June 2012: rural MA enrollment and premium update

Leah Kemper; Abigail Barker; Timothy D McBride; Keith Mueller; RUPRI Center for Rural Health Policy Analysis

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Journal article

June 2012: rural MA enrollment and premium update

Leah Kemper, Abigail Barker, Timothy D McBride, Keith Mueller and RUPRI Center for Rural Health Policy Analysis

Rural policy brief, (2013 2), pp.1-4

02/01/2013

PMID: 25399457

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Abstract

Key Data Findings. (1) Rural Medicare Advantage (MA) enrollment grew to over 1.7 million in June 2012 (17% of eligible beneficiaries), while total MA enrollment grew to nearly 13.4 million (27% of eligible beneficiaries). (2) Rural preferred provider organization (PPO) and health maintenance organization (HMO) enrollment grew to over 840 thousand (48% of the market) and 532 thousand (31% of the market), respectively, while private fee-for-service (PFFS) enrollment fell to 230 thousand in rural areas (13% of the market). (3) Rural MA enrollment varies across the country with concentrations of enrollment on the West Coast, the Great Lakes, and the Northeast regions of the United States. (4) The average monthly weighted premium for rural MA plans with prescription drugs fell in 2012 to $48 from $52 in 2011, but it remains significantly higher than the urban average which also fell during the same time from $38 to $34. (5) Zero premium plans are available to 73% of rural MA beneficiaries and to 95% of urban beneficiaries; however, only 48% of rural beneficiaries that have this option choose these plans compared to 63% of urban beneficiaries. The resulting average non-zero premium was $72 in rural areas in 2012, while the average non-zero premium in urban areas was $81. (6) Roughly a third (35%) of rural MA beneficiaries receive their MA coverage including prescription drugs without having to pay a premium, however this is significantly lower than 60% of urban beneficiaries that do not have to pay a premium.

United States

Eligibility Determination

Fee-for-Service Plans - economics

Fee-for-Service Plans - statistics & numerical data

Fee-for-Service Plans - trends

Fees and Charges - trends

Forecasting

Health Care Reform - legislation & jurisprudence

Health Care Reform - trends

Health Maintenance Organizations - statistics & numerical data

Health Maintenance Organizations - trends

Humans

Medicare Part C - statistics & numerical data

Medicare Part C - trends

Patient Protection and Affordable Care Act

Preferred Provider Organizations - statistics & numerical data

Preferred Provider Organizations - trends

Private Sector

Rural Health Services - statistics & numerical data

Rural Health Services - trends

Rural Population - statistics & numerical data

Rural Population - trends

Details

Title: Subtitle: June 2012: rural MA enrollment and premium update
Creators: Leah Kemper
Abigail Barker
Timothy D McBride
Keith Mueller
RUPRI Center for Rural Health Policy Analysis
Resource Type: Journal article
Publication Details: Rural policy brief, (2013 2), pp.1-4
PMID: 25399457
eISSN: 2152-0267
Grant note: 1U1G RH07633 / PHS HHS
Language: English
Date published: 02/01/2013
Academic Unit: Health Management and Policy; Public Policy Center (Archive)
Record Identifier: 9984221635302771

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