Appendix A: Special Needs Plans
Special Needs Plans (SNPs) restrict enrollment to specific types of beneficiaries with significant or relatively specialized care needs, including beneficiaries: (1) dually eligible for Medicare and Medicaid (D-SNPs); (2) requiring a nursing home or institutional level of care (I-SNPs); or (3) with severe chronic or disabling conditions (C-SNPs.)
Enrollment in SNPs increased from 2.1 million to 2.3 million beneficiaries between 2016 and 2017 (Figure A1 and Table A7). In 2017, SNP enrollees account for about 12 percent of total Medicare Advantage enrollment, but account for a larger share of the Medicare Advantage enrollment in some states. In three states and the District of Columbia, enrollment in SNPs comprises more than one-fifth of Medicare Advantage enrollment (40% in DC, 28% in SC, 22% in AR, and 21% in AZ; data not shown).
Figure A1: Number of Beneficiaries in Special Needs Plans, by Type, 2006 – 2017
The majority of SNP enrollees (81%) are in plans serving those dually eligible for Medicare and Medicaid (D-SNPs). Enrollment of dually eligible beneficiaries in D-SNPs varies greatly by state, and is particularly prevalent in Hawaii (53%) and Arizona (42%) (Table A7). In 2017, almost half (46%) of Medicare Advantage enrollees who received Part D Low-Income Subsidies (LIS) were in SNPs; this percentage has been relatively stable since 2008.
Separately, several states are undertaking demonstrations with CMS to improve the alignment of Medicare and Medicaid for dually eligible beneficiaries using a capitated model, with the first state (Washington) beginning enrollment in its demonstration in July 2013. Enrollment in the demonstrations has been relatively low and as of March 2017, more than 392,000 dually eligible beneficiaries were enrolled in the demonstrations.
Appendix B: Tables
| Alabama |
358,325 |
45% |
51% |
3% |
<1% |
0% |
<1% |
| Alaska |
655 |
0% |
100% |
0% |
0% |
0% |
0% |
| Arizona |
463,447 |
91% |
7% |
2% |
1% |
<1% |
0% |
| Arkansas |
130,465 |
41% |
16% |
30% |
13% |
0% |
<1% |
| California |
2,348,224 |
95% |
5% |
0% |
<1% |
<1% |
<1% |
| Colorado |
309,369 |
81% |
9% |
0% |
1% |
7% |
1% |
| Connecticut |
180,612 |
86% |
12% |
2% |
0% |
0% |
0% |
| Delaware |
20,739 |
50% |
49% |
0% |
0% |
0% |
1% |
| District of Columbia |
13,914 |
12% |
44% |
0% |
0% |
45% |
0% |
| Florida |
1,793,258 |
69% |
14% |
18% |
<1% |
<1% |
<1% |
| Georgia |
554,075 |
30% |
