In 2004, *** million Medicare beneficiaries were enrolled in Medicare Advantage (MA) plans, by 2024, this has reached ** million. MA penetration within total Medicare has also increased. Medicare Advantage is the private plan alternative to traditional Medicare and often provides prescription benefits to the beneficiary. This statistic depicts the Medicare Advantage (MA) enrollment in the United States from 2004 to 2024.
The CMS Program Statistics - Medicare Total Enrollment tables provide data on characteristics of the Medicare-covered populations. For additional information on enrollment, providers, and Medicare use and payment, visit the CMS Program Statistics page. These data do not exist in a machine-readable format, so the view data and API options are not available. Please use the download function to access the data. Below is the list of tables: MDCR ENROLL AB 1. Total Medicare Enrollment: Total, Original Medicare, and Medicare Advantage and Other Health Plan Enrollment, Yearly Trend MDCR ENROLL AB 2. Total Medicare Enrollment: Total, Original Medicare, Medicare Advantage and Other Health Plan Enrollment, and Resident Population, by Area of Residence MDCR ENROLL AB 3. Total Medicare Enrollment: Part A and/or Part B Total, Aged, and Disabled Enrollees, Yearly Trend MDCR ENROLL AB 4. Total Medicare Enrollment: Part A and/or Part B Enrollees, by Age Group, Yearly Trend MDCR ENROLL AB 5. Total Medicare Enrollment: Part A and/or Part B Enrollees, by Demographic Characteristics MDCR ENROLL AB 6. Total Medicare Enrollment: Part A and/or Part B Enrollees, by Type of Entitlement and Demographic Characteristics MDCR ENROLL AB 7. Total Medicare Enrollment: Part A and/or Part B Total, Aged, and Disabled Enrollees, by Area of Residence MDCR ENROLL AB 8. Total Medicare Enrollment: Part A and/or Part B Enrollees, by Type of Entitlement and Area of Residence
By 2025, 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 2025.
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.
This data set accompanies the Profile of the California Medicare Population chartbook, published by the Office of Medicare Innovation and Integration in February 2022, and available at (https://www.dhcs.ca.gov/services/Documents/OMII-Medicare-Databook-February-18-2022.pdf). The three data files in this data set were analyzed from federal administrative data (the Medicare Master Beneficiary Summary File) for beneficiary characteristics as of March 2021. These datasets include: Medicare enrollment, Medicare Advantage enrollment (and its converse fee-for-service Medicare enrollment), dual Medi-Cal eligibility and enrollment (and its converse Medicare-only enrollment), by county. Medicare Savings Program enrollees were considered Medicare-only and not dually enrolled in Medi-Cal. All Medicare Part C beneficiaries, including PACE, Cal MediConnect and Special Needs Plans, were considered to have Medicare Advantage.
DHCS partnered with The SCAN Foundation and ATI Advisory in 2021 and 2022 to develop a series of chartbooks that provide information about Medicare beneficiaries in California. This work is supported by a grant from The SCAN Foundation to advance a coordinated and easily navigated system of high-quality services for older adults that preserve dignity and independence. For more information, visit www.TheSCANFoundation.org.
In 2024, ** percent of Medicare's Advantage enrollment was insured through United Healthcare. Medicare Advantage is an option that allows beneficiaries to receive care management from private health plan networks in the United States. It often also provides prescription drug benefits to beneficiaries without them having to enroll in a stand-alone Part D drug plan. This statistic shows the distribution of Advantage enrollment in 2024, by firm.
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.
