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 Enrollment Surged in 2024 🚀

3. Sponsor Snapshot 🚀 - brought to you by Modivcare

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 Enrollment Surged in 2024 🚀

Last week our deep dive looked at 2024 month-over-month D-SNP enrollment. 

(MMI+ subscribers got a additional D-SNP deep dive with a downloadable data set)

• The D-SNP market slowed to 6% growth in 2024, a sharp decline from 24%+ growth in prior years.

• In contrast, C-SNP enrollment surged 61% from Dec. ‘23 to Dec. ‘24, up from 28% in 2023, after being flat in 2021 and 2022.

[Note: I used the Medicare Market Insight MA web app tool available to MMI+ subscribers for this research which utilizes county level MA enrollment data from CMS. “Trends” section (seen above) coming soon!]

__

Where did the C-SNP Growth Happen?

C-SNP By State

An analysis of C-SNP enrollment and growth by State is quite interesting.

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.)

Here is a snapshot of a few key enrollment data points for the states that do have C-SNP enrollment:

Key Insights:

• Large MA states dominate C-SNP enrollment: Florida, Texas, California, Georgia, and Illinois lead, aligning with high Individual MA enrollment.

• Surprising gaps: Pennsylvania, Ohio, and New York have large MA populations but minimal C-SNP enrollment, suggesting untapped market potential.

• High-growth states in 2024: Alabama, Tennessee, North Carolina, Michigan, Utah, Kentucky, Colorado, and Indiana experienced standout % increases.

• C-SNP Penetration Rate: While nationwide penetration is only 3%, Arkansas and Mississippi reached 11%, showing the high potential

💥 If all states were at 11% the C-SNP market would be 3 million!

__

Carrier Level C-SNP Trends

The usual market leaders—UnitedHealth Group and Humana—top the list, but several smaller regional carriers also stand out.

Key Insights:

• UnitedHealth and Humana grew significantly, with United expanding across state markets and adding new ones (notably, all growth in AL & TN came from UHC).

• Molina acquired Bright Health’s block in 2024, but its enrollment declined throughout the year.

• Fastest-growing smaller carriers: Alignment, GuideWell Mutual, and Zing grew the most on a percentage basis.

• Elevance underperformed compared to market growth but still ended 2024 in the top 3.

__

Final Observations

There are some C-SNP State markets with only one carrier…

Examples:

• AL → 22,000 C-SNP enrollees; 100% UnitedHealth Group

• MS → 29,000 C-SNP enrollees; 100% Humana

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

Examples:

• TX → 137,000 C-SNP enrollees; 82% UnitedHealth Group

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

Examples:

• CA → 109,000 C-SNP enrollees; 25% Alignment, 21% Molina, 18% SCAN

• FL → 160,000 C-SNP enrollees; 55% Elevance; 26% Humana, 11% UnitedHealth

—

The C-SNP market remains small, immature, and primed for continued expansion.

With new state-level entrants, shifting carrier strategies, and changes to the D-SNP SEP, will more carriers shift focus to C-SNPs in 2025 continuing the impressive growth, and how will the elimination of VBID impact C-SNP plans?

This will be a key trend to watch. Stay tuned!

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)