Lifecycle of an MA Plan Design

It takes 18 months to build a Medicare Advantage plan, and carriers are using past data to make future decisions well before plan launches. While there is a lot of science to this process, some of it is still speculatory. If agents know what to look for, they can read the tea leaves of plan design to better prepare their business for the future.

 

Informational Sources:

- https://www.cms.gov/files/document/cy2023medicarepartscanddannualcalendar.pdf  

- Star Ratings: https://www.cms.gov/files/document/2023-medicare-star-ratings-fact-sheet.pdf  

- How to see 65+ population in a state/county/city etc.: https://www.census.gov/quickfacts/fact/table/boonecountymissouri,MO,US/PST045216 

- Medicare Enrollment Dashboard: https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Dashboard/Medicare-Enrollment/Enrollment%20Dashboard.html 

- Crosswalk: https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-422/subpart-K/section-422.530#p-422.530(a)(1

- Pull this list here: https://www.cms.gov/data-research/statistics-trends-and-reports/medicare-advantagepart-d-contract-and-enrollment-data/plan-crosswalks