The number of Private Fee for Service (PFFS) Medicare Advantage plans continues to decline in 2016 (a 17% decrease in PFFS plans). In 2015, the number of PFFS Medicare Advantage plans decreased by 43% (with PFFS Medicare Advantage plans offering prescription drug coverage decreasing by 66% or losing 33 PFFS MAPD plans in 2015).
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Change in the Number of All Medicare Advantage Plans (MA & MA-PD) |
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Number of Medicare Advantage Plans (MA & MA-PD) | |||||
Health Plan Type | 2016 | 2015 | Change ’15 to ‘16 | 2014 | |
Cost | 81 | 86 | -5 | -6% | 87 |
Local HMO | 1,865 | 1,785 | 80 | 4% | 1,763 |
Local PPO | 487 | 493 | -6 | -1% | 540 |
Regional PPO | 58 | 54 | 4 | 7% | 58 |
All PPOs | 545 | 547 | -2 | 0% | 598 |
PFFS | 57 | 69 | -12 | -17% | 120 |
MSA | 4 | 7 | -3 | -43% | 6 |
MMP | 66 | 32 | 34 | 106% | 4* |
Total MA & MAPD plans | 2,618 | 2,526 | 92 | 4% | 2,578 |
Change in the Number of MA-PD Plans | |||||
Number of Medicare Advantage Plans With Drug Coverage | |||||
Health Plan Type | 2016 | 2015 | Change ’15 to ‘16 |
2014 | Change ’14 to ‘15 |
Cost | 34 | 39 | -5 | 39 | 0 |
Local HMO | 1,732 | 1,649 | 83 | 1,609 | 40 |
Local PPO | 441 | 441 | 0 | 470 | -29 |
PFFS | 38 | 50 | -12 | 83 | -33 |
Regional PPO | 41 | 37 | 4 | 18 | -1 |
MMP | 66 | 32 | 34 | 34 | -2 |
Total MAPD Plans | 2,286 | 2,216 | 70 | 2,219 | -3 |
Change in the Number of Medicare Advantage Plans Without Drug Coverage |
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Number of Plans |
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Health Plan Type | 2016 | 2015 | Change ’15 to ‘16 |
2014 | Change ’14 to ‘15 |
Cost | 47 | 47 | 0 | 48 | -1 |
Local HMO | 133 | 136 | -3 | 154 | -18 |
Local PPO | 46 | 52 | -6 | 70 | -18 |
MSA | 4 | 7 | -3 | 6 | 1 |
PFFS | 19 | 19 | 0 | 37 | -1 |
Regional PPO | 17 | 17 | 0 | 18 | -1 |
Total MA Plans w/o Rx Cov. | 266 | 278 | -12 | 333 | -55 |