Sunday, June 11, 2023

Medicare Advantage Market Share in the Mid-East States

With typically lower costs and extra benefits, Medicare Advantage (MA) Plans provide a most compelling value proposition in comparison to traditional Medicare coverage. Despite employing managed care protocols to control costs, the value appeal of MA plans has drawn more and more Medicare-eligible seniors away from traditional Medicare.  In the span of just six-and-one-half years, from October 2016 through May 2023, the market share of MA plans across the U.S. has grown from under 31% of Medicare-eligible Americans to 48%.

The increasing popularity of Medicare Advantage plans nationally is mirrored in the Mid-East section of the U.S., where MA plan enrollment has grown from a 30.0% share of the Medicare-eligible market in October 2016 to a 44.4% market share as of May 2023.  Here is a state-by-state look at how Medicare Advantage market share in the Mid-East states has grown from October 2016 to May 2023:


Medicare Advantage Market Share in the Mid-East States

Medicare Advantage Market Share in the Mid-East States

Medicare Eligible (1) MA Enrollment (1) % MA Market Share
Area May-23 Oct-16 May-23 Oct-16 May-23 Oct-16
DC 95.5 90.5 29.7 7.1 31.1% 7.8%
DE 233.9 186.8 69.5 17.0 29.7% 9.1%
MD 1,110.0 964.8 240.5 53.3 21.7% 5.5%
NJ 1,708.8 1,532.2 664.1 254.3 38.9% 16.6%
NY 3,806.3 3,432.4 1,901.3 1,276.4 50.0% 37.2%
PA 2,874.2 2,598.2 1,462.6 1,031.3 50.9% 39.7%
Region 9,828.7 8,804.9 4,367.8 2,639.5 44.4% 30.0%
Total(2) 65,390.9 56,888.7 31,362.0 17,489.5 48.0% 30.7%

(1) in thousands; region totals may not equal the sum of individual states due to rounding adjustments
(2) includes U.S. territories