45% |
24% |
1% |
0% |
0% |
| Hawaii |
116,082 |
39% |
58% |
3% |
0% |
0% |
0% |
| Idaho |
92,580 |
60% |
40% |
0% |
0% |
0% |
0% |
| Illinois |
454,965 |
46% |
51% |
2% |
1% |
<1% |
0% |
| Indiana |
311,612 |
28% |
56% |
16% |
1% |
0% |
<1% |
| Iowa |
104,458 |
32% |
58% |
0% |
1% |
9% |
<1% |
| Kansas |
75,281 |
41% |
51% |
2% |
6% |
0% |
<1% |
| Kentucky |
245,786 |
23% |
55% |
21% |
1% |
0% |
0% |
| Louisiana |
271,778 |
86% |
7% |
7% |
<1% |
0% |
<1% |
| Maine |
87,548 |
61% |
35% |
<1% |
4% |
0% |
0% |
| Maryland |
106,861 |
28% |
33% |
0% |
0% |
39% |
<1% |
| Massachusetts |
266,741 |
73% |
22% |
4% |
0% |
0% |
1% |
| Michigan |
673,166 |
39% |
57% |
3% |
1% |
0% |
<1% |
| Minnesota |
542,941 |
22% |
8% |
0% |
<1% |
70% |
0% |
| Mississippi |
93,708 |
53% |
15% |
30% |
2% |
0% |
0% |
| Missouri |
368,222 |
63% |
23% |
12% |
2% |
0% |
0% |
| Montana |
42,742 |
9% |
88% |
0% |
3% |
0% |
0% |
| Nebraska |
39,967 |
62% |
22% |
0% |
15% |
<1% |
<1% |
| Nevada |
169,207 |
87% |
13% |
0% |
0% |
0% |
0% |
| New Hampshire |
27,996 |
54% |
32% |
5% |
9% |
0% |
0% |
| New Jersey |
326,486 |
54% |
45% |
1% |
0% |
0% |
<1% |
| New Mexico |
129,973 |
65% |
34% |
0% |
1% |
0% |
<1% |
| New York |
1,325,900 |
70% |
18% |
10% |
2% |
<1% |
<1% |
| North Carolina |
587,632 |
42% |
50% |
6% |
1% |
0% |
<1% |
| North Dakota |
21,353 |
0% |
9% |
0% |
<1% |
90% |
1% |
| Ohio |
787,209 |
55% |
38% |
7% |
<1% |
0% |
<1% |
| Oklahoma |
124,677 |
64% |
29% |
4% |
3% |
0% |
<1% |
| Oregon |
355,438 |
65% |
35% |
0% |
<1% |
0% |
<1% |
| Pennsylvania |
1,065,053 |
62% |
36% |
1% |
1% |
0% |
1% |
| Rhode Island |
77,285 |
92% |
5% |
2% |
0% |
0% |
<1% |
| South Carolina |
243,030 |
27% |
20% |
51% |
2% |
0% |
<1% |
| South Dakota |
32,694 |
<1% |
22% |
0% |
1% |
77% |
0% |
| Tennessee |
465,345 |
67% |
31% |
2% |
0% |
0% |
<1% |
| Texas |
1,284,153 |
56% |
28% |
13% |
1% |
2% |
<1% |
| Utah |
127,850 |
83% |
17% |
0% |
0% |
0% |
0% |
| Vermont |
11,676 |
19% |
23% |
45% |
13% |
0% |
0% |
| Virginia |
241,530 |
41% |
28% |
13% |
9% |
9% |
1% |
| Washington |
382,571 |
86% |
14% |
0% |
0% |
0% |
<1% |
| West Virginia |
107,246 |
10% |
81% |
5% |
4% |
0% |
0% |
| Wisconsin |
434,584 |
50% |
31% |
4% |
2% |
12% |
1% |
| Wyoming |
2,596 |
7% |
31% |
0% |
57% |
0% |
5% |
NOTE: Total U.S. includes Puerto Rico. Includes employer-sponsored plans, special needs plans, and other private plans. Other includes MSAs and demonstration plans.
