With close to 9 million Medicare enrollees and almost 30 million Medicaid recipients enrolled in managed care plans, you need up-to-date enrollment data on all Medicare Advantage (MA) plans. The Managed Medicare and Medicaid Factbook: 2008 has current and historical statistics so you can easily make plan-by-plan or state-by-state comparisons to suit your analytical needs. The data you get can help you:
- Accurately forecast trends to develop profitable bids in the future,
- Proactively minimize the blow caused by MA program cuts, and
- Sustain growth and expand enrollment in MA prescription drug (MA-PD) plans and stand-alone Prescription Drug Plans (PDPs).
The completely updated Managed Medicare and Medicaid Factbook features practical information on a range of specialized areas, including:
- The vast increase in Special Needs Plans and the subsequent consequences to Medicare and Medicaid.
- The ongoing legislative battle over the State Children’s Health Insurance Program (SCHIP).
- The rise of private-fee-for-service plans, and attempts to limit their flexibility.
- Which Medicare and Medicaid plans had enrollment gains or losses during 2007.
- The new market entrants into managed Medicare.
- Which Medicare plans merged in 2007, and which may combine in 2008.
- What companies won new Medicaid managed care contracts in 2007.
- What cost-containment strategies Medicare plans tried in 2007, and how and why they succeeded or failed.
Get the practical data you need to succeed from the Managed Medicare and Medicaid Factbook. Order today!
CD Version Available for Easy Data Manipulation and Fast Searching! New for 2008, the expanded CD edition of Managed Medicare and Medicaid Factbook is more comprehensive than ever, packed with Medicare and Medicaid data and analysis not contained in the print edition. It provides:
- CMS data in Excel spreadsheets, so you can see — and manipulate — the data in its raw form;
- Historical data of Medicare and Medicaid managed care plans;
- A directory of Special Needs Plans;
- Information about Part D participants with benefit structure and enrollment data;
- Mailing lists;
- A complete user-friendly PDF version of the book for fast searching;
- Plus, all CD purchasers receive a free copy of the print edition!
Table of Contents
Chapter 1: Managed Medicare Market Trends and Business Strategies
- Market Moves and Strategies
- Enrollment Trends
- Medicare Advantage Expansion
- Regional Managed Medicare Offerings
- Business Management Issues and Strategies
- MA Financial Challenges and Successes
- Marketing MA Plans
- Mergers and Acquisitions
Chapter 2: Medicare Advantage Plans and Programs
- Business Trends, Strategies and Challenges
- MA Plans Financial Reports
- Medicare Advantage Regional Plans
Chapter 3: Medicare Managed Care Enrollment Trends and Market Share Data
- Medicare Managed Care Enrollment Trends
- Managed Medicare Market Share
Chapter 4: Special Needs Plans
- SNP Enrollment Trends
- SNP Expansion
- Strategies, Challenges and Results
- CMS Initiatives and Federal Legislation
- List of Special Needs Plans, by State, January 2008
Chapter 5: Medicare Part D Prescription Drug Benefit
- CMS Guidance and Compliance
- Part D Benefit Parameters Updated May 2007
- Enrollment Trends and Data
- Administrative Issues and Challenges
- Part D Strategies, Trends and Results
- Prescription Drug Data
- Directory of PDPs Sorted by Parent Organization
Chapter 6: Federal Challenges, Initiatives and Legislation
- 2008 Payment Rates for MA Plans
- Federal Legislation on MA Budget Issues
- Oversight of Private Fee-for-Service Plans
- CMS Initiatives and Enforcement
Chapter 7: Regional Managed Medicare Marketplace Data
Chapter 8: Medicare Advantage Plan Directory
- MA, Cost, PACE and Demonstration Plans Enrollment as of February 2008, by Parent Organization
Chapter 9: Directory of Federal and Regional Medicare Regulators
Chapter 10: Managed Medicaid Market Trends and Business Strategies
- Market Moves and Strategies
- State Initiatives
- States with Implemented Medicaid 1115 Wavier Programs
- Business Management Issues and Strategies
- Financial Challenges and Results
- Medicaid Plan Strategies for Success
Chapter 11: Managed Medicaid Enrollment and Market Share Data
- Managed Medicaid Enrollment
- Managed Medicaid Market Share Data
Chapter 12: AIS’s 2007 Survey of Medicaid Pharmacy Directors
Chapter 13: Directory of Medicaid Plans with Applicable Annual Enrollment From 1996-2007
Chapter 14: Directories of State Medicaid Regulators
- State Medicaid Directors
- State Medicaid Pharmacy Directors
- State Health Officials
Master Table of Contents
Index of Charts
Written For
- Managers of HMOs and provider-sponsored plans
- Hospital managers and health system executives
- Group practice managers
- Managers of IDSs
- Insurance executives
- Government health care officials
- Benefit designers
- Legislators
- Pharmacy benefit managers
International orders will be fulfilled in PDF format via email.
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