This statistic shows the enrollment figures in the Medicare program from 1966 to 2023, by type of beneficiary. In 2011, there were over ** million who benefited from Medicare due to their age, while a further *** million benefited on grounds of disability. By 2024, while the number of Medicare beneficiaries due to age have grown to **** million, the number of enrollees due to disability have gradually decreased and was also *** million in 2024.

In 2024, some *** million Medicare Advantage (MA) beneficiaries were enrolled in a plan from the UnitedHealth Group Inc. Medicare Advantage is an option that allows the beneficiary to receive care management from private health plan networks. It often also provides prescription drug benefits to the beneficiary without them having to enroll in a stand-alone Part D drug plan. This statistic depicts the leading Medicare Advantage organizations in the United States as of March 2024, based on enrollment.

In 2022, approximately ** percent of all Medicare Advantage enrollees were aged between 65 and 74 years in the United States. This statistic depicts the distribution of Medicare Advantage (MA) enrollees in the United States in 2022, by age.

In 2023, Alabama and Michigan had the highest rate of Medicare Advantage (MA) penetration, meaning that ** percent of Medicare beneficiaries in these three states were enrolled in MA plans rather than traditional Medicare plans. The national average was ** percent that year. This statistic depicts the leading 10 U.S. states by percentage of Medicare beneficiaries enrolled in a Medicare Advantage plan in 2024.

By 2024, 54 percent of all Medicare beneficiaries were enrolled in Medicare Advantage (MA) plans. MA penetration rate has steadily increased throughout the years. Medicare Advantage is the private plan alternative to traditional Medicare and often provides prescription benefits to the beneficiary. This statistic shows the Medicare Advantage penetration into total Medicare in the United States from 2000 to 2024.

This dataset includes total enrollment in separate CHIP (S-CHIP) programs by month and state from April 2023 forward. Sources: T-MSIS Analytic Files (TAF) and state-submitted enrollment totals. The data notes indicate when a state’s monthly total was a state-submitted value, rather than from T-MSIS. Methods: Enrollment includes individuals enrolled in S-CHIP at any point during the coverage month, excluding those enrolled in dental-only coverage. The S-CHIP enrollment in this report also excludes enrollees covered by Medicaid expansion CHIP, a program in which a state receives federal funding to expand Medicaid eligibility to optional targeted low-income children that meets the requirements of section 2103 of the Social Security Act. If an individual is enrolled in both Medicaid or Medicaid-expansion CHIP and S-CHIP in a given month, TAF picks the program in which they were last enrolled. Unless S-CHIP enrollment counts are replaced with a state-submitted value, each state's monthly S-CHIP enrollment is equal to the number of unique people in TAF with a CHIP_CODE = 3 (S-CHIP) and ELGBLTY_GRP_CD not equal to ‘66’ (Children Eligible for Dental Only Supplemental Coverage). More information about TAF is available at https://www.medicaid.gov/medicaid/data-systems/macbis/medicaid-chip-research-files/transformed-medicaid-statistical-information-system-t-msis-analytic-files-taf/index.html. Note: A historic dataset with S-CHIP enrollment by month and state from April 2023 to June 2024 is also available at: https://data.medicaid.gov/dataset/d30cfc7c-4b32-4df1-b2bf-e0a850befd77. This historic dataset was created to fulfill reporting requirements under section 1902(tt)(1) of the Social Security Act, which was added by section 5131(b) of subtitle D of title V of division FF of the Consolidated Appropriations Act, 2023 (P.L. 117-328) (CAA, 2023). Please note that the methods used to count S-CHIP enrollees differ slightly between the two datasets; as a result, data users should exercise caution if comparing S-CHIP enrollment across the two datasets. State notes: Alaska, District of Columbia, Hawaii, New Hampshire, New Mexico, North Carolina, North Dakota, Ohio, South Carolina, Vermont, and Wyoming do not have S-CHIP programs. Maryland has an S-CHIP program for the from conception to end of pregnancy group that began in July 2023; April 2023 - June 2023 data for Maryland represents retroactive coverage. Oregon moved all its S-CHIP enrollees, other than those in the from conception to the end of pregnancy group, to a Medicaid-expansion CHIP program effective January 1, 2024. CHIP: Children's Health Insurance Program

United States Health Insurance: Enrollment: Medicare data was reported at 26.000 USD mn in 2023. This records an increase from the previous number of 25.000 USD mn for 2022. United States Health Insurance: Enrollment: Medicare data is updated yearly, averaging 14.000 USD mn from Dec 2007 (Median) to 2023, with 17 observations. The data reached an all-time high of 26.000 USD mn in 2023 and a record low of 5.000 USD mn in 2007. United States Health Insurance: Enrollment: Medicare data remains active status in CEIC and is reported by National Association of Insurance Commissioners. The data is categorized under Global Database’s United States – Table US.RG022: Health Insurance: Operations by Lines of Business.

