OPEN MINDS Releases New Market Intelligence Report Series With An Update On Medicare Specialty Plans

Gettysburg, Pa. (September 26, 2016) — The OPEN MINDS Market Intelligence Team recently released a new series of Market Intelligence Reports that will provide annual updates and can be used guide to the Medicare specialty plan marketplace.

Created as part of Medicare Modernization Act of 2003, Medicare Advantage special needs plans (SNPs) have been in operation since 2006. SNPs are a specific type of Medicare Advantage plan that serve Medicare beneficiaries with complex conditions and needs. Plans must offer the full-continuum of Medicare benefits including Part A, Part B, and Part D. In addition, plans must offer supplemental benefits and develop a model of care specific to the beneficiaries being served. There are three types of SNPs that serve different subsets of the Medicare population: dual eligibles (D-SNPs), consumers with chronic conditions (C-SNPs), and consumers in institutions (I-SNPs).

The OPEN MINDS Market Intelligence Report, Medicare Specialty Vertical Carve-Out Plans: The 2016 OPEN MINDS Medicare SNP Market Share Report, includes a breakdown of Medicare SNP enrollment by the type of consumer plan, an explanation of historical trends, and also includes:

• An explanation of the SNP model
• An overview of the Medicare Advantage SNP landscape
• The top ten largest Medicare Advantage SNP insurers and a profile on each of their organizations

This report is the first in a series of annual updates that will be published by OPEN MINDS. Through primary research and original analysis, this annual report serves as a guide to the Medicare specialty plan marketplace.

The second market intelligence report in the series, Medicare Specialty Plans For Dual Eligibles: The 2016 OPEN MINDS D-SNP Report, takes a detailed look at the D-SNP health plans and topics related to understanding the Medicare specialty plan market for dual eligible including:

• An explanation of the D-SNP model
• An overview of the Medicare Advantage SNP landscape
• A list of the D-SNP health plans available in each state including enrollment
• The top ten Medicare Advantage D-SNP insurers and a profile on each of their organizations

The third and final market intelligence report in the series, Medicare Specialty Plans For Consumers With Chronic Conditions: The 2016 OPEN MINDS C-SNP & I-SNP Report, looks at the C-SNP & I-SNP health plans and topics related to understanding the Medicare specialty plan market for consumers with chronic conditions including:

• An explanation of the C-SNP and I-SNP model
• An overview of the Medicare Advantage SNP landscape
• A list of the C-SNP and I-SNP health plans in each state including enrollment
• The top ten national Medicare Advantage C-SNP & I-SNP insurers and a profile on each of their organizations

“Although much of the focus on the complex consumer population is in Medicaid, there are a large portion of consumers with complex support needs in Medicare – specifically in SNPs,” explains Athena Mandros, OPEN MINDS Market Intelligence Manager and co-author of the reports. “With such a large portion of Medicare enrollees in SNPs, organizations should aim to better understand the Medicare SNP landscape and the consumers enrolled.”

For a detailed summary of these reports, check out the articles: Where Is The Complex Consumer Market In Medicare? In SNPs, Do You Know How Many Dual Eligibles Are Enrolled In D-SNPs In Your State?, and C-SNPs, I-SNPs, VBID – The Language Of The High-Needs Consumer Market, which are available at no cost to the public.

Published weekly by OPEN MINDS’ team of experts, the Market Intelligence Reports are provided as a free resource to Premium & Elite members of the OPEN MINDS Circle. Click here for details on how to become a Premium or Elite member. The reports are also available for purchase in the OPEN MINDS store by clicking here.

OPEN MINDS is a national strategic advisory firm specializing in the sectors of the health and human service industry serving individuals with complex support needs: mental health; addiction treatment; children & family services; intellectual & developmental disabilities; chronic disease management; long term care; social services; correctional health care, reentry & diversion; and juvenile justice.

Founded in 1987 and based in Gettysburg, Pennsylvania, the 75+ associates believe by providing the latest market intelligence and management best practices to organizations serving the health and social support needs of the most vulnerable consumers, those organizations will be better able to provide efficient and effective services. Learn more at www.openminds.com.

For additional questions and inquiries, please contact Tim Snyder, Executive Vice President, OPEN MINDS at 717-334-1329 or openminds@openminds.com.