Medicare 101 - The Box Set 📼

Package of Medicare 101 deep dives all in one place.

This week’s newsletter is Sponsored By: Modivcare

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 📚 - Medicare 101 - The Box Set 📼

  3. Sponsor Snapshot 🚀 - brought to you by Modivcare

  4. Compliance Chatter 📢 - Sign up for Insurance Regulatory Insights.

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

Here are IMPORTANT LINKS 🔗 for the week:

  1. UnitedHealthcare wins lawsuit over star ratings - (link)

  2. Medicare Advantage Agents Should Tell Consumers About Medigap: CMS - (link)

  3. The Decline of PPO in Medicare Advantage - (link)

  4. 7.4 million Americans could gain Medicare or Medicaid coverage for anti-obesity drugs under Biden proposal - (link)

  5. Trump could boost Medicare Advantage - but cracks suggest reform may be coming - (link)

  6. Medicare Supplement Market Keeps Evolving - Overview of Latest Survey - (link)

  7. Medicare Regulatory Compliance Updates - (link)

Jared’s recent LinkedIn posts:

  1. CMS released the 2026 MA-PD Proposed Rule - (link)

  2. Good news for Medicare eBroker GoHealth - (link)

  3. Comparing eBroker's Q3 2024 financial results side-by-side - (link)

  4. Medicare Market Insights - PLUS subscribers received a ton of valuable data and content - (link)

  5. Med Mutual of Ohio MA/MAPD went non commissionable on new sales - (link)

Before we begin, we want to extend our condolences to the family, friends, and colleagues of Brian Thompson, CEO of UnitedHealthcare whose life was senselessly taken in New York City yesterday.

DEEP DIVE 📚

Medicare 101 - The Box Set 📼

 Remember the thrill of owning a box set?

The neatly packed collection of the Star Wars Trilogy, Band of Brothers, or even every season of Friends, all in one place to enjoy, revisit, and share.

Before everything went digital, box sets were the ultimate treasure for fans - a complete archive of past episodes.

This week, we're channeling that nostalgia with Medicare 101: The Box Set.

It's your all-in-one collection of past Medicare 101 deep dives, perfectly bundled for easy reference.

Just like the classics, it's made to inform, delight, and maybe even help you win “Medicare trivia night"!

Here you go.

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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 (“Med Supp”) 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 (“SNPs”)

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?

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That’s all for today.

Feel free to gift 🎁 this Medicare 101 Box Set to a friend or colleague.

Remember, it’s better to give than receive!

What MMI + Subscribers read this week…

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

  • Cigna Non-Commissionable Plans - A look at Cigna's Non-Commissionable Plans as of November 4, 2025 [includes downloadable data set!] (link)

Sponsor Snapshot 🚀: Modivcare

Managing the complexity of chronic care conditions is compounded by social determinants of health, which is why Modivcare focuses on removing barriers to critical health services and connecting members to their care teams.

By addressing factors such as transportation and remote monitoring support, we bridge the gap between members, their health plan, and their care team to improve condition management and quality of life.

Learn how Modivcare can fit into your members’ coordinated care ecosystem with solutions such as:

  • Non-emergency medical transportation

  • Virtual & remote patient care

  • In-home & personal care solutions

  • Integrated supportive care solutions

COMPLIANCE CHATTER 📢

There were several updates to the Medicare regulatory landscape this past quarter, and to help keep you informed, Telos summarized a few of the more significant ones here:

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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