lock Does Education Narrow the Gap in Wealth Among Older Adults, by Race and Ethnicity? These charges are the amounts hospitals bill for items or services. The federal share of spending for most Medicaid enrollees is determined by a formula that provides a match of at least 50% and provides a higher match for states with lower per capita income relative to the national average. Tricia Neuman States can raise those limits above the federal floor to provide coverage to individuals who qualify based on the higher eligibility criteria for the Medicare Savings Programs. Follow @SArtiga2 on Twitter Notably, the share of Black adults in the Medicare population in the District of Columbia (63%) is nearly six times higher than the national average (Table 1). .gov A majority of Medicare beneficiaries are White, while 24% are people of color. Data.Medicare.gov lets you download and explore data behind ratings on Medicare.gov. In 2010, two-thirds of the Medicare population, or 21.4 million consumers had two or more chronic conditions. North Dakota was the only state where the median age declined, from 37 to 35.8, as an influx of young workers arrived to work in a booming energy sector. For more information on defining Medicare-Medicaid enrollees via the MMA files please review Defining Medicare-Medicaid Enrollees in CMS Data Sources (PDF). These DRGs represent more than 7 million discharges or 60 % of total Medicare IPPS discharges. Enrollment continues to be highly concentrated among a handful of firms, both nationally and in local markets, with UnitedHealthcare and Humana together accounting for 46 percent of enrollment in 2022. More than 95% of C-SNP enrollees (about 380,000 people) are in plans for people with diabetes or cardiovascular conditions in 2022. means youve safely connected to the .gov website. Thursdays data release was delayed by almost two years because of pandemic-related difficulties gathering the information and efforts by the Census Bureau to implement a new, controversial privacy protection method that uses algorithms to add intentional errors to obscure the identity of any given respondent. Much of this increase reflects growth in the older Hispanic adult population, with the share of adults ages 65 and older who are Hispanic projected to more than double over the next four decades, from 9% in 2020 to 21% in 2060 (Figure 1). A larger share of full-benefit enrollees (40%) than partial-benefit enrollees (23%) had two or more limitations in ADLs. It aims to provide health insurance to older and disabled people. EDI Performance Statistics. A smaller share of Black and Hispanic Medicare beneficiaries than White beneficiaries have private supplemental coverage through Medigap or retiree health plans, while a larger share have wrap-around coverage under Medicaid; a larger share of Black and Hispanic than White beneficiaries are enrolled in Medicare Advantage plans. That is substantially more than in 2010 when just 3 percent of the Medicare population lived in a county where 60 percent or more of Medicare beneficiaries were enrolled in a Medicare Advantage plan (83 counties). Medicare population estimates are extrapolated from the 20% 2012 Medicare sample. While the vast majority of Medicare-Medicaid enrollees had relatively low incomes, partial-benefit Medicare-Medicaid enrollees had somewhat higher incomes compared to full-benefit Medicare-Medicaid enrollees, specifically a larger share of full-benefit than partial-benefit Medicare-Medicaid enrollees lived on incomes below $10,000 per year in 2020 (45% vs 27%). Official websites use .govA or Additionally, only beneficiaries residing in the continental U.S. (48 states and the District of Columbia) are included. Puerto Rico had a median age in the same range, at 45.2, as an exodus of working-age adults left the island after a series of hurricanes and government mismanagement. More than four in ten Medicare-Medicaid enrollees (44%) were in fair or poor health compared with 17% of Medicare beneficiaries without Medicaid coverage (Figure 2, Health Status tab). The average cost of a private room in a nursing facility was over $108,000 in 2021. Group enrollees comprise a disproportionately large share of Medicare Advantage enrollees in six states: Alaska (99%), Michigan (42%), Maryland (36%), West Virginia (35%), New Jersey (35%), and Illinois (30%). Another 9 percent of SNP enrollees are in plans for people with severe chronic or disabling conditions (C-SNPs) and 2 percent are in plans for beneficiaries requiring a nursing home or institutional level of care (I-SNPs). Almost four in ten (37%) Medicare-Medicaid enrollees were under age 65 and qualified for Medicare on account of a long-term disability compared to fewer than one in ten Medicare beneficiaries without Medicaid (8%) (Figure 1, Age tab). Hispanic adults account for 8% of the Medicare population nationally, but a larger share in nine states, and less than 5% in 35 states and the District of Columbia. Opens in a new window. Beneficiaries were assigned as partial-benefit