What’s In and What’s Out? Medicare Advantage Market Entries and Exits for 2016
| Appendix Table 1: Plan Entries and Exits in the Medicare Advantage Market, 2015-2016 | |||||||
| State | Total plans in 2015 | Plans departing by January 2016 |
Plans continuing (post-consolidation) in 2016 | New plans in 2016 | Total plans in 2016 | Number of 2015 market enrollees in departing plans | Percent of 2015 market enrollees in departing plans |
| Total U.S. | 1945 | 203 | 1742 | 259 | 2001 | 327,787 | 3% |
| Alabama | 25 | 1 | 24 | 4 | 28 | 24,665 | 14% |
| Alaska | 0 | 0 | 0 | 0 | 0 | – | N/A |
| Arizona | 41 | 8 | 33 | 5 | 38 | 15,433 | 5% |
| Arkansas | 28 | 3 | 25 | 2 | 27 | 173 | 0% |
| California | 202 | 24 | 178 | 20 | 198 | 28,610 | 2% |
| Colorado | 50 | 3 | 47 | 1 | 48 | 2,586 | 1% |
| Connecticut | 23 | 1 | 22 | 1 | 23 | 2,530 | 2% |
| Delaware | 6 | 1 | 5 | 3 | 8 | 490 | 6% |
| District of Columbia | 11 | 0 | 11 | 1 | 12 | – | 0% |
| Florida | 154 | 22 | 132 | 15 | 147 | 18,630 | 2% |
| Georgia | 32 | 5 | 27 | 5 | 32 | 14,331 | 6% |
| Hawaii | 14 | 1 | 13 | 0 | 13 | 2,431 | 4% |
| Idaho | 38 | 1 | 37 | 1 | 38 | 3,973 | 5% |
| Illinois | 68 | 4 | 64 | 4 | 68 | 3,573 | 2% |
| Indiana | 40 | 5 | 35 | 13 | 48 | 11,832 | 5% |
| Iowa | 32 | 5 | 27 | 2 | 29 | 1,651 | 2% |
| Kansas | 31 | 2 | 29 | 4 | 33 | 200 | 0% |
| Kentucky | 35 | 1 | 34 | 8 | 42 | – | 0% |
| Louisiana | 31 | 2 | 29 | 5 | 34 | 1,021 | 1% |
| Maine | 32 | 3 | 29 | 7 | 36 | 3,458 | 6% |
| Maryland | 15 | 2 | 13 | 6 | 19 | 2,914 | 7% |
| Massachusetts | 46 | 2 | 44 | 4 | 48 | 579 | 0% |
| Michigan | 56 | 6 | 50 | 3 | 53 | 3,910 | 1% |
| Minnesota | 33 | 1 | 32 | 4 | 36 | – | 0% |
| Mississippi | 17 | 1 | 16 | 0 | 16 | 143 | 0% |
| Missouri | 46 | 3 | 43 | 5 | 48 | 7,443 | 3% |
| Montana | 13 | 1 | 12 | 2 | 14 | 950 | 3% |
| Nebraska | 16 | 1 | 15 | 1 | 16 | 1,291 | 4% |
| Nevada | 26 | 3 | 23 | 1 | 24 | 1,415 | 1% |
| New Hampshire | 10 | 0 | 10 | 4 | 14 | – | 0% |
| New Jersey | 38 | 2 | 36 | 5 | 41 | 635 | 0% |
| New Mexico | 22 | 4 | 18 | 0 | 18 | 3,174 | 4% |
| New York | 161 | 24 | 137 | 30 | 167 | 69,710 | 9% |
| North Carolina | 36 | 5 | 31 | 3 | 34 | 30,995 | 8% |
| North Dakota | 10 | 0 | 10 | 0 | 10 | – | 0% |
| Ohio | 89 | 5 | 84 | 20 | 104 | 1,949 | 0% |
| Oklahoma | 35 | 2 | 33 | 6 | 39 | 248 | 0% |
| Oregon | 82 | 6 | 76 | 0 | 76 | 4,623 | 2% |
| Pennsylvania | 118 | 10 | 108 | 14 | 122 | 13,518 | 2% |
| Puerto Rico | 28 | 9 | 19 | 8 | 27 | 747 | 0% |
| Rhode Island | 11 | 0 | 11 | 0 | 11 | – | 0% |
| South Carolina | 20 | 0 | 20 | 0 | 20 | 66 | 0% |
| South Dakota | 13 | 0 | 13 | 1 | 14 | – | 0% |
| Tennessee | 55 | 3 | 52 | 3 | 55 | 3,938 | 1% |
| Texas | 119 | 19 | 100 | 24 | 124 | 11,514 | 2% |
| Utah | 16 | 0 | 16 | 2 | 18 | 1,314 | 1% |
| Vermont | 7 | 0 | 7 | 0 | 7 | 557 | 8% |
| Virginia | 61 | 3 | 58 | 3 | 61 | 3,195 | 2% |
| Washington | 63 | 2 | 61 | 14 | 75 | 15,287 | 5% |
| West Virginia | 20 | 2 | 18 | 3 | 21 | 1,159 | 3% |
| Wisconsin | 50 | 3 | 47 | 8 | 55 | 10,723 | 3% |
| Wyoming | 3 | 1 | 2 | 1 | 3 | 203 | 13% |
