Advantage today, but the many communities it serves. States that operate their own Marketplaces can provide this information, but so far, only Kentucky and Pennsylvania include this information on their state dashboards while Rhode Island reports the data will be included once its available. The average Medicare beneficiary is able to choose from plans offered by 9 firms in 2022, one more than in 2021 (Figure 6). Updated data corrects past reporting discrepancy. The top 10 states for Medicare Advantage enrollment include Florida (48.7%), Hawaii (47.6%), Oregon (47.1%), Michigan (45.9%) and Alabama (45.6%). Here are the datasets that are available: Hospital Compare. View the CMS October 2020 MA State/County Penetration file HERE. Availability of Extra Benefits in Plans for General Enrollment. So far, at least 19 states have started to remove people from the rolls. Lock This tool is a searchable database that allows you to look up the revalidation due date for Medicare provider enrollment. 50,574,579 are enrolled in Medicare Part D. This includes enrollment in stand-alone prescription drug plans as well as Medicare Advantage plans that offer prescription drug coverage. PDF February 2023 Medicaid and CHIP Enrollment Snapshot care system, with 66 million beneficiaries enrolled. . Most major Medicare Advantage firms have also expanded the number of counties where they are offering plans. However, as enrollment builds and data quality improves, the team hopes to provide statistical analyses in future reports. High procedural disenrollments raise concerns particularly in light of recent findings from a KFF survey that nearly two-thirds of current Medicaid enrollees said they did not have a change in income or circumstance in the past year that would make them ineligible for Medicaid. The uninsured rate among all non-elderly individuals is expected to be at a historic low of 8.3 percent in calendar year 2023, driven by coverage gains due to the Medicaid continuous coverage protection and enhanced marketplace subsidies. CBO estimates that 6.2 million or 40 percent of those losing Medicaid coverage will end up uninsured. CMS was responsive and made corrections to the data file, leading to a significant increase in the penetration rate for Medicare Advantage due to an overcounting of Medicare beneficiaries since 2017. Medicare Enrollment Numbers - Center for Medicare Advocacy Total Number of Plans. Enrollment If you are looking for enrollment by program category, please look at the Budget Variance Caseload Reports . Prior to this change, people with ESRD were not able to enroll in most Medicare Advantage plans, subject to limited exceptions, such as C-SNPs for people with ESRD. To receive Medicare coverage, people will need to be diagnosed with mild cognitive impairment or early dementia caused by Alzheimer's and have a qualified physician participating in a registry. Summit County in Ohio offers the most Medicare Advantage plans in 2022, at 82 (Figure 4). Arkansas has 8 fewer plans available for 2022 than in 2021, while Kentucky has 6 fewer plans, Washington and Ohio each have three fewer plans, and Tennessee has two fewer plans available in 2022 than in 2021. I-SNPs may be attractive to insurers because they tend to have much lower marketing costs than other plan types since they are often the only available option for people who require an institutional level-of-care, such as those who have been in skilled nursing facilities or nursing homes for 90 days or longer. . Humana is offering the next highest number of plan choices with 14 in five counties, followed by Centene and CVS, which are offering 13 plan options in four counties and two counties, respectively. How CMS will respond remains uncertain. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. For the first time since 2010, two Medicare Advantage plans are being offered in 15 counties in Alaska. Over a somewhat longer timeframe, CBO overall expects that between calendar year 2022 and calendar year 2025, total Medicaid enrollment among people under age 65 will decline by 12.3 million. Humana is offering plans in 2,737 counties in 2022, an increase of 29 from 2021, while UnitedHealthcare is offering plans in 2,377 counties in 2022, an increase of 259 from 2021. Roughly 7 in 10 Medicare-eligible individuals in my district have made an active choice for Medicare Advantage. A precise total of how many people have lost coverage is not yet known. The map, populated with 2021 enrollment data from the Centers for Medicare & Medicaid Services (CMS), demonstrates the continued strength of Medicare Advantage across the country as enrollment grows to more than 26 million beneficiaries. CMS Beneficiary Characteristics. For the quarter beginning with January 1, 2014, states began reporting Medicaid enrollment data as part of the Medicaid expenditure reporting through the Medicaid Budget and Expenditure System (MBES). Evaluation of the Maternal Opioid Misuse (MOM) Model Second Annual Published: Nov 02, 2021, Over the last decade, Medicare Advantage, the private plan alternative to traditional Medicare, has taken on a larger role in the Medicare program. It provides the ability to request access to multiple Portal-integrated CMS applications and to launch/access those applications. Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270, www.kff.org | Email Alerts: kff.org/email | facebook.com/KFF | twitter.com/kff. Summary Statistics on Beneficiary Enrollment. Advancing Access to Medicare and Healthcare. Follow @meredith_freed on Twitter The change in the numbers was the result of Better Medicare Alliance having identified discrepancies in the data and requesting a CMS review to address these possible inaccuracies in the numbers and resulting percentage of penetration. Patrick Drake , and It would require doctors to submit evidence on how the drug works in routine practice, and collect information in an "easy-to-use" portal maintained by the Centers for Medicare and Medicaid Services (CMS) upon traditional approval. Sophia Moreno With more firms offering SNPs and the number of SNPs rapidly growing, there may be greater focus on how well high-need, vulnerable beneficiaries are being served by Medicare Advantage plans, including SNPs as well as plans for general enrollment. Learn more about Enterprise Portal. Though these benefits are widely available, the scope of specific services varies. Sign up to receive exclusive updates on Medicare Advantage policy. With such high disenrollment rates for procedural reasons, it is likely that some, possibly many, people who lose coverage continue to qualify for Medicaid. In nine states that reported both total completed renewals and total disenrollments, the disenrollment rate ranges from 54% in Florida to just 10% Virginia. Based on enrollment in March 2021, 15% of enrollees pay at least $50 a month, including 5 percent who pay $100 or more. In contrast, in 4 percent of counties (accounting for 1% of beneficiaries), beneficiaries can choose from three or fewer Medicare Advantage plans. Michigan and Maine represent new entries into the top 10 list, replacing Arizona and Tennessee which maintain strong Medicare Advantage penetration rates of more than 42%. Washington, D.C. Better Medicare Alliance, the leading research and advocacy group supporting Medicare Advantage (MA), unveiled its 2021 Medicare Advantage enrollment map, featuring MA enrollment figures in states, Congressional districts, and counties nationwide. View annual child enrollment reports. The Center for Medicare Advocacy proposes a five-part plan that will make Medicare a bulwark against the worsening health and economic challenges facing the American people. Heres how you know. The EDB database is allocated to an online DB2P server region on the CMS Data Center's HCF0G LPAR. Duke University economist Dr. Mark McClellan, who has served both as FDA commissioner and a CMS administrator, said it appears CMS is trying to make the registry less cumbersome, but that it must provide more details. Data.Medicaid.gov ). The Henry J. Kaiser Family Foundation Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 | Phone 650-854-9400 This year, as Better Medicare Alliance was updating BMAs Medicare Advantage Enrollment Map for 2020, discrepancies were identified with the Medicare Advantage penetration rates compared to similar figures published by the CMS Office of the Actuary and the CMS Enrollment Dashboard. The number of SNPs offered for people with chronic conditions (C-SNPs) is also increasing in 2022 (272 plans), more than doubling from 2017 (122 plans), most of which focus on people with diabetes, heart disease, or lung conditions, as has been the case since the inception of C-SNPs. Medicare Advantage continues to be an attractive market for insurers, with 20 firms entering the market for the first time in 2022, collectively accounting for about 19 percent of the growth in the number of plans available for general enrollment and about 6 percent of the growth in SNPs (Appendix Table 2). This analysis focuses on the Medicare Advantage marketplace in 2022 and trends over time. Opens in a new window. As of 2020, Medicare Advantage plans have been allowed to include telehealth benefits as part of the basic benefit package beyond what was allowed under traditional Medicare prior to the COVID-19 public health emergency. Register for Free Webinars. Less than 10 percent of plans provide bathroom safety devices (8%) or telemonitoring services (3%), and support for caregivers of enrollees (3%). While many employers and unions also offer Medicare Advantage plans to their retirees, no information about these 2022 plan offerings is made available by CMS to the public during the Medicare open enrollment period because these plans are not available to the general Medicare population. A CMS spokeswoman said the initial registry will be administrated by the agency should Leqembi gain full approval and was hopeful other organizations would create additional registries to collect data. Indicator Enrollment Data 1 within the context of trends since February 2020 2, focusing on: - Total Medicaid and CHIP enrollment; - Medicaid enrollment; - CHIP enrollment; - Adult enrollment; and - Child enrollment. In comparison, the uninsured rate among people with incomes at or above 150 percent of the federal poverty line declined from 9 percent to 8 percent over