Not much will change in Medicare Advantage this year and that’s news, given some of the dire forecasts leveled about the program. “Despite reductions in payments enacted in the ACA [Affordable Care Act], and concerns about the effects of these reductions for plans and beneficiaries, the Medicare Advantage marketplace remains robust in 2013, with little change in the number of plans offered and relatively modest increases in average premiums,” says the report “Medicare Advantage 2013 Spotlight: Plan Availability and Premiums” from the Kaiser Family Foundation (https://www.kff.org/medicare/upload/8388.pdf). “…On average, beneficiaries will be able to choose from among 20 plans, the same as in 2012. On average, beneficiaries will be able to choose from among 22 plans in urban areas and 13 plans in rural areas.... Almost all of the plans offered in 2012 will be available in 2013, so enrollees will be able to stay in the same plan if they choose.”
The number of special needs plans (SNPs) is expected to increase this year, the study says. “Of the 214 chronic care SNPs in 2013, 23 percent are focused on beneficiaries with diabetes, another 36 percent are focused on beneficiaries with diabetes and some form of cardiovascular disease and/or congestive heart failure, and 27 percent are focused on beneficiaries with specific lung conditions.”
However, the number of SNPs specifically for persons with dual eligibility will decrease. “Interpreting the change is complicated by the fact that states have been pursuing pilot demonstrations in 2012 to better align Medicare and Medicaid spending for dual eligibles.”
Source: “Medicare Advantage 2013 Spotlight: Plan Availability and Premiums,” Kaiser Family Foundation, December 2012
HAP, a subsidiary of Henry Ford Health System, is a nonprofit health plan providing coverage to individuals, companies and organizations. This executive develops strategies to meet membership and revenue targets through products, pricing, market segmentation and advertising. Aligns business among Business Development, Commercial Sales, Medicare and Public Sector Programs and Product Development. Seeks to enhance and be responsible for business development and expansion through the development of an effective product portfolio, strong interpersonal relationships and service excellence.