In 2024, **** million of Medicare's Part D beneficiaries were insured through United Healthcare. Part D covers prescription drugs and must be separately enrolled for beneficiaries in traditional Medicare plans in the United States. This statistic illustrates the total number of Medicare Part D enrollment in 2023, by firm.

United States Health Insurance: Enrollment: Medicare Supplement data was reported at 5.000 USD mn in 2023. This stayed constant from the previous number of 5.000 USD mn for 2022. United States Health Insurance: Enrollment: Medicare Supplement data is updated yearly, averaging 4.000 USD mn from Dec 2007 (Median) to 2023, with 17 observations. The data reached an all-time high of 5.000 USD mn in 2023 and a record low of 4.000 USD mn in 2018. United States Health Insurance: Enrollment: Medicare Supplement data remains active status in CEIC and is reported by National Association of Insurance Commissioners. The data is categorized under Global Database’s United States – Table US.RG022: Health Insurance: Operations by Lines of Business.

Metrics from individual Marketplaces during the current reporting period. The report includes data for the states using HealthCare.gov. Sources: HealthCare.gov application and policy data through October 6, 2024, HealthCare.gov inbound account transfer data through November 7, 2024, and T-MSIS Analytic Files (TAF) through July 2024 (TAF version 7.1). The table includes states that use HealthCare.gov. Notes: This table includes Marketplace consumers who submitted a HealthCare.gov application from March 6, 2023 - October 6, 2024 or who had an inbound account transfer from April 3, 2023 - November 7, 2024, who can be linked to an enrollment record in TAF that shows a last day of Medicaid or CHIP enrollment from March 31, 2023 - July 31, 2024. Beneficiaries with a leaving event may have continuous coverage through another coverage source, including Medicaid or CHIP coverage in another state. However, a beneficiary that lost Medicaid or CHIP coverage and regained coverage in the same state must have a gap of at least 31 days or a full calendar month. This table includes Medicaid or CHIP beneficiaries with full benefits in the month they left Medicaid or CHIP coverage. ‘Account Transfer Consumers Whose Medicaid or CHIP Coverage was Terminated’ are consumers 1) whose full benefit Medicaid or CHIP coverage was terminated and 2) were sent by a state Medicaid or CHIP agency via secure electronic file to the HealthCare.gov Marketplace in a process referred to as an inbound account transfer either 2 months before or 4 months after they left Medicaid or CHIP. 'Marketplace Consumers Not on Account Transfer Whose Medicaid or CHIP Coverage was Terminated' are consumers 1) who applied at the HealthCare.gov Marketplace and 2) were not sent by a state Medicaid or CHIP agency via an inbound account transfer either 2 months before or 4 months after they left Medicaid or CHIP. Marketplace consumers counts are based on the month Medicaid or CHIP coverage was terminated for a beneficiary. Counts include all recent Marketplace activity. HealthCare.gov data are organized by week. Reporting months start on the first Monday of the month and end on the first Sunday of the next month when the last day of the reporting month is not a Sunday. HealthCare.gov data are through Sunday, October 6. Data are preliminary and will be restated over time to reflect consumers most recent HealthCare.gov status. Data may change as states resubmit T-MSIS data or data quality issues are identified. See the data and methodology documentation for a full description of the data sources, measure definitions, and general data limitations. Data notes: The percentages for the 'Marketplace Consumers Not on Account Transfer whose Medicaid or CHIP Coverage was Terminated' data record group are marked as not available (NA) because the full population of consumers without an account transfer was not available for this report. Virginia operated a Federally Facilitated Exchange (FFE) on the HealthCare.gov platform during 2023. In 2024, the state started operating a State Based Marketplace (SBM) platform. This table only includes data about 2023 applications and policies obtained through the HealthCare.gov Marketplace. Due to limited Marketplace activity on the HealthCare.gov platform in November 2023, data from November 2023 onward are excluded. The cumulative count and percentage for Virginia and the HealthCare.gov total reflect Virginia data from April 2023 through October 2023. APTC: Advance Premium Tax Credit; CHIP: Children's Health Insurance Program; QHP: Qualified Health Plan; NA: Not Available

