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Managed Medicare and Medicaid Factbook: 2009
Managed Medicare and Medicaid Factbook 2009 Author:Atlantic Information Services, Inc. Managed Medicare and Medicaid Factbook: 2009The all-new Thirteenth Edition tracks enrollment trends and market share statistics in the shifting on Medicare Advantage, Part D and Medicaid markets. You can create analyses and develop business strategies using its comparative information (as of February 2009) on: — -- MA, SNP, PDP and Medicai... more »d enrollment by state
-- Enrollees by type of product including PDP, local HMO, local PPO, regional PPO, PFFS and others
-- Medicaid plans that increased membership during 2008
-- Number of contracts in MA plans and PDPs
-- Number of managed Medicaid plans by state
-- And more.Managed Medicare and Medicaid Factbook covers market share data, contract statistics and plan design information such as:
* Medicare eligibles by state
* MA membership and market share by organization/plan type, by state
* Part D market share by parent organization
* MA penetration by state; managed Medicare penetration by region
* Number of contracts by contract type including prepaid, local CCPs, PFFS, PACE, demonstration and more
* Select characteristics of MA plans by plan type monthly premiums, Part D gap benefits, cost sharing for hospital and physician services, annual limit on out-of pocket costs, estimated annual out-of-pocket costs
* Average premiums and deductibles for Part D benefits
* MA-PD drug cost sharing per tierWith results from AIS's annual Survey of Medicaid Pharmacy Directors, it also includes a look at financial data, such as:
- Earnings impact of 09 rate increase,
- Medicare plans administrative costs including marketing, provider & medical management, account & membership administration, corporate services and administrative costs by product,
- MA revenue as a percentage of total revenue, and
- 2008 Medicaid Rx budget vs. 2007 actual drug spend.TABLE OF CONTENTSChapter 1: Managed Medicare Market Trends & Business Strategies
* Medicare Advantage Regional PlansChapter 3: Medicare Managed Care
* Enrollment Trends & Market Share Data
* Medicare Managed Care Enrollment Trends
* Managed Medicare Market ShareChapter 4: Special Needs Plans
* CMS Initiatives & Federal Legislation
* SNP Strategies, Challenges & Results
* Special Needs Plan Enrollment DataChapter 5: Medicare Part D Prescription Drug Benefit
* CMS Guidance & Compliance
* Marketing Part D Plans
* Part D Strategies, Trends & Results
* Prescription Drug Enrollment & Market Share
* Benefit Structure & Cost-Sharing
* Directory of PDPs Sorted By Parent OrganizationChapter 6: Regional Managed Medicare Marketplace DataChapter 7: Medicare Advantage Plan Directory
* MA, Cost, PACE & Demonstration Plans, with Enrollment as of February 2009Chapter 8: Directory of Federal & Regional Medicare RegulatorsChapter 9: Managed Medicaid Market Trends & Business Strategies
* Market Moves & Strategies
* State Initiatives
* States with Implemented Medicaid 1115 Waiver Programs
* Medicaid Plan Financial ResultsChapter 10: Managed Medicaid Enrollment & Market Share DataChapter 11: AIS's 2008 Survey of Medicaid Pharmacy DirectorsChapter 12: Directory of Medicaid Plans With Applicable Enrollment from 1996-2008Chapter 13: Directories of State Medicaid Regulators