An AI-powered Medicare Advantage platform that delivers innovative Product and Market Intelligence solutions by leveraging public and private healthcare data.
MarketIntel+™ provides quick and efficient access to complex national level Medicare Advantage market data & analytics in an easy to understand and appealing visual format.
ProductIntel™ is designed specifically for Medicare Advantage product design teams, providing key analytics for bid development and product lifecycle management.
With NetworkIntel™, you can quickly analyze the competitiveness of each Provider Network in the market, compare composition down to the NPI, and increase the marketability of your networks.
MarketIntel™ provides quick and efficient access to complex national level Medicare Advantage market data & analytics in an easy to understand and appealing visual format.
ProductIntel™ is designed specifically for Medicare Advantage product design teams, providing key analytics for bid development and product lifecycle management.
With NetworkIntel™, you can quickly analyze the competitiveness of each Provider Network in the market, compare composition down to the NPI, and increase the marketability of your networks.
This report analyzes Medicare Advantage (MA) dynamics, highlighting UnitedHealth Group’s enrollment lead and CVS Health Corporation’s growth. State-level shifts show CVS Health as a dominant net enrollment player. The complex relationship between eligibility and enrollment underscores the market’s intricacies, offering valuable insights for strategic planning.
The 2024 Medicare Advantage market shows consolidation and selective growth, with membership at 33 million. Despite few new plans, states like Florida, Texas, and California remain prominent, while Indiana and Virginia emerge as competitors. Understanding these trends is vital for navigating healthcare’s evolving landscape.
In 2024, Medicare Advantage plans in the U.S. saw a rise in 4★ ratings, notably in PPO plans. CVS Health rebounded to 70% 4★ or higher. Sustainability trends varied across plan types and Payors.
In 2024, SSBCI benefits in Medicare Advantage plans show varied trends. Food Produce rises to 14.5%, while Home Modifications decline. HMO plans increase Food Produce and General Support, but Social Needs Quality decreases. PPO plans exhibit minor expansion.
Premium cost plays a pivotal role in Medicare Advantage plan choice, affecting expenses and benefits. We categorize premiums from $0 to over $300, offering insights into Supplemental and Enhanced benefits’ patterns based on CMS data.
This analysis delves into D-SNP Supplemental and Enhanced Benefits, unveiling trends in HMOs and PPOs. Benefits coverage shifts are evident, with Fitness and Remote Access Technologies playing pivotal roles in D-SNP plans.
A deep dive into the 2023 AEP enrollment data, including year-over-year trends, regional variations, and emerging markets.
In this webinar we assess the competitive rank of each network in a market, exploit opportunities, and identify the most influential physicians and hospitals.
In this webinar we analyze the 2022 AEP enrollment data as we dive into year-over-year trends, regional variations, emerging markets, and much more.
We focus on the application of xAI in healthcare marketing, with emphasis on how Payers and Providers can measure the impact of individual variables to increase marketing ROI.
We discuss how Explainable AI (xAI) models are the foundation of an analytical revolution in healthcare marketing.
Webinar #5 of 5 – In this webinar we’ll breakdown how xAI empowers real-time plan design simulation.
In the highly competitive market of Medicare Advantage, every strategic decision requires fast and efficient access to complex data, accurate predictions, and a reliable single source-of-truth for critical analytics. Disruption in any one of those requirements can have a devastating, long-term impact on an organizations ability to compete and acquire market share.
HealthWorksAI provides Health Plans with solutions that deliver crucial data & advanced analytics at the Speed of Business. With years of national level market data, advanced analytics modeling, and proprietary simulators accessible with a single click, we provide a true Gift of Time and allow organizations to focus on the important strategic decisions instead of cumbersome data processes.
*Client identities are masked due to confidentiality agreements. References are available upon request.
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Our Medicare Advantage Market experts would love to show you how HealthWorksAI products can optimise your MA strategy. For more information, request a 30-mins demo.
