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Highlights on this Page
- Table of Contents
- Written By
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Publication Details
- Pub Code: GFB17-11WEB
- Pages: 425
- ISBN: 978-1-936230-47-1
- Copyright 2013
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Managed Medicare and Medicaid Factbook: 2013
A valuable resource with information on rates, benefit designs, enrollment, contacts, trends and strategies on the Medicare Advantage, Medicare Part D and managed Medicaid programs. Packed with practical data and strategic information, it tracks the enrollment trends, plan design information and market share statistics that are required for an effective strategic planning process.
Managed Medicare and Medicaid Factbook: 2013 provides up-to-date enrollment data to help you develop strategic plans.
Managed Medicare and Medicaid Factbook: 2013 provides convenient access to up-to-date enrollment data so you can easily evaluate market share, make plan-by-plan or state-by-state comparisons, identify opportunities and develop strategies. With almost a 10% growth in public-sector programs over the past year, you need to stay on top of trends and data for:
- Medicare Advantage/Medicare managed care, Medicare Part D and managed Medicaid enrollment
- Medicare eligibles by state, market penetration by state and by region
- Enrollees by type of product — including Part D, Special Needs Plans, HMO, local PPO, regional PPO, PFFS and others
- Directories of MA, Medicaid plans and Part D plans with contact information
- MA and Medicaid plans’ financial trends, market strategies, merger and acquisition activity, and other company news
The completely updated Managed Medicare and Medicaid Factbook: 2013 includes expert insight into:
- Profitability factors — Cost savings through care management; payment rate and premium changes; pharmacy cost-sharing and medical loss ratio (MLR) compliance
- Quality initiatives — Strategies for boosting star ratings; quality bonus criteria and NCQA rankings analyses
- Business-building challenges — MA market expansions, mergers and exits; state expansion initiatives; marketing strategies and results; benefit design trends and dual-eligible ventures
Managed Medicare and Medicaid Factbook: 2013 is packed with all-new information on enrollment, benefit designs, company activity and trends for the Medicare Advantage, Medicare Part D and managed Medicaid programs. Reserve your copy today!
CD Version Available for Easy Data Manipulation and Fast Searching! The CD version of Managed Medicare and Medicaid Factbook is packed with Medicare and Medicaid data and analysis not contained in the print version. It provides:
- Primary source AIS data and CMS data in Excel spreadsheets, so you can see — and manipulate — the data in its raw form;
- Historical data of Medicare and Medicaid managed care plans;
- Information about Part D participants with benefit structure and enrollment data;
- Mailing lists;
- A complete user-friendly PDF version of the book for fast searching;
- Plus, all CD purchasers receive a free copy of the print version!
Multi-user site licenses for Managed Medicare and Medicaid Factbook: 2013 are also available to save you money while providing an accurate data resource for analysts throughout your organization. Call Sales Director Bailey Sterrett at 202-775-9008 x3034 to learn more.
Table of Contents — Book Version
Chapter 1: Medicare Advantage Market Developments
- MA Market Expansions and Exits
- Employer Retiree Groups
Chapter 2: Product Development and Marketing of Medicare Advantage and Part D Plans
- 2013 Enrollment Season
- Product Offerings and Benefit Design
- Narrow Networks
- CMS Regulation and Enforcement
Chapter 3: Medicare Advantage Plans’ Organizational Developments and Financial Results
- MA Plans’ Financial Results
- Mergers and Acquisitions
- Leadership Changes at Medicare and Medicaid Plans
Chapter 4: Costs and Premiums for Medicare Advantage and Part D
- Rate and Premium Changes
- Payment Challenges for MA Plans
- Cost Savings Through Care Management and Other Physician Practices
- Complying With Medical Loss Ratio Regulations
- Pharmacy Cost-Sharing
Chapter 5: Regulatory and Legal Issues
- Audits
- Risk Adjustment Data Validation (RADV) Audits
- Health Plan Legal Issues
Chapter 6: Medicare Advantage Star Ratings and Quality Initiatives
- Plan Strategies for Boosting Star Ratings and Leveraging Success
- CMS Ratings Criteria and Financial Impact
- Quality Bonuses
- Ratings Winners and Losers
- Star Ratings Data
- NCQA Rankings Analyses
Chapter 7: Medicare Managed Care Enrollment Trends and Market Share Data
- Medicare Advantage Enrollment Trends
- Medicare Managed Care Enrollment Data
- Special Needs Plan Enrollment by State
- Managed Medicare Market Share Data
Chapter 8: Medicare Part D Prescription Drug Plan Enrollment Data
- Prescription Drug Enrollment and Market Share
- Low-Income Subsidy
- Directory of PDPs Sorted by Parent Organization
Chapter 9: Regional Managed Medicare Marketplace Data
Chapter 10: Medicare Advantage Plan Directory
- MA, Cost, PACE and Demonstration Plans, With Enrollment as of February 2013
Chapter 11: Directory of Federal and Regional Medicare Regulators
Chapter 12: Dual-Eligible Initiatives and Challenges
- Alliances, Consolidations and Joint Ventures
- Special Needs Plans
- States’ Dual-Eligible Proposals
Chapter 13: Managed Medicaid Market Developments
- State Proposals and Expansion Initiatives
- Contract Decisions
- Market Moves
Chapter 14: Managed Medicaid Financial Results and Cost Issues
- Medicaid Plans’ Financial Results
- Cost and Finance Issues
- Mergers and Acquisitions
Chapter 15: Managed Medicaid Enrollment and Market Share Data
- Managed Medicaid Enrollment Data
- Managed Medicaid Market Share Data
Chapter 16: Directory of Medicaid Plans
Chapter 17: Directories of State Medicaid Regulators
- State Medicaid Directors
- State Insurance Commissioners
- State Medicaid Pharmacy Directors
- State Health Officials
Click here to see a complete table of contents for the CD version (4-page PDF file).
Written By
Managed Medicare and Medicaid Factbook is written and edited by the staff of Atlantic Information Services, Inc.
Written For
- Managers of HMOs and provider-sponsored plans
- Hospital managers and health system executives
- Group practice managers
- Managers of IDSs
- Insurance executives
- Government health care officials
- Benefit designers
- Legislators
- Pharmacy benefit managers
AIS Guarantee
Order this comprehensive resource for a 30-day risk-free inspection and see its value for yourself. If within 30 days you are not 100% satisfied, you may return it to AIS and receive a full, prompt refund. For CD purchasers, refunds will not be made once the seal on the CD package has been broken. Please review your copy of the print version prior to breaking the seal.
Shipping Information
This item is shipped via UPS. Please give us your street address when you order (UPS does not deliver to PO boxes.) You should receive your order within 5-7 business days. Shipping and handling cost is $12 per item.
Rush orders: Please call us at 800-521-4323 to place a rush order. We will overnight your order for an additional charge of $45, or you can give us your FedEx or UPS account number and we will charge the shipping to your account. Rush orders placed after 3:00pm EST will not be shipped out until the next business day.
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Managed Medicare and Medicaid Factbook: 2013
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