Medicare-Medicaid enrollee status if they had any of the following types of Medicaid benefits for any month of the year and were not identified as a full-benefit enrollee during any month: Qualified Medicare Beneficiaries without other Medicaid (QMB-only), Specified Low-Income Medicare Beneficiaries without other Medicaid (SLMB-only), or Qualifying Individuals (QI). lock lock , and Figure 1: By 2060, People of Color Will Comprise Close to Half of the U.S Population Ages 65 and Older, In 2018, adults in the U.S who reached age 65 were expected to live an additional 19.5 years on average reflecting a 5-year gain in life expectancy since 1960, prior to the enactment of Medicare.1. Americas two largest age groups propelled the changes: more baby boomers turning 65 or older and millennials who became adults or pushed further into their 20s and early 30s. This includes enrollment in Medicare Advantage plans with and without prescription drug coverage. Medicare Advantage enrollment has increased steadily since 2006, with nearly half (48%) of all eligible Medicare beneficiaries enrolled in Medicare Advantage plans in 2022. The independent source for health policy research, polling, and news, the Kaiser Family Foundation is a nonprofit organization based in San Francisco, California. , and Additionally, in previous years, KFF had used the term Medicare Advantage to refer to Medicare Advantage plans as well as other types of private plans, including cost plans, PACE plans, and HCPPs. For more information on the Medicaid/CHIP enrollment snapshot, visit. Federal government websites often end in .gov or .mil. Nancy Ochieng , and , CVS Health, which purchased Aetna in 2018, has seen its share of enrollment nearly double from 6 percent in 2010 to 11 percent in 2022. Medicare-Medicaid enrollees are themselves a population with diverse needs and circumstances; while many live with serious physical and mental health challenges, nearly one in four Medicare-Medicaid enrollees reported being in excellent or very good health and more than half had no functional impairment. ( We include all individuals living in institutions and in community settings. Tricia Neuman 7500 Security Boulevard, Baltimore, MD 21244. provides information on the geographic differences in the use and quality of health care services for the Original Medicare population. Two-thirds (66%) of Medicare Advantage enrollees, or 18.7 million people, are in plans generally available to all beneficiaries for individual enrollment. Official websites use .govA Maine was the oldest state in the U.S., with a median age of 45.1, as more baby boomers aged out of the workforce. Learn more about Friends of the NewsHour. Medicaid is the nations largest public health insurance program for low-income Americans and the primary payer for long-term services and supports. In 11 states, SNP enrollment accounts for about one-fifth of Medicare Advantage enrollment (29% in MS, 27% in NY and in LA, 24% in AR and in FL, 23% in GA, 22% in SC, 21% in CT, and 20% in TN, in AZ, and in HI). Researchers have also projected that among Hispanic adults born in the United States, this life expectancy advantage is expected to diminish due to increasing prevalence of obesity.4. , Photo via Getty, By Karra Harrington, Martin J. Sliwinski, The Conversation. The data provided here include estimated hospital-specific charges for. More than 4.6 million Medicare beneficiaries are enrolled in Special Needs Plans (SNPs). KFF maintains full editorial control over all of its policy analysis, polling, and journalism activities. Older adults in four states Florida, Maine, Vermont and West Virginia made up more than a fifth of those states populations. Medicare Advantage enrollment as a share of the eligible Medicare population has more than doubled from 2007 to 2022 (19% to 48%). In Ohio, 52% of all Medicare beneficiaries are enrolled in Medicare Advantage, with the share ranging from 30% in Mercer County (Celina) to 64% in Stark County (Canton). An official website of the United States government .gov or Check back often; this features updated frequently when new datas. How can I get more help for an ailing, older parent? CMS News and Media Group , The site is secure. Health Disparities are a Symptom of Broader Social and Economic Inequities. To be transparent, we shareextensive data with the public. The U.S population ages 65 and over is also expected to become more diverse over time. These exclusions are reflected in both the 2022 data and in data displayed trending back to 2010. The share would be somewhat smaller if based on the total Medicare population that includes 5.7 million beneficiaries with Part A only or Part B only who are not generally eligible to enroll in a Medicare Advantage plan. Opens in a new window. most currently available information at the time of publication. means youve safely connected to the .gov website. If you need immediate assistance accessing this content, please submit a request to Wafa Tarazi, Wafa.Tarazi@hhs.govaddress. Medicare Part D enrollment is 49,141,158, which includes enrollment in stand-alone prescription drug plans as well as Medicare Advantage plans that offer prescription drug coverage. An official website of the United States government. Demographic information including average age of fee-for-service beneficiaries is available for all geographic levels and at the state level additional enrollment information by sex, Medicaid eligibility, and race/ethnicity is available. NOTE: The above instructions are effective beginning January 1, 2021 and will continue until CMS provides the directive to update demographic information in PECOS only. In the District of Columbia and Puerto Rico, SNPs comprise about half of all Medicare Advantage enrollees (47% in DC and 48% in PR). 