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Medicare HMO News from MCOL |
August 2022 |
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BMA: Medicare Advantage Enrollment and Growth
Projections, 2015-2030
1. 2015: 31.5%
2. 2017: 33.8%
3. 2019: 37.3%
4. 2021: 43.1%
5.
2022: 46.2%
6. 2023: 47.9%
7.
2025: 49.4%
8. 2027: 50.7%
9.
2029: 51.8%
10. 2030: 52.4%
Note: 2015-2022: Actual MA Enrollment as % of Total Medicare
Enrollment (2022 Medicare Trustees Report); 2023- 2030:
Projected MA Enrollment as % of Total Medicare Enrollment
Source:
Better Medicare Alliance, "State of Medicare Advantage," July
2022
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Filling The Gaps: The Role And Value Of Supplemental
Benefits In Medicare Advantage
The Medicare
Advantage program launched in 1985 as a means to expand access
to coordinated care and comprehensive benefits, and to bring
efficiencies and cost savings to Medicare by leveraging
private-sector managed care. While important debate continues on
the value of managed care generally, beneficiaries are
overwhelmingly satisfied with Medicare Advantage, enrollment in
the program is increasing year over year, and participating
managed care plans are offering a rapidly growing array of new
and innovative benefits.
HealthAffairs, August 5, 2022
SCAN Health Plan Will Expand Growing National Footprint
into Texas
SCAN Health Plan plans to offer
health plans in Texas starting in 2023. SCAN Health Plan is also
planning a further expansion in Nevada. Pending regulatory
approval from the Centers for Medicare and Medicaid Services,
the expansions would bring SCAN’s total reach to nearly seven
million potential customers across 20 markets in four states.
SCAN Press Release, August 4, 2022
Alignment Healthcare Losses Narrow As Medicare Advantage
Enrollment Rises
Alignment Healthcare reported
an $11.5 million loss in its second quarter as the startup
provider of privatized Medicare Advantage coverage continues to
grow. Alignment’s loss of $11.58 million, or 6 cents a share,
compared to $44.7 million, or 25 cents in the year-ago period.
Meanwhile, total revenue was up nearly 19% to $366.5 million in
the second quarter ended June 30 compared to $308.9 million a
year ago as the company continues to grow in the competitive
business of providing health benefits to U.S. seniors.
Forbes, August 4, 2022
Largest Medicare Advantage Plans Pay Big Markups for
Dialysis
Large dialysis chains charge Medicare
Advantage plans 27% more for dialysis services compared with
what they charge the traditional, fee-for-service Medicare
program, according to a new USC analysis. “The dialysis industry
is heavily consolidated and two large national chains are the
dominant provider in most communities,” said Eugene Lin, a
clinical fellow at the USC Schaeffer Center and an assistant
professor of nephrology at the Keck School of Medicine of USC.
USC, August 2, 2022
HCSC to Expand Medicare Offerings to 1.1M More Seniors
in 150+ New Counties
Health Care Service
Corporation (HCSC) plans its largest-ever service area and
product expansion in 2023, increasing health care coverage
options for as many as 1.1 million additional Medicare-eligible
individuals in more than 150 new counties across Illinois,
Montana, New Mexico, Oklahoma and Texas. The proposed expansion,
which focuses on providing access to care in rural and
underserved areas, allows the company to offer Medicare
Advantage Prescription Drug (MAPD) plans to 7.5 million people
in more than 330 total counties across the states it serves – a
more than 40% increase from 2022's record buildout.
PR
Newswire, August 1, 2022
CMS Seeks Public Feedback to Improve Medicare Advantage
Today, the Centers for Medicare & Medicaid Services (CMS)
released a Request for Information seeking public comment on the
Medicare Advantage program. CMS is asking for input on ways to
achieve the agency’s vision so that all parts of Medicare are
working towards a future where people with Medicare receive more
equitable, high quality, and person-centered care that is
affordable and sustainable.
CMS, July 28, 2022
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