AIS’s Medicare and Medicaid Market Data: Enrollment, Premium Rates, Benefit Designs and Strategies of Medicare and Medicaid Plans

View all public-sector health plans, programs and operators in a single, convenient database

Search, Sort and Export data by insurer, state or program type. Download spreadsheets with:

  • Mailing lists of plans and agencies (with phone and email)
  • Premium and Capitation Rates
  • Star Ratings
  • Regional Market Analyses
  • Historical Enrollment Data Since 1996
  • Part D Benefit Structure and Cost-Sharing
  • Medicare Advantage • Medicaid HMOs • Special Needs Plans • Medicare Part D Plans • PACE Plans • SCHIP

    Your Subscription Includes:

    • Full access to the online database, newsfeed and In-App downloads for up to three(3) users — assigned by you.
    • Newsfeed on Medicare and Medicaid market moves and business strategies. Original articles from AIS's award-winning team of business reporters.
    • Monthly data updates beginning in June 2017 for subscribers who renew for the 2017 edition. (Note: previous editions have been annual, but the new online edition will feature current data and news for 12 months.)
    • Access to In-App Downloads — Spreadsheets, reports and analyses prepared exclusively for MMM users. Annually updated spreadsheets plus additional bonus reports throughout the year.
    • Support from AIS experts on how to thoroughly understand and apply the data to your projects.

    Popular Use Cases:

    • Health plans can get access to thoroughly researched, expertly organized competitive intelligence.

    • Consultants can perform timely market analyses to advise clients in the Medicare and Medicaid sectors.

    • Investors and financial analysts can track the progress and growth of specific companies participating in these markets.

    • Plan designers can learn about benefit strategies that will impact the marketability of next year's products.

    • Insurers can stay abreast of new regulations at the federal and state levels that may impact their populations.

    • Policymakers and media can track trends in public-sector growth.

    • Health plan operators can identify challenges and solutions in the Medicare and Medicaid markets.

    Curated for:

    • Health plan executives and directors of marketing and sales
    • Actuaries, researchers and market analysts
    • Pharmaceutical manufacturers and pharmacy benefit managers
    • Hospital and health system executives
    • Group practice managers and managers of provider-sponsored plans
    • Financial analysts and industry consultants
    • Government agencies and state and federal policymakers
    • Business and strategic development managers
    • Federal, state and local regulators and legislators

    Sources include:

    Enrollment and other data on Medicare Advantage plans are from CMS as of the most recently available CMS monthly update. Medicaid enrollment data is from state Medicaid agencies and reflects first quarter 2017 data for most plans; Medicaid agencies' reporting frequencies vary by state. Contact data was updated by AIS researchers for all directories in June 2017. Beginning in June 2017, enrollment data is updated monthly, and other data sets will be posted under In-App Downloads when they are updated at various times during the year.

    Newsfeed stories are written by AIS's staff reporters covering health business and policy news in Washington, D.C. Articles are selected by the MMM Editorial Team from the constant stream of original reporting for our entire line of newsletters.

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