Here is what you’ll find in this week’s newsletter!

1. Important links 🔗 - the best articles we found this week about the Medicare Market along with links to Jared’s recent LinkedIn posts.

2. Deep Dive 📚 - C-SNP Continues to Surge in 2025 🚀

3. Sponsor Snapshot 🚀 - brought to you by Telos Actuarial

4. Compliance Chatter 📢 - Several new regulations to review!

It’s only a 5 minute read, but it will make you 10x smarter.

DEEP DIVE 📚

C-SNP Continues to Surge in 2025 🚀

Last week our deep dive gave an update on D-SNP enrollments (read it here).

While D-SNP growth has cooled, the C-SNP market is growing fast - rapidly expanding access for beneficiaries with complex chronic needs and reshaping the competitive MA landscape.

(Note: Chronic Condition Special Needs Plans (C-SNPs) serve Medicare beneficiaries with qualifying chronic conditions like diabetes, cardiovascular disorders, and certain autoimmune diseases — an often underserved segment of the MA market.)

• So far in 2025, the D-SNP market has grown 2.4% (Dec. ‘24 - July ‘25), down from 5.2% last year (Dec. ‘23 - July ‘24), and 19.4% the prior year (Dec. ‘22 - July ‘23).

• At the same time, the C-SNP market has grown 48% (Dec. ‘24 - July ‘25), up from 41% last year (Dec. ‘23 - July ‘24), and 16.5% the prior year (Dec. ‘22 - July ‘23).

You can see the large increase in enrollment during AEP, and then the continued surge throughout 2025.

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Where did the C-SNP Growth Happen?

C-SNP By State

First of all, not every state has C-SNP enrollment. In the map below, the grey states have no recorded enrollment.

(Note: CMS data excludes counties with fewer than 11 enrollees, so some states may have small but unreported enrollment.)

Below is the C-SNP enrollment growth from Dec. 2024 to July 2025.

Key Insights:

• Large MA states (Florida, Texas and California) continue to lead the market in C-SNP enrollment and have all seen impressive growth in 2025

• Opportunities? New York, Pennsylvania, Ohio and Michigan. Large MA populations with minimal C-SNP enrollment, suggesting untapped market potential. This is true even after seeing explosive growth so far in 2025.

• C-SNP Penetration Rate: Nationwide penetration has grown to 4.4%, and Arkansas reached 14%, showing the high potential.

💥 If all states were at 14%, the C-SNP market would be 4 million (nearly 4x current)!

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Carrier Level C-SNP Trends

UnitedHealth Group has dominated C-SNP enrollment growth in 2025. But several smaller regional carriers also stand out.

Key Insights:

• United led growth and has been the clear leader in expanding C-SNP nationwide.

• Humana and Elevance round out the top 3 but have grown slower than the overall C-SNP market.

• Alignment, SCAN, Zing, Avian and Sentara all grew at a faster rate than the overall market.

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Final Observations

While United has dominated the C-SNP growth, it’s worth mentioning that each state is it’s own unique market.

There are some C-SNP State markets that still only have one Carrier with enrollment.

→ 13 states only have one Carrier with Enrollment

For Example:

• AL → 30,000 C-SNP enrollees; 100% UnitedHealth Group

• UT → 14,500 C-SNP enrollees; 100% UnitedHealth Group

• NJ → 300 C-SNP enrollees; 100% Elevance

• Note: In most of the 13 states, United is the only Carrier with enrollment

Other states where there are a number of Carriers, but 1 dominates…

For Example:

• TX → 174,000 C-SNP enrollees; 81% United, 14% Humana, 2% Elevance

• TN → 36,000 C-SNP enrollees; 88% United, 8% Humana, 3% Zing

And a few “mature” markets where there are a number of Carriers with significant share…

For Example:

• CA → 141,000 C-SNP enrollees; 29% Alignment, 21% SCAN, 14% Molina, 13% United

• FL → 225,000 C-SNP enrollees; 49% Elevance; 34% Humana, 13% UnitedHealth

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The C-SNP market continues to expand much faster than the overall Medicare Advantage market.

With only 4.4% penetration nationwide, C-SNPs remain one of the least saturated — but fastest-growing — opportunities in Medicare Advantage.

Expect this segment to be a key battleground heading into 2026.

If you’re ready, here are some ways we can help you:

• Newsletter Sponsorship opportunities: Promote your product or services to leaders in the Medicare space. Let’s discuss. (link)

• Market Research: Reports that help you wrap your arms around the Senior focused insurance markets. (link)

• Consulting: We can help you develop new insurance products for the Medicare market, appraise your books of business, and keep you compliant. Let’s discuss. (link)