Medicare Data Solution (MDS)

To conduct Medicare market analysis, plans and other observers spend countless hours and resources just gathering -- let alone analyzing– the critical market intelligence you need.

Instead, utilize Gorman Health Group’s Medicare Data Solution to easily access, compare, and customize this information with just a few clicks of the mouse.

MDS is a comprehensive, searchable, market analytics tool and national database containing the most currently available, integrated MA-PD and PDP data at the national, regional, state, and county* levels.  Health plans can leverage MDS'powerful, flexible market analytic capabilities and user-friendly, mapping interface to understand local, regional, and national market trends.

What Medicare Data Solution Helps You Do:

• Learn exactly where your competition is – and track their sales growth.
• Know  what your competition offers compared to you -- and in which markets -- in terms of product types (ie, MA PPO, MSA, SNP, etc.) as well as  formulary and benefit designs.
• Track demographic changes so you can identify the most promising emerging markets.
• Use enrollment, eligibility, cost revenue ratios, and demographic data to do high-level financial feasibility studies to determine whether or not it makes sense to expand or enter into a particular market.
• Conduct the tasks most critical to your strategic planning and to sharpening your industry knowledge in just a fraction of the time it would take you otherwise.

What Medicare Data Solution allows you to obtain and compare:

• Market-specific and plan-specific MA-PD and PDP enrollment, penetration and market share
• Medicare enrollment reports and comparisons plus optional access to regional demographic reports)
• Medicare product offerings (by specific company and/or by region)
• Revenue/cost ratios by county (i.e., which Medicare regions, down to the county level, are the most financially attractive)
• Benefit and formulary designs (premiums, deductibles, coverage limits, formulary tiering and utilization management by plan
• Drug specific reports that can tell you which plans have a particular drug on formulary, whether the plan has prior authorization, step therapy edits or quantity limits in place, or which plans have specific drugs on formulary.
• Other client-provided data sets as requested and supplied.

Generating Reports Using Medicare Data Solution

Users can customize reports based on whatever market searches and comparisons they choose: National, CMS Region, State-by-State, county-by-county, or by creating one’s own customized market. Users can also customize reports by plans, or specific drugs in specific markets. Custom markets can be saved to your user profile, making it quick and easy for you to view your critical markets as needed.  Reports and searches can be based on either MA or PDP enrollment.  Medicare Data Solution is so flexible it allows users to incorporate other data sources to create even more meaningful comparisons and reports.

For more information: call us at 202-364-8283 or email MDS@gormanhealthgroup.com.

*Some data provided by CMS and other government sources is provided at the county level, while other data are provided at the state and regional levels only.