Papers on Issues For People With Medicare Raised By Proposed Drug Benefit RegulationsThe Kaiser Family Foundation has commissioned a series of papers to explore key issues that may be of concern for Medicare beneficiaries as the new Medicare drug benefit is implemented. These papers focus on specific areas of potential…
Since the 1970s, Medicare beneficiaries have had the option to receive their Medicare benefits through private health plans, mainly Health Maintenance Organizations (HMOs), as an alternative to the federally administered traditional Medicare program. The Balanced Budget Act (BBA) of 1997 named Medicare’s managed care program “Medicare+Choice” and the Medicare Modernization Act (MMA) of 2003 renamed it “Medicare Advantage.” In 2019, the majority of the 64 million people on Medicare are covered by traditional Medicare, but one-third (34%) are enrolled in Medicare Advantage plans. Over the past decade, the number of beneficiaries enrolled in private plans has nearly doubled from 11.1 million in 2010 to 22.0 million in 2019.
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In 2020, more than 22 million Medicare beneficiaries (34%) are enrolled in Medicare Advantage plans, which are mainly HMOs and PPOs offered by private insurers as an alternative to the traditional Medicare program. This data note provides an overview of the Medicare Advantage plans that will be available in 2020, including the variation in the number of plans available by county and plan type. The brief also examines the insurers entering the Medicare Advantage market for the first time and also examines the insurers exiting the market.
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Related Medicare Advantage Resources
- Do People Who Sign Up for Medicare Advantage Plans Have Lower Medicare Spending?
- Medicare Advantage
- What Percent of New Medicare Beneficiaries Are Enrolling in Medicare Advantage?
- A Dozen Facts About Medicare Advantage in 2019
- New England Journal of Medicine: Medicare Advantage Checkup
- Prior Authorization in Medicare Advantage Plans: How Often Is It Used?
- Medicare Advantage 2019 Spotlight: First Look
- Medicare Advantage: How Robust Are Plans’ Physician Networks?
- Medicare Advantage Hospital Networks: How Much Do They Vary?
- Medicare Advantage Plan Switching: Exception or Norm?
- Traditional Medicare…Disadvantaged?
- Medicare Advantage and Traditional Medicare: Is the Balance Tipping?
- Medicare Advantage: Total Enrollment
Three key private health insurance markets — Medicare Advantage, the individual market and the fully-insured group market — appear to be financially healthy and attractive to insurers. The private Medicare Advantage market generates significantly larger gross margins per person than the individual market or fully-insured market. The future of these markets has become a focus for policymakers amid the debate over Medicare for All.
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This comprehensive survey of people on Medicare, conducted in June and July 2004, assesses their attitudes toward the new Medicare drug law. This chartpack, issued in September 2004, presents additional analysis on the survey data, looking at key findings broken down by income group.Chartpack (.pdf)