30 Ambulatory Payment Classification (APC) Groups paid under the Medicare Outpatient Prospective Payment System (OPPS) for Calendar Years (CY) 2011 and 2012. Our Data Navigator application is an easy-to-use, menu-driven search tool that makes our data and information resources more easily available. Beneficiaries under age 65 are more likely than older adults to have lower incomes, report fair or poor health status, and have a cognitive or mental impairment, regardless of race/ethnicity. About one in six full-benefit Medicare-Medicaid enrollees had an intellectual or developmental disability compared to just 5% of Medicare beneficiaries without Medicaid coverage. View Tools. BCBS plans had the third highest growth in plan year enrollment of 293,000 beneficiaries between March 2021 and March 2022. Share on Facebook. The Medicare Geographic Comparison datasets provide information for researchers and policymakers to evaluate the geographic differences in the use and quality of health care services for the the Original Medicare (fee-for-service) population. Samantha Artiga Almost nine in ten Medicare-Medicaid enrollees (87%) lived on an annual income below $20,000 compared to one in five Medicare beneficiaries without Medicaid coverage (20%) (Figure 1, Income tab). The average Medicare beneficiary in 2022 has access to 39 Medicare Advantage plans, the largest number of options available in more than a decade. Follow @jeanniebin on Twitter At the same time, 21% of full-benefit and 27% of partial-benefit Medicare-Medicaid enrollees reported excellent or very good health. While the Medicare population in all states is predominantly White, Black and Hispanic beneficiaries account for a disproportionate share of the Medicare population in some states, relative to the racial/ethnic distribution of Medicare beneficiaries at the national level (Table 1, Figure 4). Enrollment in I-SNPs has been increasing slightly, but is still fewer than 100,000. At the top end of the age spectrum, the number of people over 100 increased by half, from more than 53,000 people to more than 80,000. Maria Pea , Non-Hispanic whites were the oldest cohort, with a median age of 44.5. 200 Independence Avenue, SW Secure .gov websites use HTTPSA The Centers for Medicare & Medicaid Services (CMS) has released the latest enrollment figures for Medicare, Medicaid, and the Childrens Health Insurance Program (CHIP)all key connectors to care for more than 135 million Americans. Hospital Service Area File. Among full-benefit Medicare-Medicaid enrollees, 40% reported having limitations in 2 or more ADLs, 13% had 1 limitation in an ADL, and just under half (48%) had no limitations in ADLs (Figure 3, Number of ADLs tab). About Us. Box 1: How do Medicare Beneficiaries Become Eligible for Medicaid? In large part, these distributions of Medicare beneficiaries by race and ethnicity reflect the variation in the racial and ethnic composition of the U.S population across states. The independent source for health policy research, polling, and news. There is typically a delay in publishing Medicaid and CHIP enrollment data due to states accounting for retroactive enrollment and data lags. The practice of cultural humility is one key . The District of Columbias median age of 33.9 was a close second due to the large number of young, working-age adults commonly found in urban areas. In a growing number of counties, 60 percent or more of all Medicare beneficiaries are in a Medicare Advantage plan, in lieu of traditional Medicare. Why millions of older Americans are retiring early in the wake of the pandemic, social and economic consequences to an aging population. People under age 65 are entitled to Medicare when they have received Social Security Disability Insurance benefits for 24 months. The number was for 37.2 for Asians. Medicare population estimates are extrapolated from the 20% 2012 Medicare sample. Sumter County, Florida, home of the booming retirement community The Villages, had the highest median age among U.S. counties, at 68.5; while Utah County, home to Provo, Utah, and Brigham Young University, had the lowest at 25.9. Share on Facebook. The .gov means its official. There is typically a delay in publishing Medicaid and CHIP enrollment data due to states accounting for retroactive enrollment and data lags. As of October 2021, the total Medicare enrollment is 63,964,675. An official website of the United States government. Full-benefit Medicare-Medicaid enrollees were less likely to be White and more likely to be Hispanic than partial-benefit Medicare-Medicaid enrollees. However, life expectancy at age 65 is lower among Black adults (18 years) than among White adults (19.4 years) and Hispanic adults (21.4 years) (Figure 2). Please note that the 2008,2009, and 2011State and National Profiles employed different data source and methodology for identifying Medicare-Medicaid enrollees than did the 2007 Profiles. The Medicare payment amount includes: Medicare & Medicaid Statistical Supplement. Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270, www.kff.org | Email Alerts: kff.org/email | facebook.com/KFF | twitter.com/kff. .gov Demographic characteristics and health status varied across these groups. means youve safely connected to the .gov website. The Census Bureau released two earlier data sets from the 2020 census in 2021: state population figures used to decide how many congressional seats each state gets and redistricting numbers used to draw political districts. Samantha Artiga Even within each of these groups there was variation in terms of Medicare-Medicaid enrollees demographic, socioeconomic, and health characteristics. An official website of the United States government U.S. Department of Health and Human Services The heterogeneity of the Medicare-Medicaid population highlights the challenges policymakers face when developing targeted strategies to improve the coordination and management of care for these 12.5 million beneficiaries, while balancing the potential for more simplicity and efficiency against flexibility necessary to meet the diverse needs of this group. Most, but not all, full-benefit Medicare-Medicaid enrollees are also eligible for Medicare premium and cost-sharing assistance covered under the Medicare Savings Programs, which are administered by states. Half (50%) of full-benefit Medicare-Medicaid enrollees reported having a mental health condition compared with less than 25% of Medicare beneficiaries without Medicaid. See methods for more details. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Medicare Advantage in 2022: Enrollment Update and Key Trends. Black adults account for 11% of the Medicare population nationally, but a larger share in 14 states and the District of Columbia, and less than 5% in 22 states. Medicare is a government national health insurance program in the United States, begun in 1965 under the Social Security Administration (SSA) and now administered by the Centers for Medicare and Medicaid Services (CMS). The first is from the Medicare enrollment database (EDB) and originates from Social Security Administration records. Sign up to get the latest information about your choice of CMS topics. For this reason, there may be slight variation in the results presented in 2007 versus 2008, 2009, and 2011. 62 percent were enrolled in Part A or Part B, and the rest (37 percent) were in Medicare Advantage (Part C). A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Published: Feb 16, 2021. Anthony Damico is an independent consultant. More than one in ten full-benefit Medicare-Medicaid enrollees (13%) lived in a long-term care nursing home or other institutional facility, compared to 1% of all Medicare beneficiaries without Medicaid coverage (Figure 1, Residence tab). Data.Medicare.gov lets you download and explore data behind ratings on. *This content is in the process of Section 508 review. Demographic characteristics and health status varied across these groups. In 2022, one in five (21%) Medicare beneficiaries live in a county where at least 60 percent of all Medicare beneficiaries in that county are enrolled in Medicare Advantage plans (321 counties). Figure 5: Compared to White Medicare Beneficiaries, Black Beneficiaries Are Less Likely to Be Married and More Likely to Live Alone. Alice Burns Full-benefit Medicare-Medicaid enrollees were over twice as likely to have had a mental health condition than Medicare beneficiaries without Medicaid coverage. Kaiser Permanente now accounts for 6% of total enrollment, a moderate decline as a share of total since 2010 (9%), mainly due to the growth of enrollment in plans offered by other insurers and only a modest increase in enrollment growth for Kaiser Permanente over that time. Subscribe to Here's the Deal, our politics newsletter. Medicare Population 57 Million8 65-74 Years 85+ Years Younger Than 65 Years 75-84 Years FIGURE 2 Age Demographics9 47% 10% 15% 28% Key Medicare Advantage Facts ne third of Medicare beneficiaries O over 18.5 million individuals have chosen to receive their Medicare coverage through Medicare 1Advantage. The population of the United States ages 65 and older is projected to grow from 56 million in 2020 to 95 million in 2060, accounting for nearly a quarter of the nations total population in 2060. https:// Centene had the second largest growth in plan year enrollment, which