Measuring the Success of Medicare Advantage Open Enrollment 2019

While much of the healthcare market hypes Open Enrollment (OE), for CareJourney, the months to follow are an equally exciting time. During OE, the Centers for Medicare and Medicaid (CMS) and health plans are able to recruit new (and retain existing) Medicare Advantage (MA) insurance plan beneficiaries as individuals select their choices for the year.

The enrollment numbers are released from CMS as an open-data set on a monthly cadence. While the month over month data snapshots are interesting by themselves, in comparing December 2019 to January 2020 enrollment numbers, we see more than just standard beneficiary fluctuations. The comparison shows the fruits of labor of the various health plans across the OE period (for which new coverage begins in January 2020) and are a metric of success.

Incorporate Medicare Advantage Enrollment Data to Your Strategy

While this data can inform your strategy in many aspects, CareJourney focuses on the insights in several ways.

First, Medicare Advantage is becoming a more prominent force in the health plan market. With that in mind, when any of our members are entering new markets, we regularly incorporate enrollment trends for a particular region into our analytics and advice. This helps us identify partners, peers, competition, and overall market interest.

Second, when considered in tandem with our other analytics, Medicare Advantage enrollment data helps our members identify overall plan performance and hone in on opportunities to apply fee-for-service provider level insights.