Medicare Advantage 2022 Spotlight: First Look - Data Note The Enterprise Portal is a gateway that provides access to over 50 different Centers for Medicare & Medicaid Services ( CMS) healthcare-based applications. View quarterly Medicaid enrollment reports. Some of these people may churn back onto the Medicaid program, but others may not regain coverage. Medicare Advantage in 2022: Enrollment Update and Key Trends Overall, more than 99 percent of beneficiaries will have access to one or more Medicare Advantage plans in 2022, similar to prior years. Information on the availability of SSBCI for 2022 has not yet been published by CMS, but we include data on the availability of benefits in 2021. The Centers for Medicare & Medicaid Services (CMS)collects Medicaid and Childrens Health Insurance Program (CHIP) enrollment data from states through multiple reporting vehicles. Exclusive news, data and analytics for financial market professionals, Additional reporting by Manas Mishra and Leroy D'souza in Bengaluru; Editing by Bill Berkrot, Cancer vaccines poised to unlock 'new treatment paradigm' with Merck/Moderna data, Analysis: Stelara patent deal puts J&J back on path to $57 bln 2025 revenue forecast, Novavax exec says its new COVID shot should work against variants on the rise, UnitedHealth offers over $3 bln for home health firm Amedisys, United Airlines CEO says US in a 'business recession' but consumers 'strong', Tesla's China-made EV sales rose 2.4% in May from April - CPCA, GM to invest over $1 bln in Flint plants to boost truck production, Analysis: Strong economy puts Bank of Canada's 4-month rate hike pause in doubt. The findings were released in CMSs October 2020 MA State/County Penetration monthly report. Share on Facebook. The data reported by states represents a point-in-time unduplicated number of children ever enrolled in Medicaid and CHIP as of the date of reporting. 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. With Medicare Advantage set to enroll nearly 27 million Americans this fall, weve long known that seniors are increasingly making an active choice for the lower costs, better care coordination, and improved health outcomes uniquely found in Medicare Advantage. Children will comprise the largest share about 38 percent of these enrollment losses, with 4.7 million fewer children enrolled in Medicaid. Visit Data.CMS.gov to see all datasets that are available and ready to use. "That needs to happen pretty quickly.". Its the law! 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. Despite most beneficiaries having access to plans operated by several different firms, enrollment is concentrated in plans operated by UnitedHealthcare, Humana, and Blue Cross Blue Shield affiliates. Each month, CMS publishes data files detailing enrollment numbers and service areas for Medicare Advantage and Prescription Drug Plans. The Henry J. Kaiser Family Foundation Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 | Phone 650-854-9400 Data.CMS.gov - Centers for Medicare & Medicaid Services The EDB is operational daily from about 2:00am to 10:00pm, Monday . A precise total of how many people have lost coverage is not yet known. In other words, the Medicaid enrollment losses and increases in the uninsured resulting from unwinding that CBO estimates could be considerably lower if states take necessary steps to maximize retention (including among children) and to minimize procedural terminations. States report child enrollment through the Statistical Enrollment Data System (SEDS) using forms CMS-21E, CMS-64.21E, and CMS-64.EC. Rounding out the list are Connecticut (45%), Pennsylvania (44.2%), California (43.7%), New York (43.5%), and Maine (43.2%). As states begin to unwind the COVID emergency continuous enrollment provision and resume Medicaid disenrollments, early data from a handful of states - highlighted on KFF's regularly-updated . Our Headquarters. According to CBO, the uninsured rate among people with incomes below 150 percent of the federal poverty line fell from 17 percent in 2019 to 10 percent in 2023. Though these benefits are widely available, the scope of specific services varies. Availability of Special Supplemental Benefits for the Chronically Ill (SSBCI). "We continue to believe that registry as a condition of coverage is an unnecessary barrier," the Alzheimers Association said in a statement. In 585 counties (accounting for 34% of beneficiaries), at least one firm is offering 10 or more plans. Many Medicare Advantage firms are also offering more than one plan option in each county. Opens in a new window. Alaska has two plan offerings for the first time since 2010. Founded in 2005, CCF is devoted to improving the health of Americas children and families, particularly those with low and moderate incomes. This includes temporarily pausing terminations of coverage when appropriate. Share on Facebook. The Center for Children & Families (CCF), part of the Health Policy Institute at the McCourt School of Public Policy at Georgetown University, is a nonpartisan policy and research center with a mission to expand and improve high-quality, affordable health coverage. Meredith Freed and Tricia Neuman are with KFF. Virtually all Medicare beneficiaries live in a county where at least one Medicare Advantage plan available for general enrollment has some extra benefits not covered by traditional Medicare, with 99% having access to some dental, fitness, vision, and hearing benefits for 2022. Medicare Advantage plan landscape files, released each fall prior to the annual enrollment period, Medicare Advantage plan and premium files, released each fall, Medicare Advantage plan crosswalk files, released each fall, Medicare Advantage contract/plan/state/county level enrollment files, released on a monthly basis, Medicare Advantage plan benefit package files, released quarterly, Medicare Enrollment Dashboard files, released on a monthly basis. Other extra benefits that are frequently offered for 2022 include over the counter items, such as adhesive or elastic bandages (81%), meal benefits, such as a cooking class, nutrition education, or meal delivery (67%), and transportation benefits (38%). 