SOURCE: Authors’ analysis of CMS Medicare Advantage enrollment and Landscape files, 2017. |
Table A2: Medicare Advantage Enrollment in the Individual and Group Markets, by State, 2017
Click to enlarge table
Table A3: Medicare Advantage enrollment and penetration rates in HMOs and other plan types, by counties’ costs, 2011-2017
Click to enlarge table
| Alabama |
Jefferson |
65,759 |
51% |
| Arizona |
Maricopa |
268,891 |
42% |
| Arizona |
Pima |
97,124 |
47% |
| California |
Alameda |
97,869 |
42% |
| California |
Contra Costa |
88,458 |
48% |
| California |
Fresno |
41,137 |
31% |
| California |
Kern |
40,813 |
37% |
| California |
Los Angeles |
639,520 |
45% |
| California |
Orange |
219,249 |
46% |
| California |
Riverside |
181,277 |
52% |
| California |
Sacramento |
116,798 |
48% |
| California |
San Bernardino |
146,628 |
53% |
| California |
San Diego |
217,053 |
44% |
| California |
San Francisco |
56,527 |
40% |
| California |
San Joaquin |
38,980 |
37% |
| California |
San Mateo |
44,608 |
37% |
| California |
Santa Clara |
100,245 |
39% |
| California |
Sonoma |
44,545 |
44% |
| California |
Ventura |
43,504 |
31% |
| Colorado |
Jefferson |
53,376 |
53% |
| Connecticut |
Fairfield |
35,151 |
23% |
| Connecticut |
Hartford |
54,412 |
33% |
| Connecticut |
New Haven |
48,292 |
30% |
| Florida |
Brevard |
55,313 |
38% |
| Florida |
Broward |
166,180 |
54% |
| Florida |
Duval |
53,480 |
35% |
| Florida |
Hillsborough |
104,666 |
48% |
| Florida |
Lee |
58,106 |
33% |
| Florida |
Marion |
45,816 |
42% |
| Florida |
Miami-Dade |
290,857 |
65% |
| Florida |
Orange |
80,947 |
47% |
| Florida |
Palm Beach |
115,630 |
38% |
| Florida |
Pasco |
66,884 |
54% |
| Florida |
Pinellas |
110,150 |
47% |
| Florida |
Polk |
71,220 |
49% |
| Florida |
Sarasota |
36,151 |
27% |
| Florida |
Volusia |
66,489 |
48% |
| Georgia |
Fulton |
50,473 |
39% |
| Hawaii |
Honolulu |
83,398 |
48% |
| Illinois |
Cook |
171,918 |
22% |
| Illinois |
DuPage |
27,705 |
19% |
| Illinois |
Lake |
11,084 |
11% |
| Indiana |
Marion |
42,489 |
30% |
| Kentucky |
Jefferson |
46,993 |
33% |
| Maryland |
Baltimore |
19,402 |
13% |
| Maryland |
Baltimore City |
16,821 |
17% |
| Maryland |
Montgomery |
17,547 |
11% |
| Maryland |
Prince George’s |
20,040 |
16% |
| Massachusetts |
Bristol |
20,334 |
18% |
| Massachusetts |
Essex |
30,072 |
20% |
| Massachusetts |
Middlesex |
60,732 |
23% |
| Massachusetts |
Norfolk |
24,673 |
20% |
| Massachusetts |
Plymouth |
16,614 |
16% |
| Massachusetts |
Suffolk |
21,779 |
21% |
| Massachusetts |
Worcester |
47,120 |
32% |
| Michigan |
Kent |
53,086 |
52% |
| Michigan |
Macomb |
56,213 |
34% |
| Michigan |
Oakland |
77,577 |
34% |
| Michigan |
Wayne |
102,845 |
32% |
| Minnesota |
Hennepin |
108,361 |
58% |
| Missouri |
Jackson |
