Health Plan Marketing Strategy – Reading The State-Specific Market Landscape

Managed care as the primary model for health benefits management continues to hold. About 75% of the U.S. population is enrolled in some type of managed care plan, which represents almost all the commercial population, 30% of Medicare lives, 50% of TRICARE lives, and 70% of Medicaid lives. But while the national numbers are an indicator of the “macro” environment, the strategy effects are determined by the numbers at the local level. The question is what are the proportion of lives in any particular market area that are enrolled in managed care plans - as opposed to fee-for-service . . .