The Skilled Nursing Facility (SNF) All Owners dataset provides information on all owners of SNFs currently enrolled in Medicare. This data includes ownership information such as ownership name, ownership type, ownership address and ownership effective date. On November 17, 2023, CMS published in the Federal Register a final rule titled, “Medicare and Medicaid Programs; Disclosures of Ownership and Additional Disclosable Parties Information for Skilled Nursing Facilities and Nursing Facilities; Medicare Providers’ and Suppliers’ Disclosure of Private Equity Companies and Real Estate Investment Trusts” (88 FR 80141). This final rule implements parts of section 1124(c) of the Act which requires SNFs to disclose detailed information about their ownership and management as well as additional data regarding: (1) other parties with which the SNF is associated; and (2) the ownership structures of these other parties. Refer to Medicare Enrollment for Providers & Suppliers for more information on the Skilled Nursing Facility disclosure requirements. Section 6101(b) of the Affordable Care Act states that no later than 1 year after final regulations promulgated under section 1124(c) of the Act are published in the Federal Register, the Secretary shall make the information reported available to the public. On November 21, 2024 CMS updated this dataset to include this reported information.

Metrics from individual Marketplaces during the current reporting period. The report includes data for the states using State-based Marketplaces (SBMs) that use their own eligibility and enrollment platforms Source: State-based Marketplace (SBM) operational data submitted to CMS. Each monthly reporting period occurs during the first through last day of the reported month. SBMs report relevant Marketplace activity from April 2023 (when unwinding-related renewals were initiated in most SBMs) through the end of a state’s Medicaid unwinding renewal period and processing timeline, which will vary by SBM. Some SBMs did not receive unwinding-related applications during reporting period months in April or May 2023 due to renewal processing timelines. SBMs that are no longer reporting Marketplace activity due to the completion of a state’s Medicaid unwinding renewal period are marked as NA. Some SBMs may revise data from a prior month and thus this data may not align with that previously reported. For April, Idaho’s reporting period was from February 1, 2023 to April 30, 2023. Notes: This table represents consumers whose Medicaid/CHIP coverage was denied or terminated following renewal and 1) whose applications were processed by an SBM through an integrated Medicaid, CHIP, and Marketplace eligibility system or 2) whose applications/information was sent by a state Medicaid or CHIP agency to an SBM through an account transfer process. Consumers who submitted applications to an SBM that can be matched to a Medicaid/CHIP record are also included. See the "Data Sources and Metrics Definition Overview" at http://www.medicaid.gov for a full description of the differences between the SBM operating systems and resulting data metrics, measure definitions, and general data limitations. As of the September 2023 report, this table was updated to differentiate between SBMs with an integrated Medicaid, CHIP, and Marketplace eligibility system and those with an account transfer process to better represent the percentage of QHP selections in relation to applicable consumers received and processed by the relevant SBM. State-specific variations are: - Maine’s data and Nevada’s April and May 2023 data report all applications with Medicaid/CHIP denials or terminations, not only those part of the annual renewal process. - Connecticut, Massachusetts, and Washington also report applications with consumers determined ineligible for Medicaid/CHIP due to procedural reasons. - Minnesota and New York report on eligibility and enrollment for their Basic Health Programs (BHP). Effective April 1, 2024, New York transitioned its BHP to a program operated under a section 1332 waiver, which expands eligibility to individuals with incomes up to 250% of FPL. As of the March 2024 data, New York reports on consumers with expanded eligibility and enrollment under the section 1332 waiver program in the BHP data. - Idaho’s April data on consumers eligible for a QHP with financial assistance do not depict a direct correlation to consumers with a QHP selection. - Virginia transitioned from using the HealthCare.gov platform in Plan Year 2023 to an SBM using its own eligibility and enrollment platform in Plan Year 2024. Virginia's data are reported in the HealthCare.gov and HeathCare.gov Transitions Marketplace Medicaid Unwinding Reports through the end of 2024 and is available in SBM reports as of the April 2024 report. Virginia's SBM data report all applications with Medicaid/CHIP denials or terminations, not only those part of the annual renewal process, and as a result are not directly comparable to their data in the HealthCare.gov data reports. - Only SBMs with an automatic plan assignment process have and report automatic QHP selections. These SBMs make automatic plan assignments into a QHP for a subset of individuals and provide a notification of options regarding active selection of an alternative plan and/or, if appli