47,282 |
39% |
| Missouri |
St. Louis |
76,796 |
39% |
| Nevada |
Clark |
131,003 |
40% |
| New Jersey |
Bergen |
29,458 |
18% |
| New Jersey |
Essex |
33,149 |
29% |
| New Jersey |
Middlesex |
27,018 |
21% |
| New Jersey |
Monmouth |
19,712 |
17% |
| New Jersey |
Ocean |
34,291 |
23% |
| New Mexico |
Bernalillo |
60,277 |
50% |
| New York |
Bronx |
110,278 |
56% |
| New York |
Erie |
110,904 |
58% |
| New York |
Kings |
149,430 |
42% |
| New York |
Monroe |
96,445 |
65% |
| New York |
Nassau |
57,919 |
23% |
| New York |
New York |
98,022 |
36% |
| New York |
Queens |
154,052 |
45% |
| New York |
Suffolk |
51,613 |
19% |
| New York |
Westchester |
44,012 |
26% |
| North Carolina |
Mecklenburg |
44,127 |
34% |
| North Carolina |
Wake |
43,123 |
33% |
| Ohio |
Cuyahoga |
87,214 |
35% |
| Ohio |
Franklin |
65,479 |
38% |
| Ohio |
Hamilton |
50,705 |
36% |
| Ohio |
Montgomery |
45,788 |
42% |
| Ohio |
Summit |
48,913 |
46% |
| Oklahoma |
Oklahoma |
29,151 |
24% |
| Oklahoma |
Tulsa |
33,382 |
31% |
| Oregon |
Multnomah |
69,679 |
58% |
| Pennsylvania |
Allegheny |
159,008 |
62% |
| Pennsylvania |
Bucks |
43,020 |
33% |
| Pennsylvania |
Delaware |
28,842 |
28% |
| Pennsylvania |
Lancaster |
40,192 |
38% |
| Pennsylvania |
Montgomery |
43,756 |
28% |
| Pennsylvania |
Philadelphia |
109,904 |
43% |
| Rhode Island |
Providence |
44,163 |
38% |
| Tennessee |
Shelby |
41,251 |
29% |
| Texas |
Bexar |
114,372 |
42% |
| Texas |
Collin |
28,562 |
28% |
| Texas |
Dallas |
100,954 |
33% |
| Texas |
El Paso |
61,792 |
51% |
| Texas |
Harris |
207,140 |
41% |
| Texas |
Tarrant |
102,386 |
41% |
| Texas |
Travis |
35,645 |
29% |
| Utah |
Salt Lake |
55,961 |
42% |
| Virginia |
Fairfax |
19,360 |
14% |
| Washington |
King |
109,340 |
36% |
| Washington |
Pierce |
43,582 |
31% |
| Washington |
Snohomish |
53,518 |
46% |
| Wisconsin |
Milwaukee |
68,712 |
46% |
| SOURCE: Authors’ analysis of CMS Medicare Advantage Enrollment files, 2017. |
Table A5: Medicare Advantage Enrollment by Firm, 2016-2017
Click to enlarge table
| Alabama |
358,325 |
72% |
UnitedHealth Group, Inc. |
32% |
BCBS |
24% |
Humana Inc. |
15% |
28% |
| Alaska |
655 |
100% |
Aetna Inc. |
85% |
UnitedHealth Group, Inc. |
15% |
N/A |
N/A |
0% |
| Arizona |
463,447 |
73% |
UnitedHealth Group, Inc. |
45% |
BCBS |
15% |
Humana Inc. |
13% |
27% |
| Arkansas |
130,465 |
77% |
UnitedHealth Group, Inc. |
33% |
Humana Inc. |
31% |
BCBS |
12% |
23% |
| California |
2,348,224 |
73% |
Kaiser Foundation Health Plan, Inc. |
47% |
UnitedHealth Group, Inc. |
18% |
SCAN Health Plan |
8% |
27% |
| Colorado |
309,369 |
88% |
UnitedHealth Group, Inc. |
41% |
Kaiser Foundation Health Plan, Inc. |
34% |
Humana Inc. |
13% |
12% |
| Connecticut |
180,612 |
81% |
UnitedHealth Group, Inc. |
34% |
