Success of PPOs, OTC Coverage May Drive 2021 MA Offerings

An earlier version of this story incorrectly stated that during the 2020 Medicare Annual Election Period, Bright Health increased its membership by 36% to more than 5 million members and Devoted Health nearly tripled in size to 4.3 million lives. Bright Health has more than 5,000 members, and Devoted Health has 16,000 enrollees. This version has been corrected.

Although individual HMO plans continued to capture the bulk of enrollment in Medicare Advantage plans during the 2020 Annual Election Period (AEP), overall gains by individual PPO plans were not far behind those of the historically popular HMOs, according to a recent analysis from Pareto Intelligence, a Convey Health Solutions company. Based on CMS’s February data release (which reflects enrollments accepted through Jan. 1 and is regarded as demonstrating the final AEP figures), Pareto estimates that enrollment in individual PPOs climbed 10.25% during the AEP to more than 4.8 million enrollees, outpacing individual HMO growth of 5.43% to nearly 11.3 million members.

© 2021 MMIT

Lauren Flynn Kelly Managing Editor, Radar on Medicare Advantage

Lauren has been covering health business issues, including drug benefits and specialty pharmacy, for more than a decade. She served as editor of Drug Benefit News (the predecessor to Radar on Drug Benefits) from 2004 to 2005 and again from 2011 to 2016, and now manages Radar on Medicare Advantage. Lauren graduated from Vassar College with a B.A. in English.

Related Posts

https://www.mmitnetwork.com/wp-content/uploads/2021/10/WordPress-Featured-Image-radar-on-medicare-advantage-Beneath-High-Ratings-MA-PD-Stars-Scores-Show-Shortcomings.jpg
October 21

Beneath High Ratings, MA-PD Stars Scores Show Shortcomings

READ MORE
https://www.mmitnetwork.com/wp-content/uploads/2021/10/WordPress-Featured-Image-radar-on-medicare-advantage-Last-Minute-Memo-Roils-MAOs-Third-Party-Marketing-Plans.jpg
October 21

Last-Minute Memo Roils MAOs’ Third-Party Marketing Plans

READ MORE
https://www.mmitnetwork.com/wp-content/uploads/2021/10/WordPress-Featured-Image-radar-on-medicare-advantage-Plans-Seek-Ways-to-Promote-Provider-Use-of-Z-Codes.jpg
October 21

Plans Seek Ways to Promote Provider Use of Z Codes

READ MORE

GAIN THERAPEUTIC AREA-SPECIFIC INTEL TO DRIVE ACCESS FOR YOUR BRAND

Sign up for publications to get unmatched business intelligence delivered to your inbox.

subscribe today