The Medicare Race

Health plans are focused on capturing membership in the expanding Medicare market—and open enrollment is right around the corner. Right now there are 11 major benefit categories covered under Part A and Part B. Of that, 76% of Medicare beneficiaries are in managed care plans, or are assigned to accountable care organizations (ACOs). Specifically, 53% are in Medicare managed care, 18% are in a Medicare Shared Savings Program (MSSP), and 5% are in other ACOs or ACO-like models. That leaves 24% of beneficiaries with both Part A and Part B coverage in traditional fee-for-service (FFS) Medicare . . .