The CMS Program Statistics - Medicare Part D tables provide use and Part D drug costs by type of Part D plan (stand-alone prescription drug plan and Medicare Advantage prescription drug plan). For additional information on enrollment, providers, and Medicare use and payment, visit the CMS Program Statistics page. These data do not exist in a machine-readable format, so the view data and API options are not available. Please use the download function to access the data. Below is the list of tables: MDCR UTLZN D 1. Medicare Part D Utilization: Average Annual Prescription Drug Fills by Type of Plan, Low Income Subsidy (LIS) Eligibility, and Generic Dispensing Rate, Yearly Trend MDCR UTLZN D 2. Medicare Part D Utilization: Average Annual Gross Drug Costs Per Part D Enrollee, by Type of Plan, Low Income Subsidy (LIS) Eligibility, and Brand/Generic Drug Classification, Yearly Trend MDCR UTLZN D 3. Medicare Part D Utilization: Average Annual Gross Drug Costs Per Part D Enrollee, by Type of Plan, Low Income Subsidy (LIS) Eligibility, and Brand/Generic Drug Classification, Yearly Trend MDCR UTLZN D 4. Medicare Part D Utilization: Average Annual Prescription Drug Fills and Average Annual Gross Drug Cost Per Part D Enrollee, by Type of Plan and Demographic Characteristics MDCR UTLZN D 5. Medicare Part D Utilization: Average Annual Prescription Drug Fills and Average Annual Gross Drug Cost Per Part D Utilizer, by Type of Plan and Demographic Characteristics MDCR UTLZN D 6. Medicare Part D Utilization: Average Annual Prescription Drug Fills and Average Annual Gross Drug Cost Per Part D Enrollee, by Type of Plan, by Area of Residence MDCR UTLZN D 7. Medicare Part D Utilization: Average Annual Prescription Drug Fills and Average Annual Gross Drug Cost Per Part D Utilizer, by Type of Plan, by Area of Residence MDCR UTLZN D 8. Medicare Part D Utilization: Number of Part D Utilizers and Average Annual Prescription Drug Fills by Type of Part D Plan, Low Income Subsidy (LIS) Eligibility, and Part D Coverage Phase, Yearly Trend MDCR UTLZN D 9. Medicare Part D Utilization: Number of Part D Utilizers and Drug Costs by Type of Part D Plan, Low Income Subsidy (LIS) Eligibility, and Part D Coverage Phase, Yearly Trend MDCR UTLZN D 10. Medicare Part D Utilization: Number of Part D Utilizers, Average Annual Prescription Drug Events (Fills) and Average Annual Gross Drug Cost Per Part D Utilizer, by Part D Coverage Phase and Demographic Characteristics MDCR UTLZN D 11. Medicare Part D Utilization: Number of Part D Utilizers, Average Annual Prescription Drug Fills and Average Annual Gross Drug Cost Per Part D Utilizer, by Part D Coverage Phase and Area of Residence
The data used in the chronic condition reports are based upon CMS administrative enrollment and claims data for Medicare beneficiaries enrolled in the fee-for-service program. These data are available from the CMS Chronic Condition Data Warehouse (CCW), a database with 100 percent of Medicare enrollment and fee-for-service claims data. The Medicare beneficiary population is limited to fee-for-service beneficiaries. We excluded Medicare beneficiaries with any Medicare Advantage enrollment during the year since claims data are not available for these beneficiaries. Also, we excluded beneficiaries who were enrolled at any time in the year in Part A only or Part B only, since their utilization and spending cannot be compared directly to beneficiaries enrolled in both Part A and Part B. Beneficiaries who died during the year are included up to their date of death if they meet the other inclusion criteria.
This data set accompanies the Profile of the California Medicare Population chartbook, published by the Office of Medicare Innovation and Integration in February 2022, and available at (https://www.dhcs.ca.gov/services/Documents/OMII-Medicare-Databook-February-18-2022.pdf). The three data files in this data set were analyzed from federal administrative data (the Medicare Master Beneficiary Summary File) for beneficiary characteristics as of March 2021. These datasets include: Medicare enrollment, Medicare Advantage enrollment (and its converse fee-for-service Medicare enrollment), dual Medi-Cal eligibility and enrollment (and its converse Medicare-only enrollment), by county. Medicare Savings Program enrollees were considered Medicare-only and not dually enrolled in Medi-Cal. All Medicare Part C beneficiaries, including PACE, Cal MediConnect and Special Needs Plans, were considered to have Medicare Advantage. DHCS partnered with The SCAN Foundation and ATI Advisory in 2021 and 2022 to develop a series of chartbooks that provide information about Medicare beneficiaries in California. This work is supported by a grant from The SCAN Foundation to advance a coordinated and easily navigated system of high-quality services for older adults that preserve dignity and independence. For more information, visit www.TheSCANFoundation.org.
The Medicare Advantage (MA) - Part D Contract and Enrollment Data section serves as a centralized repository for publicly available data on contracts and plans, enrollment numbers, service area data, and contact information for MA, Prescription Drug Plan (PDP), cost, PACE, and demonstration organizations.
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The Medicare Monthly Enrollment data provides current monthly information on the number of Medicare beneficiaries with hospital/medical coverage and prescription drug coverage, available for several geographic areas including national, state/territory, and county. The hospital/medical coverage data can be broken down further by health care delivery (Original Medicare versus Medicare Advantage and Other Health Plans) and the prescription drug coverage data can be examined by those enrolled in stand-alone Prescription Drug Plans and those enrolled in Medicare Advantage Prescription Drug plans. The dataset includes enrollee counts on a rolling 12 month basis and also provides information on yearly trends.
This dataset tracks the updates made on the dataset "Dual Medi-Cal Enrollment and Medicare Advantage Enrollment in the Medicare Population in California Counties" as a repository for previous versions of the data and metadata.