EmblemHealth, Inc. |
27% |
Aetna Inc. |
20% |
19% |
| Delaware |
20,739 |
87% |
Aetna Inc. |
46% |
CIGNA |
21% |
UnitedHealth Group, Inc. |
20% |
13% |
| District of Columbia |
13,914 |
91% |
Kaiser Foundation Health Plan, Inc. |
45% |
UnitedHealth Group, Inc. |
40% |
Aetna Inc. |
6% |
9% |
| Florida |
1,793,258 |
68% |
Humana Inc. |
34% |
UnitedHealth Group, Inc. |
26% |
BCBS |
8% |
32% |
| Georgia |
554,075 |
81% |
UnitedHealth Group, Inc. |
47% |
Humana Inc. |
20% |
Aetna Inc. |
13% |
19% |
| Hawaii |
116,082 |
80% |
BCBS |
31% |
Kaiser Foundation Health Plan, Inc. |
27% |
UnitedHealth Group, Inc. |
23% |
20% |
| Idaho |
92,580 |
75% |
BCBS |
33% |
PacificSource Health Plans |
22% |
UnitedHealth Group, Inc. |
21% |
25% |
| Illinois |
454,965 |
74% |
UnitedHealth Group, Inc. |
37% |
Humana Inc. |
24% |
Aetna Inc. |
13% |
26% |
| Indiana |
311,612 |
88% |
UnitedHealth Group, Inc. |
34% |
Humana Inc. |
33% |
BCBS |
21% |
12% |
| Iowa |
104,458 |
90% |
UnitedHealth Group, Inc. |
36% |
Aetna Inc. |
36% |
Humana Inc. |
18% |
10% |
| Kansas |
75,281 |
92% |
Aetna Inc. |
45% |
Humana Inc. |
33% |
UnitedHealth Group, Inc. |
14% |
8% |
| Kentucky |
245,786 |
92% |
Humana Inc. |
59% |
BCBS |
18% |
UnitedHealth Group, Inc. |
15% |
8% |
| Louisiana |
271,778 |
90% |
Humana Inc. |
62% |
PH Holdings, LLC |
22% |
Vantage Holdings, Inc. |
6% |
10% |
| Maine |
87,548 |
84% |
Martin’s Point Health Care, Inc. |
46% |
Aetna Inc. |
20% |
UnitedHealth Group, Inc. |
19% |
16% |
| Maryland |
106,861 |
66% |
Kaiser Foundation Health Plan, Inc. |
39% |
UnitedHealth Group, Inc. |
17% |
CIGNA |
10% |
34% |
| Massachusetts |
266,741 |
78% |
Tufts Associated HMO, Inc. |
37% |
UnitedHealth Group, Inc. |
22% |
BCBS |
18% |
22% |
| Michigan |
673,166 |
84% |
BCBS |
56% |
Spectrum Health System |
19% |
Henry Ford Health System |
10% |
16% |
| Minnesota |
542,941 |
81% |
BCBS |
45% |
Medica Holding Company |
19% |
UCare Minnesota |
17% |
19% |
| Mississippi |
93,708 |
95% |
Humana Inc. |
61% |
WellCare Health Plans, Inc. |
25% |
CIGNA |
10% |
5% |
| Missouri |
368,222 |
79% |
UnitedHealth Group, Inc. |
36% |
Aetna Inc. |
27% |
Humana Inc. |
16% |
21% |
| Montana |
42,742 |
100% |
BCBS |
81% |
Humana Inc. |
16% |
UnitedHealth Group, Inc. |
3% |
<1% |
| Nebraska |
39,967 |
94% |
UnitedHealth Group, Inc. |
53% |
Aetna Inc. |
27% |
Humana Inc. |
14% |
6% |
| Nevada |
169,207 |
87% |
UnitedHealth Group, Inc. |
46% |
Humana Inc. |
31% |
Renown Health |
10% |
13% |
| New Hampshire |
27,996 |
83% |
UnitedHealth Group, Inc. |
57% |
Harvard Pilgrim Health Care, Inc. |
14% |
Humana Inc. |
12% |
17% |
| New Jersey |
326,486 |
89% |
UnitedHealth Group, Inc. |
40% |
Aetna Inc. |
26% |
BCBS |
22% |
11% |
| New Mexico |
129,973 |
81% |
Presbyterian Healthcare Services |
36% |
