AIS’s Medicare and Medicaid Market Data

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Publication Details

  • Pub Code: DMMM-11WEB

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AIS’s Medicare and Medicaid Market Data

An easy-to-use, continually updated subscription website that allows users to view all public-sector health plans, programs and operators in a single, convenient database. Contains information on premium rates, benefit designs, enrollment, contacts, trends and strategies on the Medicare Advantage, Medicare Part D and managed Medicaid programs.

Place your order through our secure shopping cart

Access for up to 3 users for one year
$1,885.00

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

With convenient access to current data on enrollment, premium rates, benefit designs and strategies of Medicare Advantage plans, Part D plans, Medicaid HMOs and other public-sector health plans, AIS's Medicare and Medicaid Market Data helps you easily evaluate market share, make plan-by-plan or state-by-state comparisons, identify opportunities and develop strategies. This continually updated online database includes:

  • An easy-to-use search engine that allows users to sort and export 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.
  • Downloadable spreadsheets providing enrollment data for MA plans by county, as well as 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.
  • A frequently updated newsfeed that tracks financial data and other company developments, such as market expansion and merger and acquisition activity. Stories also feature 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.
  • Periodic downloadable reports highlighting the hottest trends in the managed Medicare and Medicaid space.

Use AIS's Medicare and Medicaid Market Data to quickly and easily track the enrollment trends, plan design information and market share statistics that are required for an effective strategic planning process.

  • Health plans can get access to thoroughly researched, expertly organized competitive intelligence.
  • Consultants can perform timely market analyses to advise clients in the Medicare and Medicaid sectors.
  • Investors and financial analysts can track the progress and growth of specific companies participating in these markets.
  • Plan designers can learn about benefit strategies that will impact the marketability of next year's products.
  • Insurers can stay abreast of new regulations at the federal and state levels that may impact their populations.
  • Policymakers and media can track trends in public-sector growth.
  • Health plan operators can identify challenges and solutions in the Medicare and Medicaid markets.

Your subscription to AIS's Medicare and Medicaid Market Data includes a full year of access for up to three users to this comprehensive website — the online database, newsfeed and monthly email updates ... plus downloadable spreadsheets, reports and analyses prepared exclusively for subscribers! See an Interactive Demo of the website at https://aishealthdata.com/dashboard/mmm/demo/mmm then subscribe today!

For 20 years, AIS published AIS's Medicare and Medicaid Market Data as an annual book. But in order to keep up with the pace of change in the industry, we’re excited to now offer this interactive website! With monthly enrollment updates for MA plans, Part D plans, Special Needs Plans and other programs serving Medicare-Medicaid dual eligibles, plus quarterly reports from the states on managed Medicaid, and other updates throughout the year, you’ll always have access to the most current data and news.

Contents

Search, sort and export data by insurer, state or program type. Download spreadsheets with:

  • Mailing lists of plans and agencies (with phone and email)
  • Premium and capitation rates
  • Star ratings
  • Historical enrollment data since 1996
  • Part D benefit structure and cost-sharing

Data Fields

MMM ID — Unique key identifier, automatically generated, to distinguish each record (viewed only on the Details page when you click on an individual record in the results screen).

MCO ID — Unique key identifier, automatically generated, to distinguish each health insurer. Linked to AIS’s Directory of Health Plans database.

Insurer — aka MCO Name, the name by which the entity wishes to be known, as of the latest annual AIS’s Directory of Health Plans survey.

State — Indicates the state for which the enrollment and contact data in the record is applicable.

Plan Name — Name of the specific plan represented by this record.

Organization — The organization name as it appears in the original CMS data set from which this information was obtained, where applicable.

Category — The program under which this plan is categorized by AIS--Dual-Eligible, Medicaid HMO, Medicare Advantage, SCHIP or Stand-Alone PDP plan.

Medicare Advantage — Checkbox to indicate/select for plans that are part of Medicare Advantage, or Medicare Part C.

Managed Medicaid — Checkbox to indicate/select for plans that are part of Medicaid HMOs, which are contracted by state Medicaid agencies.

Special Needs Plans — Checkbox to indicate/select for plans that are designated as Special Needs Plans. Includes both SNPs and D-SNPs. May overlap Medicare Advantage and/or Dual-Eliglbles categories.

PACE Plans — Checkbox to indicate/select for plans under the Program of All-inclusive Care for the Elderly (PACE). May overlap Medicare Advantage, Medicaid HMO and/or Dual-Eliglbles categories.

Dual-Eligibles — Checkbox to indicate/select for plans that are designated by AIS as Dual-Eligibles. These plans serve people that are eligible for both Medicare and Medicaid under a variety of state and federal initiatives. Does NOT overlap Medicare Advantage or Medicaid HMO categories, but may overlap Special Needs Plans or PACE Plans (because D-SNP and PACE plans may serve dual-eligibles).

Medicare Part D Coverage — Checkbox to indicate/select for plans that offer prescription drug coverage under Medicare Part D. May overlap Medicare Advantage, Special Needs Plans, PACE Plans, Dual-Eligibles or Stand-Alone PDPs.

Stand-Alone PDPs — Checkbox to indicate/select for plans that offer prescription drug coverage only, under Medicare Part D, and do not have any medical benefits. Does not overlap any other categories.

SCHIP — Checkbox to indicate/select for plans operated under the State Children's Health Insurance Program (SCHIP).

Program Type — Provides more detail than the Category field regarding the specific government program or plan classification.

CMS Contract ID — The contract number for plans that contract directly with CMS. Applicable only to plans with CMS contracts.

Contract Date — The date on which the CMS contract originated. Applicable only to plans with CMS contracts.

Contact Person — The name of the Director or another person at the plan.

Title — The title of the person listed in the Contact Person field.

Email — Email address by which you should be able to reach the Contact Person listed.

Address — Street address of the business mailing address for the listed plan.

City — City of the business mailing address for the listed plan.

ST — State abbreviation of the business mailing address for the listed plan.

Zip — Zip code of the business mailing address for the listed plan.

Telephone — Phone number of the plan.

Website — Direct link to the listed plan's website.

Enrollment (Tot) — Number of members covered by the listed plan. In this column the enrollment numbers for your selection are totaled at the bottom.

Enrollment (Avg) — Number of members covered by the listed plan. These are the same data as in the previous column — Enrollment (Tot) — but in this column the membership is averaged at the bottom to show average plan size for your selection.

Notes — Notes on any caveats or additional explanations required to fully understand the data presented in this record.

Published By

AIS’s Medicare and Medicaid Market Data is published by AIS Health. The research and data tracking is conducted by in-house researchers who work exclusively for AIS. Newsfeed and special reports are prepared by AIS editorial staff, unless otherwise noted.

Designed For

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

Delivery Information

Access to the website will be available after your subscription is processed (generally within two business days). You will receive your username and password via email.

Call AIS Customer Service at 800-521-4323 for rush processing.

Contact sales@aishealth.com for information on upgrading to a group license or an API feed.

AIS’s Medicare and Medicaid Market Data

Place your order through our secure shopping cart

Access for up to 3 users for one year
$1,885.00

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