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    Area of Science:

    • Health Policy Analysis
    • Rural Health
    • Medicare Program

    Background:

    • Medicare Advantage (MA) plans offer an alternative to traditional Medicare.
    • Understanding enrollment trends is crucial for policy development and resource allocation.
    • Rural beneficiaries represent a significant demographic within the Medicare program.

    Purpose of the Study:

    • To analyze annual trends in Medicare Advantage enrollment among rural beneficiaries.
    • To identify new developments and patterns in MA plan selection in non-metropolitan areas.
    • To provide data-driven insights for the RUPRI Center for Rural Health Policy Analysis.

    Main Methods:

    • Annual reporting based on data through March.
    • Analysis of Medicare beneficiary enrollment in MA plans.
    • Examination of enrollment proportions across different MA plan types (HMO, PPO, PFFS, etc.).

    Main Results:

    • Nationally, one in three Medicare beneficiaries are enrolled in MA; in non-metropolitan areas, nearly one in four (23.5%) are enrolled.
    • MA enrollment has consistently increased in both metropolitan and non-metropolitan areas since 2004.
    • Between 2015-2017, non-metropolitan enrollment in HMOs slightly increased (28.5% to 29.8%), while PFFS enrollment decreased (5.6% to 3.8%).

    Conclusions:

    • Medicare Advantage enrollment continues to grow across all geographic areas.
    • Shifts in plan type preferences are occurring among rural Medicare beneficiaries.
    • The RUPRI Center's annual reports provide essential data on these evolving trends.