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Available Data:
The “United States” profile has 36 topics. View: |
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| | Eligibility and Enrollment | | | | | • Medicare Beneficiaries | | | | | • Medicare Advantage Plan Enrollment | | | | | • Medicare Advantage Plan Enrollment, by Plan Type | | | | | • Medicare Advantage Plan Penetration | | | | | • Medicare Advantage Plan Penetration, by Plan Type | | | | | • MA-PD Plan Enrollment | | | | | • MA-PD Plan Penetration | | | | | • SNP Enrollment, by SNP Type | | | | | Plan Availability | | | | | • Medicare Advantage Contracts | | | | | • Medicare Advantage Contracts, by Plan Type | | | | | • Medicare Advantage Plans | | | | | • Medicare Advantage Plans, by Plan Type | | | | | • Medicare Beneficiaries with Access to Local MA Coordinated Care Contracts, by Number of MA plans | | | | | • Contract Withdrawals | | | | | • Medicare Beneficiaries with Access to MA Contracts, by Plan Type | | | | | • Medicare Beneficiaries Affected by Contract Withdrawals | | | | | • SNP Contract Offerings, by SNP Type | | | | | • SNP Plan Offerings, by SNP Type | | | | | Plan Payment Rates | | | | | • Increase in Payment Rate | | | | | • Local MA Benchmark (weighted) | | | | | • Minimum Payment Rate (Floor) | | | | | • Minimum Payment Increase | | | | | • Distribution of Contracts, by 2004 Payment Rate Category | | | | | • Medicare Advantage Enrollees , by Payment Rate Category | | | | | • Medicare Advantage Enrollees , by Payment Rate Category | | | | | • Average Weighted Payment Rate, by Payment Rate Category | | | | | • Change in Payment Rate from Previous Year, by Payment Rate Category | | | | | • Payment as a % of Fee-For-Service Costs | | | | | • Payment as a % of Fee-For-Service Costs, by Payment Rate Category | | | | | Premiums and Benefits | | | | | • Average Monthly Premium Charged to Medicare Advantage Enrollees | | | | | • Medicare Advantage Plan Enrollees with a $0 Premium | | | | | • Medicare Advantage Plan Enrollees with a Premium of $50 or more | | | | | • MA-PD Average Non-Rx Premium Charged (unweighted), by Plan Type | | | | | • MA-PD Average Rx Premium Charged (unweighted), by Plan Type | | | | | • MA-PD Average Total Premium Charged (unweighted), by Plan Type | | | | | • Coordinated Care Plan Enrollees with Prescription Drug Coverage, by Type of Coverage | | |
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United States: Entire Medicare Advantage Profile
| Eligibility and Enrollment | | | |
Notes/Sources/Definition (show)
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Medicare Advantage Plan Enrollment |
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| 2009 |
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| 10,259,669 |
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Notes/Sources/Definition (show)
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Medicare Advantage Plan Enrollment, by Plan Type |
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| Plan Type |
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2009 |
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| Cost |
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283,160 |
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| Local HMO |
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6,484,754 |
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| Local PPO |
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849,044 |
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| MSA |
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1,866 |
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| Other Demo |
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4,516 |
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| PFFS |
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2,308,220 |
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| PPO Demo |
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Not Applicable |
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| Regional PPO |
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328,109 |
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Notes/Sources/Definition (show)
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Medicare Advantage Plan Penetration |
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| 2009 |
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| 22.5% |
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Notes/Sources/Definition (show)
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Medicare Advantage Plan Penetration, by Plan Type |
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| Plan Type |
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2009 |
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| Cost |
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0.6% |
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| Local HMO |
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14.2% |
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| Local PPO |
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1.9% |
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| MSA |
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0% |
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| Other Demo |
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0.0% |
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| PFFS |
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5.1% |
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| PPO Demo |
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Not Applicable |
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| Regional PPO |
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0.7% |
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Notes/Sources/Definition (show)
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MA-PD Plan Enrollment |
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| 2009 |
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| 8,626,523 |
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Notes/Sources/Definition (show)
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MA-PD Plan Penetration |
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| 2009 |
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| 18.9% |
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Notes/Sources/Definition (show)
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SNP Enrollment, by SNP Type |
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| SNP Type |
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2009 |
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Chronic or Disabling
Conditions |
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251,212 |
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| Dual Eligible |
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901,175 |
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| Institutional |
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118,499 |
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| Total |
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1,270,886 |
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Notes/Sources/Definition (show)
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Medicare Advantage Contracts |
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| 2009 |
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| 562 |
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Notes/Sources/Definition (show)
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Medicare Advantage Contracts, by Plan Type |
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| Plan Type |
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2009 |
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| CCP |
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458 |
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| Local HMO |
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302 |
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| Local PPO |
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156 |
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| Regional PPO |
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11 |
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| PFFS |
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62 |
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| MSA |
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2 |
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| PPO Demo |
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0 |
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| Other Demo |
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14 |
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| Cost |
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14 |
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| Other |
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1 |
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Notes/Sources/Definition (show)
Notes/Sources/Definition (show)
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Medicare Advantage Plans, by Plan Type |
