SI
SI
discoversearch

We've detected that you're using an ad content blocking browser plug-in or feature. Ads provide a critical source of revenue to the continued operation of Silicon Investor.  We ask that you disable ad blocking while on Silicon Investor in the best interests of our community.  If you are not using an ad blocker but are still receiving this message, make sure your browser's tracking protection is set to the 'standard' level.
Strategies & Market Trends : World Outlook -- Ignore unavailable to you. Want to Upgrade?


To: Rarebird who wrote (33504)9/29/2022 12:00:12 PM
From: Rarebird  Read Replies (1) | Respond to of 48801
 
Why would I want a Physician working for an Insurance Company under a Medicare Advantage plan determine what procedure is best for my health? All they care about is saving money.



To: Rarebird who wrote (33504)9/29/2022 2:18:49 PM
From: John Koligman  Read Replies (1) | Respond to of 48801
 
Well, all I can tell you is that I had surgery for an inguinal hernia earlier this year, using the Da Vinci robot, and there were no problems. My wife just had foot surgery, again, everything went smoothly. She also has had multiple CT's to monitor a potential problem over time, again, no problems. They are supposed to cover everything medicare does. She has seen quite a few specialists this year, and everything has been covered. I hear you on the networks, and I also have read some 'outlier' articles on problems with coverage, but our experience has been good. I can afford to go either way in terms of medicare, however in our area the doctors and group we want are covered by both original and Humana, in addition to other plans. So, we will see as time goes on. It does look like original medicare will soon be eclipsed in terms of those on it based on these numbers.

Medicare Advantage in 2022: Enrollment Update and Key Trends Meredith Freed , Jeannie Fuglesten Biniek Follow @jeanniebin on Twitter , Anthony Damico , and Tricia Neuman Follow @tricia_neuman on Twitter
Published: Aug 25, 2022

Facebook Twitter LinkedIn Email Print

Since 2006, the role of Medicare Advantage, the private plan alternative to traditional Medicare, has steadily grown. In 2022, more than 28 million people are enrolled in a Medicare Advantage plan, accounting for nearly half or 48 percent of the eligible Medicare population, and $427 billion (or 55%) of total federal Medicare spending (net of premiums). The average Medicare beneficiary in 2022 has access to 39 Medicare Advantage plans, the largest number of options available in more than a decade.

To better understand trends in the growth of the program, this brief provides current information about Medicare Advantage enrollment, including the types of plans in which Medicare beneficiaries are enrolled, and how enrollment varies across geographic areas. A second, companion analysis describes Medicare Advantage premiums, out-of-pocket limits, cost sharing, extra benefits offered, prior authorization requirements, and star ratings in 2022.

The share of eligible Medicare beneficiaries enrolled in Medicare Advantage has more than doubled since 2007

In 2022, nearly half of (48%) eligible Medicare beneficiaries – 28.4 million people out of 58.6 million Medicare beneficiaries overall – are enrolled in Medicare Advantage plans. Medicare Advantage enrollment as a share of the eligible Medicare population has more than doubled from 2007 to 2022 (19% to 48%). KFF now calculates the share of eligible Medicare beneficiaries enrolled in Medicare Advantage, meaning they must have both Part A and B coverage. This affects both 2022 data as well as trends over time. The share would be somewhat smaller if based on the total Medicare population that includes 5.7 million beneficiaries with Part A only or Part B only who are not generally eligible to enroll in a Medicare Advantage plan. See methods for more details.

Between 2021 and 2022, total Medicare Advantage enrollment grew by about 2.2 million beneficiaries, or 8 percent – a slightly slower growth rate than the prior year (10%). The Congressional Budget Office (CBO) projects that the share of all Medicare beneficiaries enrolled in Medicare Advantage plans will rise to 61 percent by 2032 (Figure 2).