BCBS |
24% |
UnitedHealth Group, Inc. |
21% |
19% |
| New York |
1,325,900 |
53% |
UnitedHealth Group, Inc. |
25% |
BCBS |
17% |
Healthfirst, Inc. |
11% |
47% |
| North Carolina |
587,632 |
84% |
UnitedHealth Group, Inc. |
43% |
Humana Inc. |
24% |
BCBS |
17% |
16% |
| North Dakota |
21,353 |
98% |
Medica Holding Company |
90% |
Humana Inc. |
8% |
UnitedHealth Group, Inc. |
1% |
2% |
| Ohio |
787,209 |
67% |
BCBS |
26% |
Aetna Inc. |
25% |
Humana Inc. |
16% |
33% |
| Oklahoma |
124,677 |
76% |
UnitedHealth Group, Inc. |
27% |
Humana Inc. |
26% |
CommunityCare Managed Healthcare Plans of OK, Inc. |
23% |
24% |
| Oregon |
355,438 |
50% |
Health Net, Inc. |
19% |
Kaiser Foundation Health Plan, Inc. |
17% |
UnitedHealth Group, Inc. |
14% |
50% |
| Pennsylvania |
1,065,053 |
71% |
BCBS |
33% |
Aetna Inc. |
22% |
UPMC Health System |
15% |
29% |
| Rhode Island |
77,285 |
100% |
BCBS |
69% |
UnitedHealth Group, Inc. |
30% |
PACE Organization of Rhode Island |
<1% |
0% |
| South Carolina |
243,030 |
92% |
UnitedHealth Group, Inc. |
51% |
Humana Inc. |
38% |
Aetna Inc. |
3% |
8% |
| South Dakota |
32,694 |
98% |
Medica Holding Company |
77% |
Humana Inc. |
15% |
Aetna Inc. |
6% |
2% |
| Tennessee |
465,345 |
77% |
Humana Inc. |
29% |
BCBS |
28% |
UnitedHealth Group, Inc. |
20% |
23% |
| Texas |
1,284,153 |
74% |
UnitedHealth Group, Inc. |
35% |
Humana Inc. |
31% |
CIGNA |
7% |
26% |
| Utah |
127,850 |
81% |
UnitedHealth Group, Inc. |
54% |
Intermountain Health Care, Inc. |
18% |
Aetna Inc. |
9% |
19% |
| Vermont |
11,676 |
99% |
UnitedHealth Group, Inc. |
85% |
MVP Health Care, Inc. |
13% |
Aetna Inc. |
2% |
1% |
| Virginia |
241,530 |
85% |
Humana Inc. |
55% |
UnitedHealth Group, Inc. |
21% |
Kaiser Foundation Health Plan, Inc. |
9% |
15% |
| Washington |
382,571 |
76% |
UnitedHealth Group, Inc. |
32% |
Kaiser Foundation Health Plan, Inc. |
31% |
BCBS |
14% |
24% |
| West Virginia |
107,246 |
90% |
Humana Inc. |
70% |
Aetna Inc. |
15% |
BCBS |
5% |
10% |
| Wisconsin |
434,584 |
69% |
UnitedHealth Group, Inc. |
38% |
Humana Inc. |
16% |
Ministry Health Care, Inc. |
15% |
31% |
| Wyoming |
2,596 |
98% |
UnitedHealth Group, Inc. |
67% |
Aetna Inc. |
26% |
Memorial Hospital of Laramie County |
5% |
2% |
| NOTE: Territories are excluded. BCBS is Blue Cross and Blue Shield affiliated health plans.SOURCE: Authors’ analysis of CMS Medicare Advantage enrollment and Landscape files, 2017. |
| Alabama |
51,525 |
51,003 |
0 |
522 |
222,740 |
23% |
| Alaska |
0 |
0 |
0 |
0 |
17,420 |
<1% |
| Arizona |
98,451 |
84,530 |
11,453 |
2,468 |
199,180 |
42% |
| Arkansas |
28,377 |
14,497 |
13,880 |
0 |
138,480 |
10% |
| California |
183,920 |
135,606 |
45,825 |
2,489 |
1,424,500 |
10% |
| Colorado |
13,380 |
10,227 |
110 |
3,043 |
112,220 |
9% |
| Connecticut |