| NOTE: Columns do not sum to the Total U.S. due to plans offered in more than one state. Plans with service area reductions were categorized as departing plans in states in which they will no longer operate, as continuing plans in states in which they will continue to operate, and as new plans in states in which they will operate for the first time. Plan counts and enrollment excludes SNPs, employer-sponsored (i.e., group) plans, demonstrations, HCPPs, PACE plans, and plans for special populations. New plans include plans that previously operated in some states and will be offered for the first time in other states in 2016. SOURCE: Kaiser Family Foundation analysis of CMS’s Landscape Files for 2015 – 2016; for 2016, the analysis uses the preliminary Landscape file released September 15, 2015. |
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| Appendix Table 2: Plan Type and Tax Status of Discontinued and New Plans in 2015 and 2016 | |||||||
| Total number of plans in 2015 | Plans departing by January 2016 | Plans continuing in 2016 | New plans in 2016 | Total number of plans in 2016 | |||
| Number | Percent of total plans in 2015 | Number | Percent of total plans in 2016 | ||||
| Total | 1945 | 203 | 10% | 1742 | 259 | 13% | 2,001 |
| Plan Type | |||||||
| HMOs | 1,275 | 124 | 10% | 1,151 | 200 | 15% | 1,351 |
| Local PPOs | 465 | 52 | 11% | 413 | 48 | 10% | 461 |
| Regional PPOs | 43 | 0 | 0% | 43 | 4 | 9% | 47 |
| PFFS plans | 69 | 14 | 20% | 55 | 2 | 4% | 57 |
| Cost plans | 86 | 7 | 8% | 79 | 2 | 2% | 81 |
| MSA plans | 7 | 6 | 86% | 1 | 3 | 75% | 4 |
| Tax Status | |||||||
| Not-for-profit | 588 | 42 | 7% | 546 | 31 | 5% | 577 |
| For-profit | 1,353 | 157 | 12% | 1,196 | 184 | 13% | 1,380 |
| Unknown tax status | 4 | 4 | 100% | 0 | 44 | 100% | 44 |
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NOTE: Excludes SNPs, employer-sponsored (i.e., group) plans, demonstrations, HCPPs, PACE plans, and plans for special populations.
SOURCE: Kaiser Family Foundation analysis of CMS’s Landscape Files for 2015 – 2016; for 2016, the analysis uses the preliminary Landscape file released September 15, 2015. |
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| Appendix Table 3: Enrollment and Ratings of Discontinued Plans in 2015 and 2016 | |||
| Total number of plans in 2015 | Plans departing by January 2016 | ||
| Number | Percent of total plans in 2015 | ||
| Total | 1,945 | 203 | 10% |
| Consolidating Plans | n/a | 78 | n/a |
| Non-consolidating, departing plans | n/a | 125 | n/a |
| Number of Enrollees, Among Non-Consolidating Plans | |||
| 100 or fewer enrollees | 166 | 35 | 21% |
| 101-500 | 289 | 39 | 13% |
| 501-1000 | 216 | 19 | 9% |
| 1001+ | 1,274 | 32 | 3% |
| Star Rating, Among Non-Consolidating Plans | |||
| 4 or more stars | 1,059 | 44 | 4% |
| 3 and 3.5 stars | 580 | 44 | 8% |
| 2 and 2.5 stars | 52 | 13 | 25% |
| Missing star rating | 254 | 24 | 9% |
| NOTE: Excludes SNPs, employer-sponsored (i.e., group) plans, demonstrations, HCPPs, PACE plans, and plans for special populations. Consolidated plans were excluded from this analysis because they often have different enrollment levels and star ratings in the various areas in which they serve, which cannot be analyzed separately. Plans that are relatively new or have few enrollees are not rated and thus are missing star ratings. n/a denotes cells not applicable. SOURCE: Kaiser Family Foundation analysis of CMS’s Landscape Files for 2015 – 2016; for 2016, the analysis uses the preliminary Landscape file released September 15, 2015. |
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