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. Is variation in how states are prioritizing renewals driving early differences in disenrollment rates? As of September 2022, 65,103,807 people are enrolled in Medicare, an increase of 160,823 since the last report. Enrollment in private Medicare Advantage plans more than doubled between 2010 and 2020. In comparison, in other states like Arizona, Pennsylvania, and Virginia, only 10-20 percent of beneficiaries undergoing redetermination have been terminated, and in Pennsylvania less than half lost coverage for procedural reasons. Center for Innovation in Medicare Advantage, Value of Medicare Advantage Prescription Drug Plan, Valor del Plan de Medicamentos Recetados Medicare Advantage, Poll: A bipartisan majority of seniors on Medicare Advantage are satisfied with their coverage, Better Medicare Alliance Statement on Senate Finance Committee Report on Medicare Advantage Marketing, BMA Applauds Historically Low Medicare Advantage Premiums for Seniors in 2023. Medicare, the government health plan for Americans 65 and over, currently pays for Leqembi only if patients are enrolled in a clinical trial. 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). CMS has indicated that the Federal Marketplace, Healthcare.gov, will provide data for the 33 states that use the FFM; however, it is not clear when any data will be released. Filed Under: Article Tagged With: Medicare Enrollment, Weekly Alert, The Center for Medicare Advocacy produces a range of informative materials on Medicare-related topics. The data reported in this file are based upon CMS administrative data for beneficiaries enrolled in the Medicare program from the CMS Chronic Conditions Data . Such "coverage with evidence development" requirements are rare and historically used by Medicare to evaluate medical devices rather than drugs. 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). United Healthcare is offering 10 plan options in two counties. Availability of Insulin Demonstration Plans. 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 most comprehensive solution to manage all your complex and ever-expanding tax and compliance needs. Share on Facebook. 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. Medicaid & CHIP Enrollment Data | Medicaid Of those: You can see the enrollment figures for CMS programs at https://www.cms.gov/pillar/expand-access. There are three death-related variables in the Medicare enrollment data: Date of Death (BENE_DEATH_DT) Valid Date of Death Switch (BENE_VALID_DEATH_DT_SW): This variable indicates that day within the month of death has been validated. The Consolidated Appropriations Act requires states to report on the number of people who are transferred to the Marketplace and how many people enroll in a QHP. Access to Extra Benefits. Moreover, most people who lose Medicaid coverage experience a period of uninsurance before reenrolling in Medicaid. The Henry J. Kaiser Family Foundation Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 | Phone 650-854-9400 CBO estimates that 6.2 million or 40 percent of those losing Medicaid coverage will end up uninsured. One of the files published, "MA State/County Penetration" provides data on the share of Medicare beneficiaries that are enrolled in Medicare Advantage at the state and county level. This analysis focuses on the Medicare Advantage marketplace in 2022 and trends over time. A panel of FDA advisers will discuss whether Leqembi should receive traditional approval next week, and a decision could come by early July. Between 2021 and 2022, the number of regional PPOs has remained constant, while the number of private fee-for-service plans has continued to decline. In the top 25 counties in terms of plan offerings, beneficiaries can choose from 66 or more Medicare plans, including 14 counties in Ohio and 7 counties in Pennsylvania. Reuters, the news and media division of Thomson Reuters, is the worlds largest multimedia news provider, reaching billions of people worldwide every day. All states (including the District of Columbia) are required to provide data to CMS on a range of indicators related to key application, eligibility, and enrollment processes within state Medicaid and CHIP. The report shows 25,389,561 Medicare Advantage beneficiaries nationwide for the month of October out of a Medicare-eligible population of 62,462,094 individuals. CMS publicly releases these eligibility and enrollment data collected from states in monthly reports. There is also the question of whether people who are disenrolled because they are no longer eligible are able to obtain other coverage, particularly through the ACA Marketplaces, though potentially through employers as well. The remaining 10 percent will newly enroll in marketplace or other individual market coverage. 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. View quarterly Medicaid enrollment reports Children Enrolled in Medicaid & CHIP In the top Congressional district for Medicare Advantage enrollment a predominantly Black and Latinx district in the Miami suburbs nearly three-fourths of Medicare-eligible beneficiaries have made an active choice for Medicare Advantage. In June, BMA engaged CMS staff to share our findings and ask the Agency to investigate the discrepancy. DOC MEDICARE ENROLLMENT DATABASE DATA DICTIONARY - Centers for Medicare
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