AIS’s Medicare and Medicaid Market Data: 2016

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Publication Details

  • Pub Code: GFB20-11WEB
  • Pages: 460
  • ISBN: 978-1-939721-18-1
  • Copyright 2016

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AIS’s Medicare and Medicaid Market Data: 2016

A valuable resource with information on premium 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.

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AIS's Medicare and Medicaid Market Data provides up-to-date enrollment data to help you develop strategic plans.

AIS's Medicare and Medicaid Market Data: 2016 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. It includes:

  • Data on Medicare Advantage (MA)/Medicare managed care, Medicare Part D, managed Medicaid and dual-eligibles enrollment and market share by state and by company — plus enrollment data for MA plans by county and by region.
  • Details on product offerings and enrollees by type of product.
  • Directories, with contact information, of MA, Medicaid, Part D, duals and special needs plans, and national, regional and state regulators.
  • Financial data and news of other company developments, such as market expansion and merger and acquisition activity.
  • Coverage of events and trends in the industry — payment rate changes, provider-sponsored MA plans, star ratings, dual-eligibles demos, recovery audit contractors, value-based insurance design, employer group waiver plans, physician and pharmacy network adequacy, states’ Medicaid initiatives and more.

AIS's Medicare and Medicaid Market Data: 2016 is packed with all-new information on enrollment, benefit designs, company activity and business trends for the Medicare Advantage, Medicare Part D and managed Medicaid programs. Order today!

CD Version Available for Easy Data Manipulation and Fast Searching! The CD version of AIS's Medicare and Medicaid Market Data is packed with Medicare and Medicaid data and analysis not contained in the print version. It provides:

  • Plan enrollment data at the national and state levels for Medicare HMOs.
  • Market data on numbers of eligibles — Medicare and duals.
  • Spreadsheets with premium rates, capitation rates, low-income subsidies and USPCCs.
  • Historical data of Medicare and Medicaid managed care plans.
  • Market overview data on dual-eligible programs and plans.
  • Part D plans with benefit structure, cost-sharing and enrollment data.
  • Mailing lists and all numeric data in convenient Excel spreadsheets.
  • 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 AIS's Medicare and Medicaid Market Data: 2016 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 Developments

  • Payment Rates
  • Risk Adjustment and Assessment
  • MA Audits and Recovery Audit Contractors
  • Employer Group Waiver Plans
  • Market Moves and Expansions
  • Sales and Marketing of MA Plans
    • CMS Oversight of Marketing MA Plans
  • Product Offerings for MA
  • 2016 Benefit Design Data
  • Provider-Sponsored MA Plans and Integrated Delivery Systems
  • Value-Based Insurance Design

Chapter 2: Medicare Advantage Star Ratings and Other Quality Initiatives

  • Results for 2016 Plans
  • CMS Regulation and Guidance
    • Star Ratings for Duals
  • Impact on Performance
  • NCQA Ratings Analyses

Chapter 3: CMS Regulation of MA Provider Networks and Other Barriers to Access

  • Network Adequacy
  • Provider Network Changes
  • Coverage Determinations and Drug Access

Chapter 4: Financial Performance and Organizational Developments of Medicare Advantage and Medicaid Plans

  • Financial Results
  • Timeline of Mergers and Acquisitions for Medicare and Medicaid Plans
  • Leadership Changes

Chapter 5: Dual Eligibles and Special Needs Plans
Featuring exclusive research from AIS’s Medicare-Medicaid Dual Eligibles Database, which tracks the growth of all programs and plans serving the dual-eligible community.

  • Dual Enrollment Data by Program and State
  • CMS Oversight and Guidance
  • Demo Launches
  • Extensions of Duals Demos
  • Duals Programs Outside CMS Demo
  • Results From Duals Demos
    • Insurer Exits
  • Special Needs Plans
  • Directory of Special Needs Plans, With March 2016 Enrollment
  • Directory of Dual-Eligibles Plans, With March 2016 Enrollment

Chapter 6: Medicare Managed Care Enrollment Trends and Market Share Data

  • Medicare Managed Care Enrollment Data
  • Special Needs Plan Enrollment Data
  • Managed Medicare Market Share Data
  • Medicare Advantage Enrollment by County

Chapter 7: Medicare Part D Prescription Drug Plan Data

  • Prescription Drug Enrollment and Market Share
  • Low-Income Subsidy Data
  • Part D Premium and Deductible Data
  • Directory of PDPs Sorted by Parent Organization

Chapter 8: Regional Managed Medicare Marketplace Data

Chapter 9: Medicare Advantage Plan Directory

  • Medicare Advantage Plans, With Enrollment as of March 2016

Chapter 10: Directory of National and Regional Medicare Regulators

Chapter 11: Managed Medicaid Developments

  • CMS Regulation
  • Medicaid Contract Awards and Market Expansions
  • State Initiatives and Developments

Chapter 12: Managed Medicaid Enrollment and Market Share Data

Chapter 13: Directory of Medicaid Plans

Chapter 14: Directories of State Medicaid Regulators

  • State Medicaid Directors
  • State Insurance Commissioners

Click here to see a complete table of contents for the CD version (3-page PDF file).

Written By

AIS's Medicare and Medicaid Market Data is written and edited by the staff of Atlantic Information Services, Inc.

Written For

  • Health plan executives and directors of marketing and sales
  • Pharmaceutical manufacturers and pharmacy benefit managers
  • Hospital and health system executives
  • Group practice managers and managers of provider-sponsored plans
  • Actuaries, researchers and market analysts
  • Financial analysts and industry consultants
  • Business and strategic development managers
  • Federal, state and local regulators and legislators
  • Health plan benefit designers

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 FedEx. Please give us your street address when you order (FedEx 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.

AIS’s Medicare and Medicaid Market Data: 2016

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