C-SNP Enrollment Surged in 2024 šŸš€

The MA segment that grew 61% in 2024! A look at C-SNP enrollment trends during 2024.

This weekā€™s newsletter is Sponsored By: Modivcare

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Here is what youā€™ll find in this weekā€™s newsletter!

  1. Important links šŸ”— - the best articles we found this week about the Medicare Market along with links to Jaredā€™s recent LinkedIn posts.

  2. Deep Dive šŸ“š - C-SNP Enrollment Surged in 2024 šŸš€

  3. Sponsor Snapshot šŸš€ - brought to you by Modivcare

  4. Compliance Chatter šŸ“¢ - Several new regulations to review!

Itā€™s only a 5 minute read, but it will make you 10x smarter.

Here are IMPORTANT LINKS šŸ”— for the week:

  1. Muskā€™s DOGE team mines for fraud at Medicare, Medicaid - (link)

  2. Out Last Week: A Paper Offering Medicare Advantage Policy Clarity From The Right, Our Analysis - (link)

  3. Bipartisan bill offers big Medicare physician pay hike - (link)

  4. Optum study: Accountable Medicare Advantage models reduce admissions, ER visits - (link)

  5. Medicare Supplement Broker Incentives- 2025 Q1 Update - (link)

  6. Medicare Supplement Premium Rate Scorecard ā€“ February 2025 - (link)

Jaredā€™s recent LinkedIn posts:

  1. Centene Corp (CNC) - reported Q4 2024 results today. - (link)

  2. D-SNPs and the new SEP rules are a major topic right now. - (link)

  3. Want to increase your Medicare book of business 2.6x? - (link)

DEEP DIVE šŸ“š

C-SNP Enrollment Surged in 2024 šŸš€

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

  • 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. ā€˜23 to Dec. ā€˜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. ā€œTrendsā€ section (seen above) coming soon!]

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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

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

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The usual market leadersā€”UnitedHealth Group and Humanaā€”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 Healthā€™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.

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There are some C-SNP State markets with only one carrierā€¦

Examples:

  • AL ā†’ 22,000 C-SNP enrollees; 100% UnitedHealth Group

  • MS ā†’ 29,000 C-SNP enrollees; 100% Humana

Other states where there are a number of Carriers, but 1 dominatesā€¦

Examples:

  • TX ā†’ 137,000 C-SNP enrollees; 82% UnitedHealth Group

And a few ā€œmatureā€ markets where there are a number of Carriers with significant shareā€¦

Examples:

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

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

ā€”

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!

SPONSOR SNAPSHOT šŸš€: Modivcare

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What MMI + Subscribers read this weekā€¦

  • Historical D-SNP Enrollment data - A look at D-SNP enrollment data from 2021-2024. Includes downloadable excel sheet. (link)

  • December '24 MA/MAPD and PDP enrollment data - December enrollment data has been loaded. Here are a few observations. (link)

COMPLIANCE CHATTER šŸ“¢

Check out this weekā€™s Insurance Regulatory Insights newsletter which includes several regulations and rules impacting Medicare Supplement, Dental, Medicare Advantage and more.

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