Medicare is an important public health insurance scheme for U.S. adults aged 65 years and over. As of 2023, an estimated 18.9 percent of the U.S. population was covered by Medicare, an increase from the previous year. As of 2021, California, Florida, and Texas had the largest number of adults aged 65 years and older. The Medicare program Medicare has two primary parts: Medicare Part A covers hospital care and Medicare Part B covers medical and preventative services. Both parts of Medicare are available to those aged 65 years and older under certain conditions. Medicare premiums are variable and depend on the enrollee’s income. Despite a majority of the Medicare enrollees being above the federal poverty line, there are still several programs in place to help cover the costs of healthcare for the elderly. Opinions on elderly care in the U.S. It is estimated that about 23 percent of Medicare enrollees are in fair/poor health. But there are lots of questions about who should pay for or help with elderly care long-term. In a recent survey of U.S. adults, about half of the respondents said that health insurance companies should pay for elderly care. However, a majority of adults also supported a long-term government sponsored health plan like Medicaid. The issue is still hotly debated and politicized in the United States.

Medicare Advantage Market Outlook

The global Medicare Advantage market size was valued at approximately USD 320 billion in 2023 and is projected to reach around USD 800 billion by 2032, growing at a robust CAGR of 10.8% during the forecast period. The market is primarily driven by increasing aging population, advancements in healthcare technology, and rising awareness about Medicare Advantage plans' comprehensive coverage options.

The aging global population is a significant growth factor for the Medicare Advantage market. As life expectancy increases, the proportion of elderly individuals seeking comprehensive healthcare solutions is also on the rise. This demographic shift is particularly pronounced in developed regions like North America and Europe, where the baby boomer generation is reaching retirement age. This creates a significant demand for Medicare Advantage plans, which offer a blend of health maintenance and cost-effectiveness. Additionally, the rising prevalence of chronic diseases among the elderly, such as diabetes, cardiovascular diseases, and arthritis, further fuels the need for extensive healthcare coverage provided by Medicare Advantage plans.

Technological advancements in healthcare are another vital growth factor. Telehealth, electronic health records, and advanced diagnostic tools enhance the quality of care provided to Medicare Advantage beneficiaries. These technologies streamline healthcare services, making them more accessible and efficient. For instance, telehealth allows healthcare providers to offer consultations and follow-ups remotely, which is particularly beneficial for elderly individuals who may have mobility issues. The integration of artificial intelligence and machine learning in healthcare also aids in quicker diagnosis and personalized treatment plans, thereby improving patient outcomes and satisfaction levels. As these technologies continue to evolve, they are expected to further boost the Medicare Advantage market.

Rising awareness and favorable government policies also contribute significantly to the market's growth. Governments across various regions are implementing policies to promote the adoption of Medicare Advantage plans due to their cost-effectiveness and comprehensive coverage. In the United States, for example, the Medicare Advantage program is heavily promoted by the Centers for Medicare & Medicaid Services (CMS) due to its potential to reduce overall healthcare costs while providing better care coordination. Moreover, awareness campaigns and educational programs aimed at informing citizens about the benefits of Medicare Advantage plans are leading to higher enrollment rates. This trend is expected to continue as more people become aware of the advantages these plans offer over traditional Medicare.

Plan Type Analysis

The Medicare Advantage market can be segmented based on plan type into Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), Private Fee-for-Service (PFFS), Special Needs Plans (SNPs), and others. Health Maintenance Organization (HMO) plans are popular due to their cost-effectiveness and structured care pathways. HMOs usually require beneficiaries to use a network of doctors and hospitals and often require referrals for specialists. This structured approach helps in managing healthcare costs efficiently while ensuring coordinated care. The predictability of out-of-pocket costs is another significant advantage that makes HMOs an attractive option for many beneficiaries.

Health Maintenance Organizations (HMOs) play a pivotal role in the Medicare Advantage landscape. These plans are designed to offer structured and coordinated care through a network of healthcare providers. By emphasizing preventive care and efficient management of healthcare services, HMOs help in reducing unnecessary medical expenses while ensuring high-quality care for beneficiaries. The requirement for referrals and network-based care pathways often leads to better coordination among healthcare providers, which is crucial for managing chronic conditions prevalent among the elderly. As a result, HMOs are particularly appealing to those who prioritize cost-effectiveness and structured healthcare management.

Preferred Provider Organization (PPO) plans offer more flexibility compared to HMOs. PPOs allow beneficiaries to see any doctor or specialist without

Hospice Enrollments

  Description

The Hospice Enrollments dataset provides enrollment information of all hospices currently enrolled in Medicare. This data includes information on the hospice's legal business name, doing business as name, organization type and address.

