CMS: Medicare enrollment broke 66.2M in July; Medicare Advantage reached 48.7% of total

Every month for years now, the Centers for Medicare & Medicare Services (CMS) has published a monthly press release with a breakout of total Medicare, Medicaid & CHIP enrollment; the most recent one was posted in late February, and ran through November 2022.

Since December 2022, however, they haven't sent out the normal press release; instead, they included a brief note leading to a Medicaid/CHIP data slideshow , along with another note leading to their new Medicare Monthly Enrollment database.

In any event, according to the spreadsheet I exported, as of July 2023:

  • Total Medicare beneficiaries reached 66,208,231...up 144,137 from June.
    • Original Medicare beneficiaries stood at 33,957,691...up 23,647 from June.
    • Medicare Advantage beneficiaries reached 32,131,050...up 119,490 from June.
    • Enrollees 65+ reached 58,599,594 (up 170,072)
    • Enrollees under 65 (for various disabilities): 7,608,637  (down 25,935)

The most significant takeaway here is that whle traditional Medicare enrollment did increase slightly for the first time in awhile, Medicare Advantage (MA) enrollment inceased substantially faster...putting Medicare Advantage enrollment at 48.7% of the total.

Over the past 5 years, Medicare Advantage enrollment has increased from 35.5% of all Medicare enrollment to 48.7% as of July, and is clearly set to take over as the default path very soon...likely sometime next year. Obviously whether this is a good or bad thing depends on your perspective, but unless there are significant policy changes to one or both, it's pretty much inevitable.

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