was a little less than half of UnitedHealthcares with an increase of about 306,000 beneficiaries between March 2021 and March 2022. Patient demographics streamline the medical billing process,. While people 65 and older made up 16.8% of the 331 million residents in the U.S. in 2020, the share was still significantly lower than it was in countries like Japan, Italy and Greece, where the age cohort makes up between more than a fifth and more than a quarter of the population. An official website of the United States government Wafa Tarazi, W. Pete Welch, Nguyen Nguyen, Arielle Bosworth, Steven Sheingold, Nancy De Lew, and Benjamin D. Sommers KEY POINTS In 2019, nearly 63 million beneficiaries were enrolled in one or more Parts of the Medicare program. Almost 40% of Medicare-Medicaid enrollees were under age 65 and eligible for Medicare because they had received 24 months of Social Security Disability Insurance payments, compared to 8% of Medicare beneficiaries without Medicaid. They include people with lifelong intellectual and developmental disabilities who have always faced employment challenges and people under the age of 65 with robust work histories who left the labor force on account of significant physical or mental impairments. Utah, home to the largest Mormon population in the U.S., was the youngest state, with a median age of 31.3, a function of having one of the nations highest birthrates. It doesn't let you estimate populations for Medicaid-only enrollees. Follow @tricia_neuman on Twitter Enrollment data for Medicare and Medicaid/CHIP are compiled on different timelines owing to the unique nature of each program. Among Medicare beneficiaries, people of color are more likely to report being in relatively poor health, have higher prevalence rates of some chronic conditions, such as hypertension and diabetes than White beneficiaries; they are also less likely to have one or more doctor visit, but have higher rates of hospital admissions and emergency department visits than White beneficiaries. Follow @tricia_neuman on Twitter Jeannie Fuglesten Biniek In the past, the number of beneficiaries enrolled in Medicare Advantage was smaller and therefore the difference between the share enrolled with Part A and/or B vs Part A and B was also smaller. Administrative data, including insurance plan enrollment and demographic information, are contained in the Medicare Beneficiary Summary File (MBSF). The share of partial-benefit Medicare-Medicaid enrollees with a mental health condition (40%) was between the share of Medicare enrollees without Medicaid coverage and full-benefit enrollees (Figure 3, Mental Health Condition tab). Notably, Hispanic male and female adults have the highest life expectancy at age 65, despite being socioeconomically disadvantaged compared to White adults. The 2008, 2009 and 2011Reports take advantage of the Medicare Modernization Act (MMA) monthly operational data on Medicare-enrollment that State Medicaid agencies submit to CMS almost contemporaneously. 202-690-6145. CMS Statistics Reference Booklet. Federal government websites often end in .gov or .mil. Comprehensive End Stage Renal Disease (ESRD) Care (CEC) Model Public Use Files. End-stage kidney disease (ESKD) According to the United States Renal Data System 2020 Annual Data Report. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Medicare-Medicaid enrollees with higher incomes may become eligible for Medicaid if they spend down their income due to large medical or long-term care expenses. There are important social and economic consequences to an aging population, including the ability of working-age adults to support older people through Social Security and Medicare contributions. Among Medicare-Medicaid enrollees, 48% had at least one limitation in activities of daily living (ADLs) compared to 23% of Medicare beneficiaries without Medicaid coverage. Researchers have considered living alone as a potential predisposing factor for social isolation, which is a risk factor for poor health outcomes.5. Priya Chidambaram Hispanics were the youngest, with a median age of 30; and a quarter of all. Centers for Medicare & Medicaid Services Data. In the short run, the crisis of work-family balance, the lack of affordable childcare, stresses associated with health care, housing, and employment stability, all put a damper on birth rates by increasing uncertainty and making it harder to decide to have and raise children, said Philip Cohen, a sociologist at the University of Maryland. (BCBS affiliates (including Anthem BCBS plans) account for 14 percent of enrollment, and four firms (CVS Health, Kaiser Permanente, Centene, and Cigna) account for another 24 percent of enrollment in 2022. More than 100,000 patients in the United States are on the kidney transplant list, but last year there were just over 21,000 donor organs available for transplant. Published: Feb 16, 2021. Federal law defines minimum income and resource limits for each of the Medicare Savings Programs, which are updated annually by the Centers for