Would you like to know the enrollment data for Medicare Advantage (MA) members in your county, and/or for your facility? Go to this website:
Here we see that not only can you download enrollment by plan and plan sponsor, but you can also download penetration rates for Medicare Advantage in each county. Penetration rates are ratios of MA enrollments to standard Medicare enrollments.
In the realm of healthcare, Medicare Advantage, also known as Medicare Part C, is a crucial component, offering an alternative to the traditional Medicare program. This program allows private health insurers to offer Medicare benefits, including Prescription Drug Plans (PDPs). The Medicare Advantage/Part D Contract and Enrollment Data available on the Centers for Medicare & Medicaid Services (CMS) website provides a comprehensive resource for understanding the reach and impact of these plans across the United States.
The data repository includes a range of reports that cater to different analytical needs. For instance, the “Monthly Contract and Enrollment Summary Report” presents an overview of the number of contracts, MA-only enrollment, Part D enrollment, and total enrollment, segmented by organization type. This broad perspective is essential for grasping the overall landscape of Medicare Advantage and Part D plans.
Additionally, more detailed data is available, such as “Monthly Enrollment by Contract/Plan/State/County,” which provides a granular view of enrollments at various levels, including by state and county. This is particularly valuable for understanding local market penetration and the distribution of Medicare Advantage enrollees.
The penetration rates of Medicare Advantage in a specific county, a key metric for understanding the prevalence of MA relative to standard Medicare enrollments, can also be gleaned from this data. This ratio is vital for healthcare providers and policymakers to assess the impact and reach of Medicare Advantage in specific locales.
Furthermore, the data includes “Monthly MA Enrollment by State/County/Plan Type,” offering insights into the types of plans preferred in different regions. This information can be instrumental in tailoring healthcare services and understanding consumer preferences in various parts of the country.
The Medicare Advantage/Part D Contract and Enrollment Data is an invaluable resource for anyone looking to understand the dynamics of MA and Prescription Drug Plans in the U.S. It provides a comprehensive view of the enrollment landscape, enabling detailed analysis at national, state, and local levels.
EDITOR’S NOTE: This morning on Monitor Monday, senior healthcare analyst Frank Cohen related how he lost an extrapolation appeal because the Administrative Law Judge (AJL)
There is no question that a proper diet is an important part of achieving and maintaining good health. But there are limits to that notion.
Please log in to your account to comment on this article.
Gain clarity and confidence in OB‑GYN coding with this expert‑led webcast featuring Stacey Shillito, CDIP, CPMA, CCS, CCS‑P, CPEDC, COPC. You’ll learn how to apply global maternity package rules accurately, select the right CPT codes for procedures and visits, and identify documentation gaps that lead to denials. With practical guidance and real examples, this session helps you strengthen compliance, reduce audit risk, and ensure accurate reimbursement for women’s health services.
Uncover essential coding insights with nationally recognized coding authority Kay Piper, RHIA, CDIP, CCS. Through ICD10monitor’s interactive, on‑demand webcast series, Kay walks you through the AHA’s 2026 ICD‑10‑CM/PCS Quarterly Coding Clinics, translating each update into practical, easy‑to‑apply guidance designed to sharpen precision, ensure compliance, and strengthen day‑to‑day decision‑making. Available shortly after each official release.
Uncover critical guidance on the ICD-10-CM/PCS code updates. Kay Piper reviews and explains ICD-10-CM/PCS coding guidelines in the AHA’s fourth quarter 2026 ICD-10-CM/PCS Coding Clinic in an easy to access on-demand webcast.
Uncover critical guidance on the ICD-10-CM/PCS code updates. Kay Piper reviews and explains ICD-10-CM/PCS coding guidelines in the AHA’s third quarter 2026 ICD-10-CM/PCS Coding Clinic in an easy to access on-demand webcast.
Federal auditors are intensifying their focus on inpatient psychiatric facilities, using advanced data analytics to spotlight outliers and pursue high‑dollar repayments. In this high‑impact webcast, Michael Calahan, PA, MBA, Compliance Officer and V.P., Hospital & Physician Compliance, breaks down what regulators are really targeting in IPF-PPS admissions, documentation, treatment and discharge planning. Attendees will learn practical steps to tighten processes, avoid common audit triggers and protect reimbursement and reduce the risk of multimillion-dollar repayment demands.
In this timely session, Stacey Shillito, CDIP, CPMA, CCS, CCS-P, CPEDC, COPC, breaks down the complexities of Medical Decision Making (MDM) documentation so providers can confidently capture the true complexity of their care. Attendees will learn practical, efficient strategies to ensure documentation aligns with current E/M guidelines, supports accurate coding, and reduces audit risk, all without adding to charting time.
Join Ronald Hirsch, MD, FACP, CHCQM for The PEPPER Returns – Risk and Opportunity at Your Fingertips, a practical webcast that demystifies the PEPPER and shows you how to turn complex claims data into actionable insights. Dr. Hirsch will explain how to interpret key measures, identify compliance risks, uncover missed revenue opportunities, and understand new updates in the PEPPER, all to help your organization stay ahead of audits and use this powerful data proactively.
Stay ahead of the 2026-2027 audit surge with “Top 10 Audit Targets for 2026-2027 for Hospitals & Physicians: Protect Your Revenue,” a high-impact webcast led by Michael Calahan, PA, MBA. This concise session gives hospitals and physicians clear insight into the most likely federal audit targets, such as E/M services, split/shared and critical care, observation and admissions, device credits, and Two-Midnight Rule changes, and shows how to tighten documentation, coding, and internal processes to reduce denials, recoupments, and penalties. Attendees walk away with practical best practices to protect revenue, strengthen compliance, and better prepare their teams for inevitable audits.
Celebrate Lab Week with MedLearn! Sign up to win one year of our Laboratory All Access Pass! Click here to learn more →
Happy National Doctor’s Day! Learn how to get a complimentary webcast on ‘Decoding Social Admissions’ as a token of our heartfelt appreciation! Click here to learn more →
BLOOM INTO SAVINGS! Get 25% OFF during our spring sale through March 27. Use code SPRING26 at checkout to claim this offer.
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 1 with code CYBER25
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24
