Health Plan Strategies for Using Predictive Modeling in Underwriting


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Managed Medicare and Medicaid Factbook: 2008


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Prices
Print edition: $418
Print & CD editions: $975

Pages: 601
ISBN: 1-933801-37-9
© 2008

Pub Code: GFB12-ENLAD

With close to 9 million Medicare enrollees and almost 30 million Medicaid recipients enrolled in managed care plans, you need up-to-date enrollment data on all Medicare Advantage (MA) plans. The Managed Medicare and Medicaid Factbook: 2008 has current and historical statistics so you can easily make plan-by-plan or state-by-state comparisons to suit your analytical needs. The data you get can help you:

  • Accurately forecast trends to develop profitable bids in the future,
  • Proactively minimize the blow caused by MA program cuts, and
  • Sustain growth and expand enrollment in MA prescription drug (MA-PD) plans and stand-alone Prescription Drug Plans (PDPs).

The completely updated Managed Medicare and Medicaid Factbook features practical information on a range of specialized areas, including:

  • The vast increase in Special Needs Plans and the subsequent consequences to Medicare and Medicaid.
  • The ongoing legislative battle over the State Children’s Health Insurance Program (SCHIP).
  • The rise of private-fee-for-service plans, and attempts to limit their flexibility.
  • Which Medicare and Medicaid plans had enrollment gains or losses during 2007.
  • The new market entrants into managed Medicare.
  • Which Medicare plans merged in 2007, and which may combine in 2008.
  • What companies won new Medicaid managed care contracts in 2007.
  • What cost-containment strategies Medicare plans tried in 2007, and how and why they succeeded or failed.

Get the practical data you need to succeed from the Managed Medicare and Medicaid Factbook. Order today!

CD Version Available for Easy Data Manipulation and Fast Searching! New for 2008, the expanded CD edition of Managed Medicare and Medicaid Factbook is more comprehensive than ever, packed with Medicare and Medicaid data and analysis not contained in the print edition. It provides:

  • CMS data in Excel spreadsheets, so you can see — and manipulate — the data in its raw form;
  • Historical data of Medicare and Medicaid managed care plans;
  • A directory of Special Needs Plans;
  • Information about Part D participants with benefit structure and enrollment data;
  • Mailing lists;
  • A complete user-friendly PDF version of the book for fast searching;
  • Plus, all CD purchasers receive a free copy of the print edition!

Table of Contents

Chapter 1: Managed Medicare Market Trends and Business Strategies

  • Market Moves and Strategies
  • Enrollment Trends
  • Medicare Advantage Expansion
  • Regional Managed Medicare Offerings
  • Business Management Issues and Strategies
  • MA Financial Challenges and Successes
  • Marketing MA Plans
  • Mergers and Acquisitions

Chapter 2: Medicare Advantage Plans and Programs

  • Business Trends, Strategies and Challenges
  • MA Plans Financial Reports
  • Medicare Advantage Regional Plans

Chapter 3: Medicare Managed Care Enrollment Trends and Market Share Data

  • Medicare Managed Care Enrollment Trends
  • Managed Medicare Market Share

Chapter 4: Special Needs Plans

  • SNP Enrollment Trends
  • SNP Expansion
  • Strategies, Challenges and Results
  • CMS Initiatives and Federal Legislation
  • List of Special Needs Plans, by State, January 2008

Chapter 5: Medicare Part D Prescription Drug Benefit

  • CMS Guidance and Compliance
  • Part D Benefit Parameters Updated May 2007
  • Enrollment Trends and Data
  • Administrative Issues and Challenges
  • Part D Strategies, Trends and Results
  • Prescription Drug Data
  • Directory of PDPs Sorted by Parent Organization
Chapter 6: Federal Challenges, Initiatives and Legislation
  • 2008 Payment Rates for MA Plans
  • Federal Legislation on MA Budget Issues
  • Oversight of Private Fee-for-Service Plans
  • CMS Initiatives and Enforcement

Chapter 7: Regional Managed Medicare Marketplace Data

Chapter 8: Medicare Advantage Plan Directory

  • MA, Cost, PACE and Demonstration Plans Enrollment as of February 2008, by Parent Organization

Chapter 9: Directory of Federal and Regional Medicare Regulators

Chapter 10: Managed Medicaid Market Trends and Business Strategies

  • Market Moves and Strategies
  • State Initiatives
  • States with Implemented Medicaid 1115 Wavier Programs
  • Business Management Issues and Strategies
  • Financial Challenges and Results
  • Medicaid Plan Strategies for Success

Chapter 11: Managed Medicaid Enrollment and Market Share Data

  • Managed Medicaid Enrollment
  • Managed Medicaid Market Share Data

Chapter 12: AIS’s 2007 Survey of Medicaid Pharmacy Directors

Chapter 13: Directory of Medicaid Plans with Applicable Annual Enrollment From 1996-2007

Chapter 14: Directories of State Medicaid Regulators

  • State Medicaid Directors
  • State Medicaid Pharmacy Directors
  • State Health Officials

Master Table of Contents
Index of Charts

Written By

Managed Medicare and Medicaid Factbook is written and edited by the editorial staff of Atlantic Information Services.

 

Written For

  • Managers of HMOs and provider-sponsored plans
  • Hospital managers and health system executives
  • Group practice managers
  • Managers of IDSs
  • Insurance executives
  • Government health care officials
  • Benefit designers
  • Legislators
  • Pharmacy benefit managers

 

AIS Guarantee

Order Managed Medicare and Medicaid Factbook for a 30-day risk-free inspection and test for yourself the value of this information resource. Order this comprehensive resource for a 30-day risk-free inspection and see its value for yourself. If within 30 days you are not 100% satisfied, you may return it to AIS and receive a full, prompt refund. For CD purchasers, refunds will not be made once the seal on the CD package has been broken. Please review your copy of the print edition prior to breaking the seal.

 

Shipping Information

This item is shipped via UPS. Please give us your street address when you order (UPS does not deliver to PO boxes.) You should receive your order within 5-7 business days. Shipping cost is $5 per item.

Rush orders: Please call us at 800-521-4323 to place a rush order. We will overnight your order for an additional charge of $30, or you can give us your FedEx or UPS account number and we will charge the shipping to your account. Rush orders placed after 3:00pm EST will not be shipped out until the next business day.

 

Related Publications

Medicare Advantage News
Health Plan Week
Health Plan Facts, Trends and Data

Pharmacy Benefit Trends & Data
Guide to Medicare Reform Law
AIS's Directory of Health Plans
Special Needs Plans: Market Strategies and Data

 

For further information call 800-521-4323 or e-mail customerserv@aispub.com

 
Print an order form:
If you do not wish to place your order online, click here to download a printable order form (PDF file), then submit your order via fax or mail, as directed on the form.

Related Publications

Medicare Advantage News

Health Plan Week

Health Plan Facts, Trends and Data

Pharmacy Benefit Trends & Data

A Guide to Medicare Reform Law

AIS's Directory of Health Plans

Special Needs Plans: Market Strategies and Data

 


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