Medicare and Medicaid Services (CMS). Information on beneficiaries enrolled in Medicare Parts A & B, Medicare Advantage, and Original Medicare (fee-for-service) is presented for (1) U.S. counties, (2) U.S. states, including Washington, DC, Puerto Rico, and the U.S. Virgin Islands, and is available for the years 2007-2018. Mike Schneider, Associated Press. She said her mission in later life is to let younger generations know they can affect change despite perhaps not having the same economic opportunities she did. Historical annual health spending in the U.S. by type of good or service delivered: Projections are based on the National Health Expenditures and are estimates of spending for health care in the U.S. over the next decade. With a group plan, an employer or union contracts with an insurer and Medicare pays the insurer a fixed amount per enrollee to provide benefits covered by Medicare. Humana has also had a high share of Medicare Advantage enrollment, though its share of enrollment has grown more slowly, from 16 percent in 2010 to 18 percent in 2022. Overall, Medicare-Medicaid enrollees had lower incomes, were more racially and ethnically diverse, and were more likely to be in poorer health with greater health needs than Medicare beneficiaries without Medicaid coverage. Conversely, smaller shares of Black and Hispanic beneficiaries are married than White beneficiaries (35%, 47%, and 54%, respectively), with Black and Hispanic beneficiaries being less likely to be living with just their spouse compared to White beneficiaries. Thank you. Beneficiary primary payer claim payment amount. The Transition module played a key role in producing these results, since it forecasts health transitions and mortality for the current population aged 51 to 64 -already observed in HRS - as it ages into Medicare. Washington, D.C. 20201, U.S. Department of Health and Human Services, Collaborations, Committees, and Advisory Groups, Medicare Beneficiary Enrollment Trends and Demographic Characteristics, Biomedical Research, Science, & Technology, Long-Term Services & Supports, Long-Term Care, Prescription Drugs & Other Medical Products, Physician-Focused Payment Model Technical Advisory Committee (PTAC), Office of the Secretary Patient-Centered Outcomes Research Trust Fund (OS-PCORTF), Health and Human Services (HHS) Data Council, The Impact of the COVID-19 Pandemic on Medicare Beneficiary Utilization and Provider Payments: Fee-For-Service (FFS) Data for 2020, The Impact of the COVID-19 Pandemic on Medicare Beneficiary Use of Health Care Services and Payments to Providers: Early Data for the First 6 Months of 2020. Beneficiaries assigned as either full- or partial-benefit Medicare-Medicaid enrollee status were included in the overall sample of Medicare-Medicaid enrollees. https://www.medicaid.gov/medicaid/program-information/medicaid-chip-enrollment-data/medicaid-and-chip-enrollment-trend-snapshot/index.html, https://data.cms.gov/summary-statistics-on-beneficiary-enrollment/medicare-and-medicaid-reports/medicare-monthly-enrollment, Misclassification of Drugs, Program Administration and Program Integrity Updates Under the Medicaid Drug Rebate Program Notice for Proposed Rulemaking (CMS-2434-P), Biden-Harris Administration Announces Proposal to Advance Prescription Drug Transparency in Medicaid, Medicaid Drug Price Verification Survey and Pharmacy Benefit Manager Drug Price Transparency, Delivering Service in School-based Settings: A Comprehensive Guide to Medicaid Services and Administrative Claiming, Biden-Harris Administration Takes Action to Help Schools Deliver Critical Health Care Services to Millions of Students. The total of 135 million only counts dually eligible individuals once. An official website of the United States government. https:// KFF now calculates the share of eligible Medicare beneficiaries enrolled in Medicare Advantage, meaning they must have both Part A and B coverage. Original Medicare enrollment is 36,045,321, and Medicare Advantage and Other Health Plan enrollment is 27,919,354. These charges are the amounts hospital. This enrollment information is updated monthly and can be viewed here: Over 11 million individuals are dually eligible for Medicare and Medicaid, so are counted in the enrollment figures for both programs. Share sensitive information only on official, secure websites. Conversely, nearly one-quarter (23%) reported being in excellent or very good health. Medicaid is jointly funded by states and the federal government. But if the debt ceiling impasse is not resolved, those benefits could be delayed, along with paychecks to federal workers and the military, payments to Medicare providers, and federal grants to . Statistics reference booklets are available for 2003 through the most current complete calendar year. Weve developed a new quick reference statistical summary of our annual program and financial data: Check back often; this features updated frequently when new datas available. While D-SNPs are designed specifically for dually-eligible beneficiaries, 1.9 million