24,477 |
21,493 |
0 |
2,984 |
181,120 |
12% |
| Delaware |
2,342 |
1,273 |
529 |
540 |
30,440 |
4% |
| District of Columbia |
5,524 |
5,322 |
135 |
67 |
32,580 |
16% |
| Florida |
335,927 |
262,979 |
68,601 |
4,347 |
819,220 |
32% |
| Georgia |
106,934 |
58,201 |
45,665 |
3,068 |
330,800 |
18% |
| Hawaii |
21,020 |
21,020 |
0 |
0 |
39,860 |
53% |
| Idaho |
2,245 |
2,245 |
0 |
0 |
45,980 |
5% |
| Illinois |
15,162 |
10,831 |
3,607 |
724 |
402,620 |
3% |
| Indiana |
6,462 |
4,678 |
819 |
965 |
205,580 |
2% |
| Iowa |
0 |
0 |
0 |
0 |
91,920 |
<1% |
| Kansas |
1,078 |
1,027 |
51 |
0 |
71,540 |
1% |
| Kentucky |
9,633 |
8,338 |
1,174 |
121 |
198,640 |
4% |
| Louisiana |
38,907 |
37,393 |
1,514 |
0 |
218,100 |
17% |
| Maine |
3,747 |
3,559 |
144 |
44 |
96,480 |
4% |
| Maryland |
13,538 |
6,352 |
4,118 |
3,068 |
148,480 |
4% |
| Massachusetts |
42,875 |
42,575 |
181 |
119 |
320,920 |
13% |
| Michigan |
13,022 |
12,915 |
87 |
20 |
330,840 |
4% |
| Minnesota |
39,147 |
39,147 |
0 |
0 |
149,660 |
26% |
| Mississippi |
16,413 |
16,413 |
0 |
0 |
172,020 |
10% |
| Missouri |
27,673 |
14,620 |
12,548 |
505 |
199,400 |
7% |
| Montana |
219 |
219 |
0 |
0 |
27,420 |
1% |
| Nebraska |
33 |
33 |
0 |
0 |
45,340 |
<1% |
| Nevada |
10,745 |
11 |
10,133 |
601 |
60,200 |
<1% |
| New Hampshire |
200 |
31 |
0 |
169 |
35,120 |
<1% |
| New Jersey |
24,092 |
21,662 |
229 |
2,201 |
229,660 |
9% |
| New Mexico |
18,044 |
18,044 |
0 |
0 |
86,000 |
21% |
| New York |
248,436 |
230,153 |
755 |
17,528 |
900,480 |
26% |
| North Carolina |
24,691 |
21,828 |
112 |
2,751 |
345,240 |
6% |
| North Dakota |
0 |
0 |
0 |
0 |
17,540 |
<1% |
| Ohio |
23,397 |
19,826 |
2,141 |
1,430 |
376,040 |
5% |
| Oklahoma |
163 |
0 |
0 |
163 |
124,120 |
<1% |
| Oregon |
26,878 |
21,871 |
3,952 |
1,055 |
128,180 |
17% |
| Pennsylvania |
126,713 |
119,049 |
3,636 |
4,028 |
469,580 |
25% |
| Rhode Island |
2,494 |
873 |
0 |
1,621 |
43,360 |
2% |
| South Carolina |
68,425 |
24,364 |
44,061 |
0 |
164,720 |
15% |
| South Dakota |
0 |
0 |
0 |
0 |
22,880 |
<1% |
| Tennessee |
89,215 |
89,215 |
0 |
0 |
285,100 |
31% |
| Texas |
181,104 |
142,846 |
38,028 |
230 |
740,940 |
19% |
| Utah |
8,159 |
8,159 |
0 |
0 |
39,620 |
21% |
| Vermont |
0 |
0 |
0 |
0 |
30,880 |
<1% |
| Virginia |
6,076 |
2,340 |
3,147 |
589 |
204,900 |
1% |
| Washington |
31,575 |
29,801 |
0 |
1,774 |
200,040 |
15% |
| West Virginia |
1,008 |
581 |
0 |
427 |
93,240 |
1% |
| Wisconsin |
28,708 |
24,889 |
1,786 |
2,033 |
180,020 |
14% |
| Wyoming |
0 |
0 |
0 |
0 |
12,380 |
<1% |
NOTE: Territories are excluded.
SOURCE: Authors’ analysis of CMS Medicare Advantage enrollment and Landscape files, 2017. Number of dual eligibles by state is derived from the CMS Chronic Conditions Data Warehouse standard analytic files for 2014. |
