Managed Medicare and Medicaid Factbook: 2011

A valuable resource with information on rates, benefit designs, enrollment, contacts, trends and strategies on the Medicare Advantage, Medicare Part D and managed Medicaid programs. Packed with practical data and strategic information, it tracks the enrollment trends, plan design information and market share statistics that are required for an effective strategic planning process.

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Managed Medicare and Medicaid Factbook: 2011 provides up-to-date enrollment data to help you develop strategic plans.

Managed Medicare and Medicaid Factbook: 2011 provides convenient access to up-to-date enrollment data so you can easily evaluate market share, make plan-by-plan or state-by-state comparisons, identify opportunities and develop strategies. It includes current statistics on:

Medicare Advantage, Medicare managed care, Medicare Part D and managed Medicaid enrollment

Medicare eligibles by state, market penetration by state and by region

Enrollees by type of product — including Part D, Special Needs Plans, HMO, local PPO, regional PPO, PFFS and others

Directories of MA, Medicaid plans and Part D plans with contact information

MA and Medicaid plans’ financial trends

The completely updated Managed Medicare and Medicaid Factbook: 2011 also includes new coverage of these hot topics:

Costs, premiums, rate cuts and profitability;

Star ratings, quality bonuses and ACO alliances;

State initiatives in Medicaid; and

Marketing regulations and bid strategies, along with other challenges such as “meaningful differences,” rate cuts, RADV audits, RACs and data reporting requirements.

You can have all of this information at your fingertips — no need to contact 50 different Medicaid agencies, scour through the convoluted CMS website, or cut and paste to get data into a format that lets you compare apples to apples. Our experts have compiled the most relevant and timely facts for you and presented them in a way that provides one, easy-to-access resource of the managed Medicare and Medicaid data you need to develop sound strategies for 2012 and beyond.

CD Version Available for Easy Data Manipulation and Fast Searching! The CD version of Managed Medicare and Medicaid Factbook is packed with Medicare and Medicaid data and analysis not contained in the print version. It provides:

Primary source AIS data and 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;

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 version!

Multi-user site licenses for Managed Medicare and Medicaid Factbook: 2011 are also available to save you money while providing an accurate data resource for analysts throughout your organization. Call Sales Director Bailey Sterrett at 202-775-9008 x3034 to learn more.

Table of Contents — Book Version

Chapter 1: Medicare Advantage Market Developments

MA Market Expansions
Mergers and Acquisitions
Private-Fee-for-Service Plans
Special Needs Plans
Alliances With Accountable Care Organizations (ACOs)

Chapter 2: Strategies and Challenges for Marketing Medicare Advantage and Part D Plans

2011 Enrollment Season
Regulation and Enforcement of Marketing Rules
Product Development and Benefit Design
Marketing Alliances

Chapter 3: Bid Submissions, Evaluations and Denials

Meaningful Differences Among Products
Bid Strategies, Challenges and Results
Bid Denials and Violations

Chapter 4: Medicare and Medicaid Plans’ Financial Performance

Medicare Advantage Financial Trends
Medicare Advantage Financial Results
Medicaid Plans’ Financial Results
Stock Performance
Leadership Changes at Medicare and Medicaid Plans

Chapter 5: Costs and Premiums for Medicare Advantage and Part D

Payment Rate Cuts
Rising Premiums
Cost Savings

Chapter 6: Medicare Advantage Plan Audits

Data Validation
Risk Adjustment Data Validation (RADV)

Chapter 7: New Medicare Advantage Data Reporting Requirements

Regulatory Burdens (Financial Risks, Increased Oversight, Reporting of Adverse Events)
Recovery Audit Contractors (RACs)
Encounter Data Reporting

Chapter 8: Medicare Advantage Star Ratings and Other Quality Initiatives

Criteria and Measures for Quality Ratings
Quality Bonuses
Flagging Poor Performers
NCQA Rankings

Chapter 9: Medicare Managed Care Enrollment Trends and Market Share Data

Enrollment Trends
Medicare Managed Care Enrollment Data .
Managed Medicare Market Share Data

Chapter 10: Medicare Part D Prescription Drug Data

Medicare Part D Prescription Drug Enrollment Data
Federal Retiree Drug Subsidy
Low-Income Subsidy
Directory of PDPs Sorted by Parent Organization

Chapter 11: Regional Managed Medicare Marketplace Data

Chapter 12: Medicare Advantage Plan Directory

MA, Cost, PACE and Demonstration Plans, With Enrollment as of February 2011

Chapter 13: Directory of Federal and Regional Medicare Regulators

Chapter 14: Managed Medicaid Business Strategies and Developments

Medicaid Plans’ Expansion
Contract Decisions
Mergers and Acquisitions
Payment Rate Changes
Legal Conflicts

Chapter 15: Managed Medicaid Developments in States

State Initiatives
States With Implemented Medicaid 1115 Waiver Programs

Chapter 16: Managed Medicaid Enrollment and Market Share Data

Managed Medicaid Enrollment Data
Managed Medicaid Market Share Data

Chapter 17: Directory of Medicaid Plans

Chapter 18: Directories of State Medicaid Regulators

State Medicaid Directors
State Insurance Commissioners
State Medicaid Pharmacy Directors
State Health Officials

Master Table of Contents
Index of Charts

Click here to see a complete table of contents for the CD version (3-page PDF file).

Written By

Managed Medicare and Medicaid Factbook is written and edited by the staff of Atlantic Information Services, Inc.

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

AIS Guarantee

Order this comprehensive resource for a 30-day risk-free inspection and see its value for yourself. If within 30 days you are not 100% satisfied, you may return it to AIS and receive a full, prompt refund. For CD purchasers, refunds will not be made once the seal on the CD package has been broken. Please review your copy of the print version prior to breaking the seal.

Shipping Information

This item is shipped via UPS. Please give us your street address when you order (UPS does not deliver to PO boxes.) You should receive your order within 5-7 business days. Shipping cost is $12 per item.

Rush orders: Please call us at 800-521-4323 to place a rush order. We will overnight your order for an additional charge of $45, or you can give us your FedEx or UPS account number and we will charge the shipping to your account. Rush orders placed after 3:00pm EST will not be shipped out until the next business day.

View Sample (PDF)

Managed Medicare and Medicaid Factbook: 2011

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Call 800-521-4323
Print a form to fax or mail

Atlantic Information Services, Inc. - 1100 17th Street NW, Suite 300, Washington, DC 20036 - 800-521-4323

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Managed Medicare and Medicaid Factbook: 2011

Managed Medicare and Medicaid Factbook: 2011 provides up-to-date enrollment data to help you develop strategic plans.

Table of Contents — Book Version

Written By

Written For

AIS Guarantee

Shipping Information

View Sample (PDF)

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