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Medicare | National MCO Analyzer | 2016 (Event Driven)

Medicare and Medicare Advantage remains a growth segment for health insurers and has become a major focus for growth among large, integrated health systems who see profit potential in serving seniors as a Medicare ACO or as a provider-based Medicare Advantage plan. The recent and parallel trends toward consolidation among health plans, among hospitals, and in hospitals’ purchasing of physician groups has created a new competitive dynamic in many markets, where strong integrated providers can leverage their existing patient base, local brand, and market knowledge to compete in Medicare.

Related Market Access Reports

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Medicaid | National MCO Analyzer | 2019 (Event Driven)
The Centers for Medicare & Medicaid Services has promised to provide states flexibility to restrict eligibility, add wellness requirements, or increase recipient cost-sharing. Medicaid work requir…
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Medicare | National MCO Analyzer | 2019 (Event Driven)
Medicare Advantage now covers more than 35 percent of all Medicare beneficiaries and could be poised to soar higher under President Donald Trump’s administration, which is loosening regulations to anc…
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Nevada | Medicaid Profile | National MCO Analyzer | 2019 (Event Driven)
State Medicaid Profiles offer a dashboard of key MCO players and enrollment, recent policy actions, and pharmacy trends for all 50 states, the District of Columbia, and Puerto Rico. Sections most rec…
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New York | Medicaid Profile | National MCO Analyzer | 2019 (Event Driven)
State Medicaid Profiles offer a dashboard of key MCO players and enrollment, recent policy actions, and pharmacy trends for all 50 states, the District of Columbia, and Puerto Rico. Sections most rec…
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Wisconsin | Medicaid Profile | National MCO Analyzer | 2019 (Event Driven)
State Medicaid Profiles offer a dashboard of key MCO players and enrollment, recent policy actions, and pharmacy trends for all 50 states, the District of Columbia, and Puerto Rico. Sections most rec…