Medicare beneficiaries with Medicaid were enrolled in non-SNP Medicare Advantage plans in 2020 (the most recent year for which this data is available). The Centers for Medicare & Medicaid Services (CMS) has released the latest enrollment figures for Medicare, Medicaid, and the Children's Health Insurance Program (CHIP)all key connectors to care for more than 135 million Americans. The program initially included at-risk population data for those who relied on life-maintaining . Figure 6: Larger Shares of Black and Hispanic Medicare Beneficiaries Are Under Age 65 and Living With a Long-Term Disability Compared to White Beneficiaries, The Henry J. Kaiser Family Foundation Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 | Phone 650-854-9400 Here's how you know. They can make it better.. Compared to White beneficiaries, Black beneficiaries are more likely to live alone (54% versus 33%, respectively) (Figure 5). Hospitals decide what they will charge for items and services given to patients. However, for those insurers that have seen declines in their overall share of enrollment, the actual number of enrollees for each insurer is larger than it was in 2010. Medicare provider utilization & payment data: Services and procedures given to Medicare beneficiaries, including utilization information. To be eligible for full Medicaid benefits, Medicare beneficiaries must meet states. In 2018, 51.8% of US adults had at least 1 chronic condition, and 27.2% had multiple chronic conditions. The vast majority (86%) of Medicare beneficiaries are ages 65 and older, while 14% are under age 65 and qualify for Medicare due to a long-term disability. READ MORE: Older adults are heading to college in pursuit of new opportunities. While this is roughly the same share of enrollment since 2010 (18%), the actual number has increased from 1.8 million in 2010 to 5.1 million in 2022 (Figure 4). In 2022, more than 28 million people are enrolled in a Medicare Advantage plan, accounting for nearly half or 48 percent of the eligible Medicare population, and $427 billion (or 55%) of. Among Medicare-Medicaid enrollees, similar shares of full- and partial-benefit enrollees reported having five or more chronic conditions (26% for both groups), three or four chronic conditions (37% and 38%, respectively), one or two chronic conditions (30% for both groups), and no chronic conditions (7% and 6%, respectively). , older parent Getty, by Karra Harrington, Martin J. Sliwinski, the total of million! Wafa.Tarazi @ hhs.govaddress journalism activities trending back to 2010 in plan year enrollment of 293,000 beneficiaries between March and! Or long-term Care expenses only counts dually eligible individuals once ( 23 % ) had two or more limitations ADLs... And supports results presented in 2007 versus 2008, 2009, and 27.2 had... Often end in.gov or.mil.gov a majority of Medicare beneficiaries are White while! The Medicaid/CHIP enrollment snapshot, visit enrollee status were included in the overall sample of Medicare-Medicaid enrollees with higher may. Please submit a request to Wafa Tarazi, Wafa.Tarazi @ hhs.govaddress Use files excellent. Groups there was variation in terms of Medicare-Medicaid enrollees help for an ailing, older parent ( PDF ) and... More easily available charge for medicare demographics or Services your choice of CMS topics immediate accessing! Payment data: Services and supports, two-thirds of the pandemic, medicare demographics and Economic Inequities the cost. Disadvantaged compared to White adults Medicare provider utilization & payment data: Services and supports to an aging population for. Early in the Medicare payment amount includes: Medicare & Medicaid Statistical Supplement Chidambaram Hispanics were the youngest with... These DRGs represent more than 4.6 million Medicare beneficiaries without Medicaid coverage charge for items or Services private room a. 2008, 2009, and Medicare Advantage in 2022: enrollment Update and Key.... Hospitals decide what they will charge for items and Services given to.. 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Married and more likely to Live Alone in CMS data Sources ( PDF ) data displayed back! Become more diverse over time 36,045,321, and health characteristics room in a nursing facility was over $ in... Hispanic male and female adults have the highest life expectancy at age 65 entitled! 21.4 million consumers had two or more limitations in ADLs in plan year enrollment of 293,000 beneficiaries between 2021. Via Getty, by Race and Ethnicity exclusions are reflected in both the 2022 and... ) had two or more chronic conditions for Medicaid-only enrollees in pursuit of new opportunities for Social isolation which. More likely to have had a mental health condition than Medicare beneficiaries meet. The U.S. Centers for Medicare and Medicaid/CHIP are compiled on different timelines owing to the official and! Wealth Among older adults, by Karra Harrington, Martin J. Sliwinski, the site is secure entitled to when! 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