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| Plan Type |
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2009 |
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| Cost |
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100 |
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| Local HMO |
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1,451 |
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| Local PPO |
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525 |
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| MSA |
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7 |
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| MSA Demo |
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Not Applicable |
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| Other |
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2 |
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| Other Demo |
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29 |
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| PFFS |
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696 |
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| Regional PPO |
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51 |
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Notes/Sources/Definition (show)
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Medicare Beneficiaries with Access to Local MA Coordinated Care Contracts, by Number of MA plans |
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| Number of MA plans |
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2009 |
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| 1 Plan |
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10.4% |
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| 2 Plans |
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8.4% |
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| 3 or more Plans |
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69.0% |
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25.6% |
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22.5% |
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20.9% |
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| Access to 0 Plans |
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12.2% |
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Notes/Sources/Definition (show)
Notes/Sources/Definition (show)
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Medicare Beneficiaries with Access to MA Contracts, by Plan Type |
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| Plan Type |
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2009 |
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| Any plan |
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99.8% |
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| CCP/PPO Demo |
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87.8% |
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| Local HMO |
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82.0% |
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| Local PPO |
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68.2% |
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| PFFS |
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99.8% |
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Notes/Sources/Definition (show)
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Medicare Beneficiaries Affected by Contract Withdrawals |
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| 2005 |
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| 5,474 |
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Notes/Sources/Definition (show)
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SNP Contract Offerings, by SNP Type |
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| SNP Type |
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2009 |
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| Chronic or Disabling Condition |
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103 |
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| Dual Eligible |
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253 |
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| Institutional |
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64 |
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| Total |
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307 |
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Notes/Sources/Definition (show)
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SNP Plan Offerings, by SNP Type |
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| SNP Type |
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2009 |
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| Chronic or Disabling Condition |
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210 |
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| Dual Eligible |
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408 |
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| Institutional |
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87 |
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| Total |
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705 |
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Notes/Sources/Definition (show)
Notes/Sources/Definition (show)
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Local MA Benchmark (weighted) |
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| 2009 |
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| $849.90 |
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Notes/Sources/Definition (show)
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Minimum Payment Rate (Floor) |
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| 2005 |
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| $591.91 |
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Notes/Sources/Definition (show)
Notes/Sources/Definition (show)
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Distribution of Contracts, by 2004 Payment Rate Category |
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| 2004 Payment Rate Category |
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2009 |
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| Minimum Update |
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5.0% |
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| 100% FFS |
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27.4% |
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| Urban Floor |
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18.3% |
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| Rural Floor |
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45.9% |
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| Blend |
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2.8% |
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| Re-Based |
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0% |
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Notes/Sources/Definition (show)
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Medicare Advantage Enrollees , by Payment Rate Category |
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| Payment Rate Category |
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2005 |
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| Minimum Update |
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400,262 |
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| 100% FFS |
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372,320 |
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| Urban Floor |
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1,288,928 |
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| Rural Floor |
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249,451 |
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| Blend |
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328,778 |
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| Re-Based |
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2,373,397 |
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| Total |
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5,014,952 |
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Notes/Sources/Definition (show)
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Medicare Advantage Enrollees , by Payment Rate Category |
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| Payment Rate Category |
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2005 |
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| Minimum Update |
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8.0% |
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| 100% FFS |
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7.4% |
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| Urban Floor |
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25.7% |
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| Rural Floor |
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5.0% |