  Dataset Details

Publisher: Centers for Medicare & Medicaid Services Temporal Coverage: 2023-04-01/2025-03-31 Last Modified: 2025-01-15 Contact: Provider Enrollment Data Requests - CPI… See the full description on the dataset page: https://huggingface.co/datasets/HHS-Official/hospice-enrollments.

2014-2019. This dataset is a de-identified summary table of vision and eye health data indicators from Medicare claims, stratified by all available combinations of age group, race/ethnicity, gender, and state. Medicare claims for VEHSS includes beneficiaries who were fully enrolled in Medicare Part B Fee-for-Service (FFS) for the duration of the year. Medicare claims provide a convenience sample that includes approximately 30 million individuals annually, which represents nearly 89% of the US population aged 65 and older and 3.3% of the US population younger than 65, including persons disabled due to blindness. Medicare data for VEHSS include Service Utilization and Medical Diagnoses indicators. Data were suppressed for de-identification to ensure protection of patient privacy. Data will be updated as it becomes available. Detailed information on VEHSS Medicare analyses can be found on the VEHSS Medicare webpage (cdc.gov/visionhealth/vehss/data/claims/medicare.html). Information on available Medicare claims data can be found on the ResDac website (www.resdac.org). The VEHSS Medicare dataset was last updated May 2023.

Over ** million Americans were estimated to be enrolled in the Medicaid program as of 2023. That is a significant increase from around ** million ten years earlier. Medicaid is basically a joint federal and state health program that provides medical coverage to low-income individuals and families. Currently, Medicaid is responsible for ** percent of the nation’s health care bill, making it the third-largest payer behind private insurances and Medicare. From the beginning to ObamacareMedicaid was implemented in 1965 and since then has become the largest source of medical services for Americans with low income and limited resources. The program has become particularly prominent since the introduction of President Obama’s health reform – the Patient Protection and Affordable Care Act - in 2010. Medicaid was largely impacted by this reform, for states now had the opportunity to expand Medicaid eligibility to larger parts of the uninsured population. Thus, the percentage of uninsured in the United States decreased from over ** percent in 2010 to *** percent in 2022. Who is enrolled in Medicaid?Medicaid enrollment is divided mainly into four groups of beneficiaries: children, adults under 65 years of age, seniors aged 65 years or older, and disabled people. Children are the largest group, with a share of approximately ** percent of enrollees. However, their share of Medicaid expenditures is relatively small, with around ** percent. Compared to that, disabled people, accounting for **** percent of total enrollment, were responsible for **** percent of total expenditures. Around half of total Medicaid spending goes to managed care and health plans.

Value Based Healthcare Services Market size was valued at USD 3.3 Billion in 2024 and is projected to reach USD 6.78 Billion by 2032, growing at a CAGR of 6.25% from 2026 to 2032.

Rising Adoption of Value-Based Care Models: The shift from fee-for-service to value-based care models are accelerating globally. This transition aims to improve patient outcomes while reducing healthcare costs. According to the Centers for Medicare & Medicaid Services (CMS), as of January 2023, 11 million Medicare beneficiaries were enrolled in accountable care organizations (ACOs).

Growing Focus on Population Health Management: Healthcare providers are increasingly emphasizing population health management to improve overall community health outcomes. This approach involves data-driven strategies to address health disparities and prevent chronic diseases. The CDC reported in December 2023 that 73% of U.S. healthcare systems have implemented population health management programs.

健康保险：入学的学生数：医疗保险在12-01-2023达26.000百万美元，相较于12-01-2022的25.000百万美元有所增长。健康保险：入学的学生数：医疗保险数据按年更新，12-01-2007至12-01-2023期间平均值为14.000百万美元，共17份观测结果。该数据的历史最高值出现于12-01-2023，达26.000百万美元，而历史最低值则出现于12-01-2007，为5.000百万美元。CEIC提供的健康保险：入学的学生数：医疗保险数据处于定期更新的状态，数据来源于National Association of Insurance Commissioners，数据归类于全球数据库的美国 – Table US.RG022: Health Insurance: Operations by Lines of Business。

prodAuto_files_allDownloads

  Description

This is a dataset created for use by the DQ Atlas website, and is not intended for use outside that application. For more information on the DQ Atlas and the information contained in this dataset see https://www.medicaid.gov/dq-atlas/welcome.

  Dataset Details

Publisher: Centers for Medicare & Medicaid Services Last Modified: 2023-06-07 Contact: DataConnect Support Team (dataconnectsupport@cms.hhs.gov)

  Source… See the full description on the dataset page: https://huggingface.co/datasets/HHS-Official/prodautofilesalldownloads.