A 12-page Executive Summary offering summary highlights for 22 Accountable Care Organizations and ACO solutions companies regarding their successes during the most recent MSSP performance year.
KFF: A Dozen Facts About Medicare Advantage in 2020
- Enrollment in Medicare Advantage has doubled over the past decade
- The share of Medicare beneficiaries in Medicare Advantage plans across the United States ranges from 1% to over 40%
- The share of Medicare beneficiaries in Medicare Advantage plans varies across counties from less than 1% to more than 60%
- Most Medicare Advantage enrollees are in plans operated by UnitedHealthcare
- Humana
- or BlueCross BlueShield (BCBS) affiliates in 2020
- Half of all Medicare Advantage enrollees would incur higher costs than beneficiaries in traditional Medicare for a 5-day hospital stay
- Nearly two-thirds of Medicare Advantage enrollees pay no premium (other than the Part B premium) in 2020
- Premiums paid by Medicare Advantage enrollees have slowly declined since 2015
- For Medicare Advantage enrollees
- the average out-of-pocket limit is $4
- 925 for in-network services and $8
- 828 for both in-network and out-of-network services (PPOs)
- Most Medicare Advantage enrollees have access to some benefits not covered by traditional Medicare in 2020
- Nearly all Medicare Advantage enrollees are in plans that require prior authorization for some services
- The majority (78%) of Medicare Advantage enrollees are in plans that receive high quality ratings (4 or more stars) and related bonus payments
- More than 3 million Medicare beneficiaries are enrolled in Special Needs Plans in 2020
Source: KFF: A Dozen Facts About Medicare Advantage in 2020 - https://www.kff.org/medicare/issue-brief/a-dozen-facts-about-medicare-advantage…