- Upcoming Webinar - Jun 19, 2012
- Upcoming Webinar - Jun 26, 2012
- Upcoming Webinar - May 23, 2012
- Upcoming Webinar - Jun 27, 2012
Highlights on this Page
- Table of Contents
- Written By
- Written For
- AIS Guarantee
- Shipping Information
- Sample Pages
Publication Details
- Pub Code: GFB16-11WEB
- Pages: 452
- ISBN: 978-1-936230-22-8
- Copyright 2012
3 Easy Ways to Order
- Secure Shopping Cart
- Print version only: Order now!
- Print & CD versions: Order now!
- Call 800-521-4323
- Print a form to fax or mail
Managed Medicare and Medicaid Factbook: 2012
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: 2012 provides up-to-date enrollment data to help you develop strategic plans.
Managed Medicare and Medicaid Factbook: 2012 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. In a time of numerous mergers and acquisition activity, it includes current statistics on:
- 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
The completely updated Managed Medicare and Medicaid Factbook: 2012 also includes coverage of these hot topics:
- Star Ratings Data
- Medicare Advantage Prescription Drug System (MARx)
- Dual Eligibles
- Quality Improvement Projects (QIPs) and Chronic Care Improvement Programs (CCIPs)
You can have all of this information at your fingertips — no need to contact 50 different Medicaid agencies, scour through the convoluted CMS website, or cut and paste to get data into a format that lets you compare apples to apples. Our experts have compiled the most relevant and timely facts for you and presented them in a way that provides one, easy-to-access resource of the managed Medicare and Medicaid data you need to develop sound strategies for 2013 and beyond.
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: 2012 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
- Special Needs Plans
- Dual Eligibles
- Cost Plans
- Alliances With Providers and Accountable Care Organizations (ACOs)
- Mergers and Acquisitions
Chapter 2: Strategies for Marketing Medicare Advantage and Part D Plans
- 2012 Enrollment Season
- Product Development and Benefit Design
- Marketing Strategies and Results
- CMS Regulation and Enforcement
Chapter 3: Bid Submissions, Evaluations and Denials
- Bid Strategies, Challenges and Results
- CMS Evaluations
Chapter 4: Medicare and Medicaid Plans’ Financial Performance and Corporate Structure
- MA Plans’ Financial Results
- Medicaid Plans’ Financial Results
- Leadership Changes at Medicare and Medicaid Plans
Chapter 5: Costs and Premiums for Medicare Advantage and Part D
- Payment Rate and Premium Changes
- Cost Savings Through Care Management and Other Physician Practices
- Complying With Medical Loss Ratio Regulations
- Independent Payment Advisory Board (IPAB)
Chapter 6: Medicare Advantage Plan Audits
- Data Validation Audits (DVAs)
- Risk-Adjustment Data Validation (RADV) Audits
- Program Audits
Chapter 7: New Medicare Advantage Data Reporting Requirements
- Recovery Audit Contractors (RACs)
- Encounter Data Reporting
- Medicare Advantage Prescription Drug System (MARx)
Chapter 8: Medicare Advantage Star Ratings and Quality Initiatives
- Criteria and Measures for Rating Quality
- Strategies for Boosting Star Ratings and Improving Quality
- Quality Bonus Criteria and Financial Impact
- Ratings Winners and Losers
- Star Ratings Data
- NCQA Rankings Analyses
- Quality Improvement Projects (QIPs) and Chronic Care Improvement Programs (CCIPs)
Chapter 9: Medicare Managed Care Enrollment Trends and Market Share Data
- Medicare Advantage Enrollment Trends
- Medicare Managed Care Enrollment Data
- Managed Medicare Market Share Data
Chapter 10: Medicare Part D Prescription Drug Plan Enrollment Data
- Prescription Drug Plan Enrollment and Market Share
- Low-Income Subsidy
- Directory of PDPs Sorted By Parent Organization
Chapter 11: Regional Managed Medicare Marketplace Data
Chapter 12: Medicare Advantage Plan Directory
- MA, Cost, PACE and Demonstration Plans, With Enrollment as of February 2012
Chapter 13: Directory of Federal and Regional Medicare Regulators
Chapter 14: Managed Medicaid Business Strategies and Developments
- Contract Decisions
- Market Moves and Mergers and Acquisitions
- Cost Issues
- Legal Conflicts
Chapter 15: Managed Medicaid Developments in States
- State Initiatives
- States With Implemented Medicaid Section 1115 Waiver Programs
Chapter 16: Managed Medicaid Enrollment and Market Share Data
- Managed Medicaid Enrollment Data
- Managed Medicaid Market Share Data
Chapter 17: Directory of Medicaid Plans
Chapter 18: 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.
View Sample (PDF)
Managed Medicare and Medicaid Factbook: 2012
MarketPlace Search
Renewal Center
Renew your subscriptions to AIS newsletter and looseleaf publications at the Renewal Center
All Featured Products
Books, Directories & Data
Looseleaf Guides
Atlantic Information Services, Inc. - 1100 17th Street NW, Suite 300, Washington, DC 20036 - 800-521-4323
Copyright © 2012 Atlantic Information Services, Inc. All Rights Reserved.
