AIS’s Directory of Health Plans

Datapoint: Kaiser Scores Big in 2020 Star Ratings

October 17, 2019

Among the top Medicare Advantage insurers, Kaiser Foundation Health Plan and its regional subsidiaries fared particularly well in CMS’s 2020 star ratings release, with 94.3% of its Medicare Advantage-Prescription Drug Plan (MA-PD) members enrolled in products with an overall five-star rating. Kaiser’s group of regional managed care organizations currently serve 1,653,312 MA-PD lives.

Among the top Medicare Advantage insurers, Kaiser Foundation Health Plan and its regional subsidiaries fared particularly well in CMS’s 2020 star ratings release, with 94.3% of its Medicare Advantage-Prescription Drug Plan (MA-PD) members enrolled in products with an overall five-star rating. Kaiser’s group of regional managed care organizations currently serve 1,653,312 MA-PD lives.

Source: AIS’s Directory of Health Plans

Datapoint: CMS Releases 2020 Star Ratings

October 15, 2019

More than 2.2 million people, or 10.1% of the market, are currently enrolled in a Medicare Advantage Prescription Drug (MA-PD) plan that earned an overall 5-star rating from CMS for the 2020 plan year. Just 13,276 people are enrolled in an MA-PD plan scoring an overall 2.5 or lower.

More than 2.2 million people, or 10.1% of the market, are currently enrolled in a Medicare Advantage Prescription Drug (MA-PD) plan that earned an overall 5-star rating from CMS for the 2020 plan year. Just 13,276 people are enrolled in an MA-PD plan scoring an overall 2.5 or lower.

Source: AIS’s Directory of Health Plans

Datapoint: United to Pick Up Virginia Medicare Advantage Plan From Piedmont

October 14, 2019

UnitedHealthcare is set to purchase Virginia-based insurer Piedmont Community Health Plan’s Medicare Advantage (MA) business. Piedmont currently enrolls 4,883 MA lives. The sale will boost United’s Virginia MA business by 6.2%, to 84,184 lives.

UnitedHealthcare is set to purchase Virginia-based insurer Piedmont Community Health Plan’s Medicare Advantage (MA) business. Piedmont currently enrolls 4,883 MA lives. The sale will boost United’s Virginia MA business by 6.2%, to 84,184 lives.

Source: AIS’s Directory of Health Plans

Datapoint: Bright Health Plots 2020 Expansion in Six New States

October 9, 2019

Startup insurer Bright Health will expand its individual commercial and Medicare Advantage offerings to six new states, Florida, Illinois, North Carolina, Nebraska, Oklahoma and South Carolina, for the 2020 plan year (the exact lines of business vary by service area). The tech-focused company is also expanding its existing service areas in Alabama, Arizona, Colorado, Ohio and Tennessee. Bright Health currently enrolls 61,738 people, with 94.0% enrolled in individual plans, and 6.0% in Medicare Advantage.

Startup insurer Bright Health will expand its individual commercial and Medicare Advantage offerings to six new states, Florida, Illinois, North Carolina, Nebraska, Oklahoma and South Carolina, for the 2020 plan year (the exact lines of business vary by service area). The tech-focused company is also expanding its existing service areas in Alabama, Arizona, Colorado, Ohio and Tennessee. Bright Health currently enrolls 61,738 people, with 94.0% enrolled in individual plans, and 6.0% in Medicare Advantage.

Source: AIS’s Directory of Health Plans

Datapoint: Humana Plots Strategic Shift from Insurance to Health Care

October 8, 2019

Over the next few years, Humana Inc. will transition from “an insurance company with elements of health care to a health care company with elements of insurance,” the company’s chief strategy officer, Vishal Agrawal, revealed at a digital health event in New York last week. Initial steps toward this goal include building primary care clinics, investing in value-based care initiatives and creating new tech-focused platforms for members to keep better track of their treatment plans. Humana is currently the sixth-largest health insurer in the U.S., with 11,858,977 members. Just over one-third (33.7%) of Humana’s members are enrolled in Medicare Advantage products.

Over the next few years, Humana Inc. will transition from “an insurance company with elements of health care to a health care company with elements of insurance,” the company’s chief strategy officer, Vishal Agrawal, revealed at a digital health event in New York last week. Initial steps toward this goal include building primary care clinics, investing in value-based care initiatives and creating new tech-focused platforms for members to keep better track of their treatment plans. Humana is currently the sixth-largest health insurer in the U.S., with 11,858,977 members. Just over one-third (33.7%) of Humana’s members are enrolled in Medicare Advantage products.

Source: AIS’s Directory of Health Plans