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What’s In and What’s Out? Medicare Advantage Market Entries and Exits for 2015

 Appendix Table 1. Plan Entries and Exits in the Medicare Advantage Market, 2014-2015
State Total plans in 2014 Plans departing
by January 2015
Plans continuing in 2015 New plans in 2015 Total plans in 2015 Number of 2014 market enrollees in departing plans Percent of 2014 market enrollees in departing plans
Total U.S. 2014 378 1636 309 1945 479,832 4%
Alabama 23 1 22 3 25 206 0%
Alaska 0 0 0 0 0 0%
Arizona 44 6 38 3 41 12,440 5%
Arkansas 39 13 26 2 28 7,022 9%
California 201 33 168 34 202 45,151 3%
Colorado 49 1 48 2 50 1,047 1%
Connecticut 18 2 16 7 23 13,595 11%
Delaware 7 2 5 1 6 275 4%
District of Columbia 10 1 9 2 11 24 1%
Florida 188 54 134 20 154 14,640 1%
Georgia 53 24 29 3 32 11,693 5%
Hawaii 17 8 9 5 14 44,740 64%
Idaho 34 2 32 6 38 11,784 14%
Illinois 66 15 51 17 68 2,945 2%
Indiana 47 11 36 4 40 7,244 4%
Iowa 40 10 30 2 32 700 1%
Kansas 33 4 29 2 31 1,391 3%
Kentucky 24 3 21 14 35 3,579 3%
Louisiana 29 2 27 4 31 4,008 2%
Maine 37 10 27 5 32 2,404 5%
Maryland 22 9 13 2 15 12,148 28%
Massachusetts 50 8 42 4 46 798 1%
Michigan 53 2 51 5 56 991 0%
Minnesota 32 2 30 3 33 14,258 4%
Mississippi 26 10 16 1 17 3,065 5%
Missouri 54 11 43 3 46 3,549 1%
Montana 13 4 9 4 13 9,360 31%
Nebraska 14 2 12 4 16 934 3%
Nevada 23 1 22 4 26 336 0%
New Hampshire 19 10 9 1 10 1,699 15%
New Jersey 30 5 25 13 38 8,335 6%
New Mexico 25 5 20 2 22 986 1%
New York 168 33 135 26 161 55,295 7%
North Carolina 46 21 25 11 36 57,424 17%
North Dakota 11 1 10 0 10 111 3%
Ohio 85 15 70 19 89 12,953 3%
Oklahoma 34 5 29 6 35 1,570 2%
Oregon 78 9 69 13 82 6,605 3%
Pennsylvania 163 65 98 20 118 33,768 5%
Puerto Rico 36 11 25 3 28 1,179 1%
Rhode Island 8 0 8 3 11 0%
South Carolina 31 13 18 2 20 12,594 10%
South Dakota 14 1 13 0 13 22 0%
Tennessee 41 2 39 16 55 8,292 3%
Texas 126 25 101 18 119 7,467 1%
Utah 13 0 13 3 16 5,186 5%
Vermont 17 11 6 1 7 718 10%
Virginia 80 31 49 12 61 5,851 3%
Washington 70 10 60 3 63 16,869 6%
West Virginia 29 11 18 2 20 2,529 6%
Wisconsin 73 24 49 1 50 10,052 3%
Wyoming 3 0 3 0 3 0%
NOTE: Columns do not sum to the Total U.S. due to plans offered in more than one state. Plans with service area reductions were categorized as departing plans in states in which they will no longer operate, as continuing plans in states in which they will continue to operate, and as new plans in states in which they will operate for the first time. Plan counts and enrollment excludes SNPs, employer-sponsored (i.e., group) plans, demonstrations, HCPPs, PACE plans, and plans for special populations (e.g., Mennonites).
SOURCE: Kaiser Family Foundation analysis of CMS’s Landscape Files for 2014 – 2015.
Appendix Table 2. Plan Type and Tax Status of Discontinued and New Plans in 2014 and 2015
Total number of plans in 2014 Plans departing by January 2015 Plans continuing in 2015 New plans in 2015 Total number of plans in 2015
Number Percent of total plans in 2014 Number Percent of total plans in 2015
Total 2,014 378 19% 1,636 309 16% 1,945
Plan Type
HMOs 1,242 194 16% 1,048 227 18% 1,275
Local PPOs 511 123 24% 388 77 17% 465
Regional PPOs 48 5 10% 43 0 0% 43
PFFS plans 120 52 43% 68 1 1% 69
Cost plans 87 4 5% 83 3 3% 86
MSA plans 6 0 0% 6 1 14% 7
Tax Status
Not-for-profit 524 78 15% 446 59 12% 505
For-profit 1,488 298 20% 1,190 215 15% 1,405
Unknown tax status 2 2 100% 0 35 100% 35
NOTE: Excludes SNPs, employer-sponsored (i.e., group) plans, demonstrations, HCPPs, PACE plans, and plans for special populations. Tax status not known for plans not included in the 2014 Plan Directory. n/a denotes cells not applicable.
SOURCE: Kaiser Family Foundation analysis of CMS’s Landscape Files for 2014 – 2015.
Appendix Table 3. Enrollment and Ratings of Discontinued Plans in 2014 and 2015
Total number of plans in 2014 Plans departing by January 2015
Number Percent of total plans in 2014
Total 2,014 378 19%
Consolidating Plans n/a 163 n/a
Non-consolidating, departing plans n/a 215 n/a
Number of Enrollees, Among Non-Consolidating Plans
100 or fewer enrollees 191 55 29%
101-500 337 55 16%
501-1000 242 27 11%
1000+ 1,244 78 6%
Star Rating, Among Non-Consolidating Plans
4 or more stars 938 53 6%
3 and 3.5 stars 838 127 15%
2 and 2.5 stars 20 5 25%
Missing star rating 218 30 14%
NOTE: Excludes SNPs, employer-sponsored (i.e., group) plans, demonstrations, HCPPs, PACE plans, and plans for special populations. Consolidated plans were excluded from this analysis because they often have different enrollment levels and star ratings in the various areas in which they serve, which cannot be analyzed separately. Plans that are relatively new or have few enrollees are not rated and thus are missing star ratings. n/a denotes cells not applicable.
SOURCE: Kaiser Family Foundation analysis of CMS’s Landscape Files for 2014 – 2015.
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