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Medicare Benefit enrollment has seen regular progress over the past 15 years, and over that point, so have the fortunes of many managed care firms that present plans.
In 2007, there have been ~8M Medicare Benefit (“MA”) enrollees, in line with an evaluation from Kaiser Household Basis (KFF). In 2022, ~28.3M seniors had been enrolled in a MA plan. In 2021, ~26M had been.
In keeping with Kaiser Household Basis, practically half of all Medicare enrollees — 48% — had been additionally in a MA plan this yr.
As MA turns into an even bigger income for well being plans, listed here are the managed care firms which can be benefitting essentially the most.
UnitedHealth Group
UnitedHealth (NYSE:UNH) is by far the most important MA insurer based mostly on enrollees, with 7.9M. That accounts for 28% of all MA enrollees.
The insurer has additionally seen good MA progress over the past 12 years. In 2010, its plans accounted for 20% of general MA enrollment. Between March 2021 and March 2022, the agency added greater than 749K beneficiaries.
In its simply reported Q3 2022 monetary outcomes, the MA and retirement phase introduced in ~$27.9B, ~12% improve from the prior-year interval.
Humana
The second largest MA insurer within the nation, Humana (NYSE:HUM) accounted for 18% all enrollees. It has 5M enrollees in its plans.
That 18% determine has remained regular since 2016. Humana (HUM) lately benefitted as it’s one in every of two firms to see Medicare Benefit Star Scores will increase for the 2023 ranking yr based mostly on their largest contracts.
In February, the corporate mentioned it was taking initiatives that might enable it to fund $1B in progress and funding within the MA enterprise.
Elevance Well being
Blue Cross and Blue Defend plans account for the third largest variety of MA enrollees and Elevance Well being (NYSE:ELV), previously often called Anthem, provides BCBS plans in 14 states, together with, notably California and New York.
This yr, all BCBS MA plans accounted for 4.1M enrollees, 14% of the nationwide complete. BCBS plans’ share of MA enrollees has solely diminished by a number of share factors since 2011.
For 2023, Elevance Well being mentioned that three-quarters of its affiliated MA well being plans can have zero-dollar premiums.
CVS Well being
Because of its possession of Aetna, CVS Well being (NYSE:CVS) has a stake in MA. This yr, it has 3.1M MA members, accounting for 11% of all enrollees.
CVS’ (CVS) share of the MA pie has elevated considerably since 2011, when it accounted for simply 5% of complete enrollment.
Earlier in October, CMS downgraded Aetna’s Nationwide PPO MA plan to three.5 stars, which means it could not be eligible for CMS’ high quality bonus funds. CVS (CVS) mentioned it expects to mitigate any monetary affect from the downgrade.
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