As MA Enrollment Slows, Opportunity Knocks in Chronic Condition SNPs
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Mar 06, 2025
While Medicare Advantage enrollment during the 2025 Annual Election Period (AEP) fell slightly short of CMS’s expectations, February enrollment figures reflect sizable growth in the Chronic Condition Special Needs Plan (C-SNP) market. That growth was largely driven by dominant SNP operator UnitedHealthcare, but industry experts say it may indicate a larger trend as state contracting requirements for Dual Eligible Special Needs Plans (D-SNP) pose challenges. Meanwhile, smaller insurers that saw more than their expected share of MA enrollment this AEP could face headwinds if they’re not operationally ready, sources tell AIS Health, a division of MMIT.
Prior to the start of the AEP, which ran from Oct. 15 through Dec. 7, CMS projected that MA enrollment would climb to 35.7 million, for overall MA penetration of 51%. But AIS Health’s analysis of the Directory of Health Plans (DHP), which includes February enrollment data released by CMS, shows that overall MA enrollment now exceeds 34.2 million, representing just over 50% of the eligible Medicare population. (DHP’s figures do not include enrollment in Medicare-Medicaid Plan demos or Programs of All-Inclusive Care for the Elderly, and therefore they appear lower than CMS’s summary data.)
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