Stay ahead of developments in federal and state health care law, regulation and transactions with timely, expert news and analysis.
With a 10 percent increase in Medicare Advantage enrollment since August 2011 and an additional 3.3 million aging into Medicare in 2013, “there is ample opportunity for health plans to gain membership during the 2013 open enrollment period,” according to an analysis of Centers for Medicare & Medicaid Services data released Aug. 28.
“With the 2013 Medicare Advantage selling season just weeks away, health insurers are busy analyzing how their products and pricing strategies stacked up against competitors in 2012,” Mark Farrah Associates said in a report that looked at “snapshots” of the 2012 marketplace.
Plans may begin marketing their 2013 benefits Oct. 1, in advance of CMS's annual election period, from Oct. 15 to Dec. 7.
“Sales and marketing executives are considering various scenarios to determine how best to differentiate 2013 products from competitors and deploy sales force resources and scarce advertising dollars to maximize opportunities and win new business in key markets,” the report said.
With 50.2 million people eligible for Medicare as of August 2012, aggregate MA enrollment was about 13.7 million members as of Aug. 1, it said.
Total standalone prescription drug plan (PDP) enrollment was 19.9 million as of Aug. 1, an increase of nearly 1.17 million members, or 6.3 percent, from August 2011.
The number of PDPs declined, however, from 1,134 in 2011 to 1,063 for 2012, while the number of MA plans (not including special needs plans or employer plans) for 2012 increased from 1,735 to 1,974.
The number of regional preferred provider organizations offered remained relatively small, with 54 plans available in 2012, down from 59 in 2011.
In comparing data on CMS's plan finder tool, the report found that the disparity in monthly premiums and out-of-pocket expense estimates “can be quite significant across plans.”
In Los Angeles County, for example, the report compared annual beneficiary cost estimates for health maintenance organization plan options with membership.
The Kaiser Permanente Senior Advantage plan covers 95,518 members, although it has a higher annual beneficiary out-of-pocket cost ($3,200) than the Health Net Healthy Heart plan ($2,900) with just 2,442 members.
“Health plan quality ratings may also play an important role in understanding why one plan does better in a specific market than another,” the report said. “Kaiser's five-star rating and the benefits that go along with exemplary rating most likely contributed to its large enrollment in the Los Angeles market.”
All Bloomberg BNA treatises are available on standing order, which ensures you will always receive the most current edition of the book or supplement of the title you have ordered from Bloomberg BNA’s book division. As soon as a new supplement or edition is published (usually annually) for a title you’ve previously purchased and requested to be placed on standing order, we’ll ship it to you to review for 30 days without any obligation. During this period, you can either (a) honor the invoice and receive a 5% discount (in addition to any other discounts you may qualify for) off the then-current price of the update, plus shipping and handling or (b) return the book(s), in which case, your invoice will be cancelled upon receipt of the book(s). Call us for a prepaid UPS label for your return. It’s as simple and easy as that. Most importantly, standing orders mean you will never have to worry about the timeliness of the information you’re relying on. And, you may discontinue standing orders at any time by contacting us at 1.800.960.1220 or by sending an email to email@example.com.
Put me on standing order at a 5% discount off list price of all future updates, in addition to any other discounts I may quality for. (Returnable within 30 days.)
Notify me when updates are available (No standing order will be created).
This Bloomberg BNA report is available on standing order, which ensures you will all receive the latest edition. This report is updated annually and we will send you the latest edition once it has been published. By signing up for standing order you will never have to worry about the timeliness of the information you need. And, you may discontinue standing orders at any time by contacting us at 1.800.372.1033, option 5, or by sending us an email to firstname.lastname@example.org.
Put me on standing order
Notify me when new releases are available (no standing order will be created)