Grow Your Knowledge - Medicare 101

Package of Medicare 101 deep dives all in one place.

This week’s newsletter is Sponsored By: Medicare Market Insights +

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

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

  2. Deep Dive šŸ“š - Grow Your Knowledge - Medicare 101

  3. Sponsor Snapshot šŸš€ - brought to you by Medicare Market Insights +

  4. Compliance Chatter šŸ“¢ - Sign up for Insurance Regulatory Insights.

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

Here are IMPORTANT LINKS šŸ”— for the week:

  1. CMS Building Foundational Infrastructure for Digital Healthcare Ecosystem - (link)

  2. Exclusive: CVS lays out $20B plan to modernize US consumer healthcare experience - (link)

  3. Flex Cards In Medicare Advantage: A Closer Look At Impact and Challenges - (link)

  4. Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Coventry Health and Life Insurance Company (Contract H1608) Submitted to CMS - (link)

  5. The Medicare tweak Republicans are eyeing for their megabill is actually bipartisan - (link)

  6. EnrollHere and SunFire Announce Strategic Partnership to Deliver Seamless, End-to-End Medicare Enrollment Technology - (link)

  7. Medicare Advantage Is Ripe for an Overhaul - (link)

  8. UnitedHealth Group, Humana support Medicare Advantage home visit changes - (link)

  9. Medicare Age-In Study - (link)

Jared’s recent LinkedIn posts:

  1. Regulatory updates for Medicare Supplement, Dental, and Medicare Advantage. Don't miss these! - (link)

  2. Each state has it's own unique Medicare Supplement market. - (link)

  3. MA Enrollment Insights web app has May data. - (link)

DEEP DIVE šŸ“š

Grow Your Knowledge - Medicare 101

At Medicare Market Insights, we value continual growth, both personal and professional.

How about you?

Do you find yourself wanting to grow your knowledge and understanding of Medicare and its complexities?

You are in luck! We can help you grow!

Check out this pre-packaged Medicare 101 series. It's your all-in-one collection of past Medicare 101 deep dives, perfectly bundled for easy reference.

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1/ HISTORY OF MEDICARE

A look back to see how the program was originally created and some of the major changes that have taken place.

2/ MEDICARE PART A

A closer look at one of the parts of Original Medicare. This delicious batch of alphabet soup serves up Part A.

3/ MEDICARE PART B

This deep dive continues through the Medicare alphabet by looking at Part B.

4/ MEDICARE PART C

Medicare Advantage History, Benefits & Costs, Plan Types, Star Ratings, and Enrollment Stats

5/ MEDICARE PART D

A look at Medicare Prescription Drug Coverage. The Medicare Alphabet Caboose 🚃

6/ MEDICARE SUPPLEMENT

Medicare Supplement (ā€œMed Suppā€) policies are designed to help fill the gaps of Medicare Part A and Part B. This deep dive takes a look at Medicare Supplement.

7/ VALUE BASED CARE

Value Based Care is the buzz word in the Medicare provider space. What is it? Why is it important?

8/ SPECIAL NEEDS PLANS (ā€œSNPsā€)

SNP enrollment grew 24% in 2023. What are they? What are the recent trends?

9/ MEDICARE SEPs

Special Enrollment Periods are an important part of Medicare enrollment. We take a look at some of the key SEPs.

10/ CAPITATED VS. FFS PAYMENT MODELS

Capitated and Fee For Service are the two primary payments models in Medicare. We take a look some of the main positives and negatives of each.

11/ MEDICARE SUPPLEMENT UNDERWRITING

One distinct component of Medicare Supplement products is underwriting. We provide a brief overview of the Underwriting process of Med Supp products.

12/ MEDICARE TRUSTEES REPORT

An important driver of Medicare policy, regulation, direction in the annual Medicare Trustees Report. In this deep dive we look at WHO? – WHAT? – WHEN? – WHERE? – WHY?

13/ MEDPAC

Explains how MedPAC Shapes CMS Policies. This is a guide to the Commission’s impact on Medicare.

14/ SUPPLEMENTAL BENEFITS IN MEDICARE ADVANTAGE

Dive deeper into supplemental benefits frequently included in Medicare Advantage (MA) plans, including how they're funded, which are most common, and how they've changed in 2025.

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We hope this helped you grow 🪓your Medicare knowledge!

Feel free to gift šŸŽ this Medicare 101 series to a friend or colleague.

What MMI + Subscribers read this week…

  • May '25 MA/MAPD and PDP enrollment data- May '25 enrollment data has been loaded. Here are a few observations. (link)

  • Broker/Agent MA Commissions Expected to Go Up in 2026 - A look at historical MA/MAPD agent comp., and what to expect in 2026. (link)

Sponsor Snapshot šŸš€: Medicare Market Insights +

Introducing ā€œTrendsā€!

We’re excited to let you know the ā€œTrendsā€ section of the Medicare Market Enrollment web app is now available!

Now you can see how MA & PDP enrollment has changed over time.

By State, Parent Org, Plan Type and more…

See ā€œTrendsā€ in action → (Video)

COMPLIANCE CHATTER šŸ“¢

Check out this month’s Insurance Regulatory Insights newsletter.

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)

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