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What’s In and What’s Out? Medicare Advantage Market Entries and Exits for 2016

 Appendix Table 1: Plan Entries and Exits in the Medicare Advantage Market, 2015-2016
State Total plans in 2015 Plans departing
by January 2016
Plans continuing (post-consolidation) in 2016 New plans in 2016 Total plans in 2016 Number of 2015 market enrollees in departing plans Percent of 2015 market enrollees in departing plans
Total U.S. 1945 203 1742 259 2001 327,787 3%
Alabama 25 1 24 4 28 24,665 14%
Alaska 0 0 0 0 0 N/A
Arizona 41 8 33 5 38 15,433 5%
Arkansas 28 3 25 2 27 173 0%
California 202 24 178 20 198 28,610 2%
Colorado 50 3 47 1 48 2,586 1%
Connecticut 23 1 22 1 23 2,530 2%
Delaware 6 1 5 3 8 490 6%
District of Columbia 11 0 11 1 12 0%
Florida 154 22 132 15 147 18,630 2%
Georgia 32 5 27 5 32 14,331 6%
Hawaii 14 1 13 0 13 2,431 4%
Idaho 38 1 37 1 38 3,973 5%
Illinois 68 4 64 4 68 3,573 2%
Indiana 40 5 35 13 48 11,832 5%
Iowa 32 5 27 2 29 1,651 2%
Kansas 31 2 29 4 33 200 0%
Kentucky 35 1 34 8 42 0%
Louisiana 31 2 29 5 34 1,021 1%
Maine 32 3 29 7 36 3,458 6%
Maryland 15 2 13 6 19 2,914 7%
Massachusetts 46 2 44 4 48 579 0%
Michigan 56 6 50 3 53 3,910 1%
Minnesota 33 1 32 4 36 0%
Mississippi 17 1 16 0 16 143 0%
Missouri 46 3 43 5 48 7,443 3%
Montana 13 1 12 2 14 950 3%
Nebraska 16 1 15 1 16 1,291 4%
Nevada 26 3 23 1 24 1,415 1%
New Hampshire 10 0 10 4 14 0%
New Jersey 38 2 36 5 41 635 0%
New Mexico 22 4 18 0 18 3,174 4%
New York 161 24 137 30 167 69,710 9%
North Carolina 36 5 31 3 34 30,995 8%
North Dakota 10 0 10 0 10 0%
Ohio 89 5 84 20 104 1,949 0%
Oklahoma 35 2 33 6 39 248 0%
Oregon 82 6 76 0 76 4,623 2%
Pennsylvania 118 10 108 14 122 13,518 2%
Puerto Rico 28 9 19 8 27 747 0%
Rhode Island 11 0 11 0 11 0%
South Carolina 20 0 20 0 20 66 0%
South Dakota 13 0 13 1 14 0%
Tennessee 55 3 52 3 55 3,938 1%
Texas 119 19 100 24 124 11,514 2%
Utah 16 0 16 2 18 1,314 1%
Vermont 7 0 7 0 7 557 8%
Virginia 61 3 58 3 61 3,195 2%
Washington 63 2 61 14 75 15,287 5%
West Virginia 20 2 18 3 21 1,159 3%
Wisconsin 50 3 47 8 55 10,723 3%
Wyoming 3 1 2 1 3 203 13%
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. New plans include plans that previously operated in some states and will be offered for the first time in other states in 2016.
SOURCE: Kaiser Family Foundation analysis of CMS’s Landscape Files for 2015 – 2016; for 2016, the analysis uses the preliminary Landscape file released September 15, 2015.
Appendix Table 2: Plan Type and Tax Status of Discontinued and New Plans in 2015 and 2016
Total number of plans in 2015 Plans departing by January 2016 Plans continuing in 2016 New plans in 2016 Total number of plans in 2016
Number Percent of total plans in 2015 Number Percent of total plans in 2016
Total 1945 203 10% 1742 259 13% 2,001
Plan Type
    HMOs 1,275 124 10% 1,151 200 15% 1,351
    Local PPOs 465 52 11% 413 48 10% 461
    Regional PPOs 43 0 0% 43 4 9% 47
    PFFS plans 69 14 20% 55 2 4% 57
    Cost plans 86 7 8% 79 2 2% 81
    MSA plans 7 6 86% 1 3 75% 4
Tax Status
    Not-for-profit 588 42 7% 546 31 5% 577
    For-profit 1,353 157 12% 1,196 184 13% 1,380
    Unknown tax       status 4 4 100% 0 44 100% 44
NOTE: Excludes SNPs, employer-sponsored (i.e., group) plans, demonstrations, HCPPs, PACE plans, and plans for special populations.
SOURCE: Kaiser Family Foundation analysis of CMS’s Landscape Files for 2015 – 2016; for 2016, the analysis uses the preliminary Landscape file released September 15, 2015.
Appendix Table 3: Enrollment and Ratings of Discontinued Plans in 2015 and 2016
Total number of plans in 2015 Plans departing by January 2016
Number Percent of total plans in 2015
Total 1,945 203 10%
    Consolidating Plans n/a 78 n/a
    Non-consolidating, departing plans n/a 125 n/a
Number of Enrollees, Among Non-Consolidating Plans
    100 or fewer enrollees 166 35 21%
    101-500 289 39 13%
    501-1000 216 19 9%
    1001+ 1,274 32 3%
Star Rating, Among Non-Consolidating Plans
    4 or more stars 1,059 44 4%
    3 and 3.5 stars 580 44 8%
    2 and 2.5 stars 52 13 25%
    Missing star rating 254 24 9%
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 2015 – 2016; for 2016, the analysis uses the preliminary Landscape file released September 15, 2015.
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