Aug 31, 2022
Vidcast: https://youtu.be/fy0jzs0mCFI
Over the past 15 years, Medicare Advantage membership has increased 2.5 fold. Now, 48% of Medicare is delivered through the HMO-like Advantage programs vs. traditional fee-for-service Medicare. The shift from Classic to Advantage Medicare has been escalating in the past 2 years with 8-10% of subscribers shifting per year.
The vast majority of members receive their care through just 2 Advantage programs. United HealthCare has 28% of Advantage enrollees while Humana services 18%. After these two, Blue Cross/Blue Shield has 14%, CVS Health 11%, Kaiser 6%, and 23% are spread among other insurers. All but 1% of these plans require the hated prior authorizations for most except preventive services.
#medicare #advantage #hmo #unitedhealthcare #humana #priorauth