tci Medicare Compliance & Reimbursement - 2006 Issue 31

HEALTH PLANS: Insurers Scramble To Gain Part D Market Share

Last year's winners plan to cash in with expanded PFFS and MA plans.Late last month, for the first time, the Centers for Medicare and Medicaid Services (CMS) released Part D enrollee data that broke down enrollees by type. For example, now you can find out not just Medicare Advantage (MA) enrollment but how many of those enrollees also have Part D in their MA. The three major takeaways from the data are: 1) the big players, namely United Health Care and Humana, have the largest market share; 2) private fee-for-service (PFFS) plan enrollment has surged since December; and...

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