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| Blend |
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6.6% |
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| Re-Based |
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47.3% |
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| Total |
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100.0% |
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Notes/Sources/Definition (show)
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Average Weighted Payment Rate, by Payment Rate Category |
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| Payment Rate Category |
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2005 |
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| Minimum Update |
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$754.12 |
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| 100% FFS |
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$747.23 |
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| Urban Floor |
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$654.22 |
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| Rural Floor |
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$547.36 |
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| Blend |
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$701.81 |
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| Re-Based |
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$800.08 |
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Notes/Sources/Definition (show)
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Change in Payment Rate from Previous Year, by Payment Rate Category |
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| Payment Rate Category |
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2005 |
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| Minimum Update |
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6.6% |
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| 100% FFS |
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6.6% |
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| Urban Floor |
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6.6% |
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| Rural Floor |
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6.6% |
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| Blend |
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6.6% |
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| Re-Based |
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Not Applicable |
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Notes/Sources/Definition (show)
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Payment as a % of Fee-For-Service Costs |
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| 2005 |
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| 107.1% |
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Notes/Sources/Definition (show)
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Payment as a % of Fee-For-Service Costs, by Payment Rate Category |
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| Payment Rate Category |
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2005 |
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| Minimum Update |
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107.2% |
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| 100% FFS |
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102.3% |
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| Urban Floor |
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115.8% |
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| Rural Floor |
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130.9% |
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| Blend |
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112.6% |
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| Re-Based |
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102.5% |
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Notes/Sources/Definition (show)
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Average Monthly Premium Charged to Medicare Advantage Enrollees |
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| 2007 |
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| $33.95 |
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Notes/Sources/Definition (show)
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Medicare Advantage Plan Enrollees with a $0 Premium |
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| 2007 |
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| 54.4% |
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Notes/Sources/Definition (show)
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Medicare Advantage Plan Enrollees with a Premium of $50 or more |
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| 2007 |
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| 30.6% |
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Notes/Sources/Definition (show)
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MA-PD Average Non-Rx Premium Charged (unweighted), by Plan Type |
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| Plan Type |
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2006 |
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| Local HMO |
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$34.00 |
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| Local PPO |
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$45.00 |
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| Regional PPO |
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$46.00 |
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| PFFS |
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$28.00 |
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Notes/Sources/Definition (show)
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MA-PD Average Rx Premium Charged (unweighted), by Plan Type |
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| Plan Type |
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2006 |
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| Local HMO |
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$16.00 |
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| Local PPO |
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$27.00 |
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| Regional PPO |
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$21.00 |
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| PFFS |
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$17.00 |
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Notes/Sources/Definition (show)
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MA-PD Average Total Premium Charged (unweighted), by Plan Type |
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| Plan Type |
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2006 |
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| Local HMO |
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$50.00 |
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| Local PPO |
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$72.00 |
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| Regional PPO |
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$67.00 |
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| PFFS |
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$45.00 |
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Notes/Sources/Definition (show)
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Coordinated Care Plan Enrollees with Prescription Drug Coverage, by Type of Coverage |
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| Type of Coverage |
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2005 |
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| No Drug Coverage |
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25.6% |
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| Limited Generic Only Coverage |
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3.4% |
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| Unlimited Generic Only Coverage |
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35.3% |
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| $500 or less Brand Name Coverage |
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10.8% |
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| $501 - $1000 Brand Name Coverage |
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8.5% |
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| $1001 - $1999 Brand Name Coverage |
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5.5% |
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| $2000 or more Brand Name Coverage |
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2.4% |
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| Unlimited Brand Name Coverage |
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8.4% |
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Notes/Sources/Definition (show)
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