The CMS Program Statistics – Medicare Advantage, Outpatient Facility tables provide utilization data for outpatient facilities, by Medicare Advantage beneficiaries. For additional information on enrollment, providers, and Medicare use and payment, visit the CMS Program Statistics page. These data do not exist in a machine-readable format, so the view data and API options are not available. Please use the download function to access the data. Below is the list of tables: MDCR OUTPATIENT MA 1. Medicare Outpatient Facilities: Utilization for Medicare Advantage Beneficiaries, by Type of Entitlement, Yearly Trend MDCR OUTPATIENT MA 2. Medicare Outpatient Facilities: Utilization for Medicare Advantage Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status MDCR OUTPATIENT MA 3. Medicare Outpatient Facilities: Utilization for Medicare Advantage Beneficiaries, by Area of Residence
The CMS Program Statistics – Medicare Advantage, Physician, Non-Physician Practitioner and Supplier tables provide utilization data for physician, non-physician practitioners, and suppliers, by Medicare Advantage beneficiaries. For additional information on enrollment, providers, and Medicare use and payment, visit the CMS Program Statistics page. These data do not exist in a machine-readable format, so the view data and API options are not available. Please use the download function to access the data. Below is the list of tables: MDCR PHYSSUPP MA 1. Medicare Physicians, Non-Physician Practitioners, and Suppliers: Utilization for Medicare Advantage Beneficiaries, by Type of Entitlement, Yearly Trend MDCR PHYSSUPP MA 2. Medicare Physicians, Non-Physician Practitioners, and Suppliers: Utilization for Medicare Advantage Beneficiaries, by Demographic Characteristics and Medicare-Medicaid Enrollment Status MDCR PHYSSUPP MA 3. Medicare Physicians, Non-Physician Practitioners, and Suppliers: Utilization for Medicare Advantage Beneficiaries, by Area of Residence MDCR PHYSSUPP MA 4. Medicare Physicians, Non-Physician Practitioners, and Suppliers: Utilization for Medicare Advantage Beneficiaries, by Place of Service MDCR PHYSSUPP MA 5. Medicare Physicians, Non-Physician Practitioners, and Suppliers: Utilization for Medicare Advantage Beneficiaries, by Restructured BETOS Classification System
The CMS Program Statistics - Medicare Deaths summary tables provide data on Medicare deaths. For additional information on enrollment, providers, and Medicare use and payment, visit the CMS Program Statistics page. These data do not exist in a machine-readable format, so the view data and API options are not available. Please use the download function to access the data. Below is the list of tables: MDCR ENROLL AB 33. Medicare Deaths: Total (Original Medicare and Medicare Advantage and Other Health Plan) Beneficiaries, by Month of Death, Yearly Trend MDCR ENROLL AB 34. Medicare Deaths: Total, Original Medicare, and Medicare Advantage and Other Health Plan Beneficiaries, by Demographic Characteristics MDCR ENROLL AB 35. Medicare Deaths: Total (Original Medicare and Medicare Advantage and Other Health Plan) Beneficiaries, by Area of Residence MDCR ENROLL AB 36. Medicare Deaths: Original Medicare Beneficiaries, by Month of Death, Yearly Trend MDCR ENROLL AB 37. Medicare Deaths: Original Medicare Beneficiaries, by Area of Residence MDCR ENROLL AB 38. Medicare Deaths: Medicare Advantage and Other Health Plan Beneficiaries, by Month of Death, Yearly Trend MDCR ENROLL AB 39. Medicare Deaths: Medicare Advantage and Other Health Plan Beneficiaries, by Area of Residence
This data set presents annual enrollment counts of Medicaid and CHIP beneficiaries by managed care participation (comprehensive managed care, primary care case management, MLTSS, including PACE, behavioral health organizations, nonmedical prepaid health plans, medical-only prepaid health plans, and other). There are three metrics presented: (1) the number of beneficiaries ever enrolled in each managed care plan type over the year (duplicated count); (2) the number of beneficiaries enrolled in each managed care plan type as of an individual’s last month of enrollment (duplicated count); and (3) average monthly enrollment in each managed care plan type. These metrics are based on data in the T-MSIS Analytic Files (TAF). Some cells have a value of “DS”. Some states have serious data quality issues, making the data unusable for calculating these measures. To assess data quality, analysts used measures featured in the DQ Atlas. Data for a state and year are considered unusable or of high concern based on DQ Atlas thresholds for the topics Enrollment in CMC, Enrollment in PCCM Programs, and Enrollment in BHO Plans. Please refer to the DQ Atlas at http://medicaid.gov/dq-atlas for more information about data quality assessment methods. Some cells have a value of “DS”. This indicates that data were suppressed for confidentiality reasons because the group included fewer than 11 beneficiaries.
This dataset tracks the updates made on the dataset "Medicare Advantage & Other Health Plan Enrollment" as a repository for previous versions of the data and metadata.
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Association of Star Rating and MAPD Contract Enrollment Before and After 2012 (Panel Data Hybrid Model)a.
Monthly Medicare Advantage Enrollment by State, County, and Contract
In 2004, *** million Medicare beneficiaries were enrolled in Medicare Advantage (MA) plans, by 2024, this has reached ** million. MA penetration within total Medicare has also increased. Medicare Advantage is the private plan alternative to traditional Medicare and often provides prescription benefits to the beneficiary. This statistic depicts the Medicare Advantage (MA) enrollment in the United States from 2004 to 2024.