Vidcast:  https://youtu.be/fy0jzs0mCFI

 

Over the past 15 years, Medicare Advantage membership has increased 2.5 fold.  Now, 48% of Medicare is delivered through the HMO-like Advantage programs vs. traditional fee-for-service Medicare.  The shift from Classic to Advantage Medicare has been escalating in the past 2 years with 8-10% of subscribers shifting per year.

 

The vast majority of members receive their care through just 2 Advantage programs.  United HealthCare has 28% of Advantage enrollees while Humana services 18%.  After these two, Blue Cross/Blue Shield has 14%, CVS Health 11%, Kaiser 6%, and 23% are spread among other insurers.  All but 1% of these plans require the hated prior authorizations for most except preventive services.

 

https://medcitynews.com/2022/08/ma-to-become-predominant-form-of-coverage-for-medicare-beneficiaries-report-finds/

 

#medicare #advantage #hmo #unitedhealthcare #humana #priorauth