
<oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
  <dc:title>Medicare Advantage enrollment update 2021</dc:title>
  <dc:title>Rural policy brief</dc:title>
  <dc:creator>Shrestha, Mina, author.</dc:creator>
  <dc:creator>Ullrich, Fred, author.</dc:creator>
  <dc:creator>Mueller, Keith, author.</dc:creator>
  <dc:subject>Medicare Part C -- statistics &amp; numerical data</dc:subject>
  <dc:subject>Medicare Part C -- trends</dc:subject>
  <dc:subject>Fee-for-Service Plans -- trends</dc:subject>
  <dc:subject>Health Maintenance Organizations -- trends</dc:subject>
  <dc:subject>Preferred Provider Organizations -- trends</dc:subject>
  <dc:subject>Rural Population</dc:subject>
  <dc:subject>Urban Population</dc:subject>
  <dc:description>This policy brief continues the RUPRI Center&apos;s annual series of Medicare Advantage (MA) enrollment updates. In addition to tracking overall and nonmetropolitan/metropolitan enrollment, this brief also reports on changes in enrollment in types of MA plans. The Center&apos;s ongoing line of inquiry also considers policy changes from previous years that may have impacted MA plan enrollment. Key Findings. (1) Overall MA enrollment grew by 7.2 percent (1.8 million) from 2020 to 2021; the rate of growth was higher in nonmetropolitan counties (14.2 percent) than in metropolitan counties (6.2 percent). (2) Overall, more than half of MA enrollees (59.2 percent) were in Health Maintenance Organization (HMO) plans. The largest proportion of nonmetropolitan enrollees (48.9 percent) were in Local Preferred Provider Organization (PPO) plans, whereas the largest proportion of metropolitan enrollees (63.0 percent) were in HMO plans. (3) The percentage of nonmetropolitan MA enrollees in HMO plans increased from 34.9 percent in 2020 to 36.8 percent in 2021. However, the increase in metropolitan enrollees in HMO plans was minimal (62.6 percent in 2020 to 63.0 percent in 2021). (4) Enrollment in Local PPO plans increased in both nonmetropolitan (from 46.3 percent to 48.9 percent) and metropolitan counties (from 29.9 percent to 33.2 percent) between 2020 and 2021.</dc:description>
  <dc:publisher>Iowa City, IA : Rural Policy Research Institute, September 2021</dc:publisher>
  <dc:contributor>RUPRI Center for Rural Health Policy Analysis, issuing body.</dc:contributor>
  <dc:contributor>Rural Health Research &amp; Policy Centers, issuing body.</dc:contributor>
  <dc:contributor>Rural Policy Research Institute (U.S.), issuing body.</dc:contributor>
  <dc:type>Technical Report</dc:type>
  <dc:format>Text</dc:format>
  <dc:format>Illustrations</dc:format>
  <dc:format>1 online resource (1 PDF file (7 unnumbered pages))</dc:format>
  <dc:identifier>nlm:nlmuid-9918350984006676-pdf</dc:identifier>
  <dc:identifier>9918350984006676</dc:identifier>
  <dc:identifier>http://resource.nlm.nih.gov/9918350984006676</dc:identifier>
  <dc:language>English</dc:language>
  <dc:coverage>United States</dc:coverage>
  <dc:rights>The National Library of Medicine believes this item to be in the public domain. https://creativecommons.org/publicdomain/mark/1.0</dc:rights>
</oai_dc:dc>