the same time period. According to CMS Medicare Advantage enrollment reports aggregated by Mark Farrah Associates (MFA) in Medicare Business Online, total Medicare Advantage plan enrollment as of March 1, 2021 increased 9.7% from March 2020. The number of SNPs for people dually eligible for Medicare and Medicaid (D-SNPs) has also increased sharply over the past five years, nearly doubling from 373 dual SNPs in 2017 to 700 dual SNPs in 2022, suggesting insurers continue to be interested in managing the care of this high-need population. This includes information on providers who accept Medicare, services and procedures delivered by providers, and qualified health plans. Some of the most frequently offered SSBCI benefits include food and produce (6.6% for individual plans and 20.5% for SNPs), meals (beyond a limited basis) (6.0% in individual plans and 12.3% for SNPs), and pest control (5.1% for individual plans and 14.6% for SNPs) (Figure 9). What Do the Early Medicaid Unwinding Data Tell Us? | KFF These early data provide an important, but incomplete, picture of how the unwinding is unfolding across the states that have so far resumed disenrollments. What Do the Early Medicaid Unwinding Data Tell Us? The enrollment information is a state-reported count of unduplicated individuals enrolled in the states Medicaid program at any time during each month in the quarterly reporting period. UnitedHealthcare and Humana, the two firms with the most Medicare Advantage enrollees in 2021, have large footprints across the country, offering plans in most counties. Opens in a new window. The independent source for health policy research, polling, and news, the Kaiser Family Foundation is a nonprofit organization based in San Francisco, California. The vast majority of beneficiaries also have access to telehealth benefits (99%), over the counter items (99%), a meal benefit (99%), transportation assistance (97%) and but fewer have access to in-home support services (76%) or bathroom safety devices (63%). , About 9 in 10 (89%) Medicare beneficiaries have access to at least one Humana plan and 90 percent have access to at least one UnitedHealthcare plan. Together, UnitedHealthcare and Humana account for 45 percent of MA enrollment in 2021. The growth in number of plans varies across states and counties, with the preponderance of the growth occurring in Texas and Florida (41 more and 32 more plans, respectively; data not shown). 34,984,295 are enrolled in Original Medicare. The independent source for health policy research, polling, and news. Multiple Plan Offerings by Firms in the Same County. Centers for Medicare & Medicaid Services Data A federal government managed website by theCenters for Medicare & Medicaid Services.7500 Security Boulevard Baltimore, MD 21244, An official website of the United States government, Improving Care for Medicaid Beneficiaries with Complex Care Needs and High Costs, Promoting Community Integration Through Long-Term Services and Supports, Eligibility & Administration SPA Implementation Guides, Medicaid Data Collection Tool (MDCT) Portal, Using Section 1115 Demonstrations for Disaster Response, Home & Community-Based Services in Public Health Emergencies, Unwinding and Returning to Regular Operations after COVID-19, Medicaid and CHIP Eligibility & Enrollment Webinars, Affordable Care Act Program Integrity Provisions, Medicaid and CHIP Quality Resource Library, Lawfully Residing Immigrant Children & Pregnant Individuals, Home & Community Based Services Authorities, February 2023 Medicaid & CHIP Enrollment Data Highlights, Medicaid Enrollment Data Collected Through MBES, Performance Indicator Technical Assistance, 1115 Demonstration Monitoring & Evaluation, 1115 Substance Use Disorder Demonstrations, Coronavirus Disease 2019 (COVID-19): Section 1115 Demonstrations, Seniors & Medicare and Medicaid Enrollees, Medicaid Third Party Liability & Coordination of Benefits, Medicaid Eligibility Quality Control Program, State Budget & Expenditure Reporting for Medicaid and CHIP, CMS-64 FFCRA Increased FMAP Expenditure Data, Actuarial Report on the Financial Outlook for Medicaid, Section 223 Demonstration Program to Improve Community Mental Health Services, Medicaid Information Technology Architecture, Medicaid Enterprise Certification Toolkit, Medicaid Eligibility & Enrollment Toolkit, SUPPORT Act Innovative State Initiatives and Strategies, SUPPORT Act Provider Capacity Demonstration, State Planning Grants for Qualifying Community-Based Mobile Crisis Intervention Services, Early and Periodic Screening, Diagnostic, and Treatment, Vision and Hearing Screening Services for Children and Adolescents, Alternatives to Psychiatric Residential Treatment Facilities Demonstration, Testing Experience & Functional Tools demonstration, Medicaid MAGI & CHIP Application Processing Time, Medicaid and CHIP Enrollment Trend Snapshot, December 2021 and January 2022 Enrollment Trend Snapshot, October and November2021 Enrollment Trend Snapshot, August and September 2021 Enrollment Trend Snapshot, December 2020 and January 2021 Enrollment Trend Snapshot, October and November Enrollment Trend Snapshot.
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