Get the critical market intelligence you need to gain a competitive edge in a fraction of the time it would take otherwise

Today’s Medicare Advantage and Prescription Drug Plan market is complex and constantly evolving.  You could spend countless hours and resources just trying to gather -- let alone compare – the most critical market- and product-specific intelligence you need in order to do business in this arena. Or you could easily access, compare, and customize this information from one reliable central source – with just a few clicks of the mouse.

Medicare Data Solution is Gorman Health Group’s proprietary, comprehensive, searchable, customizable 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.  

Nationwide view of Medicare Advantage penetration data at the county level

Criteria can be defined for number of eligibles, number of enrollees, and/or minimum penetration rate.

Click on links below to learn how Medicare Data Solution can help you gain a competitive edge:

Health Plans and PDPs

Investors and Associations

 

 

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

 

Medicare Advantage Revenue/Cost Projections

Reports can display multiple service areas, including county detail.

Health plans, PDPs, pharmaceutical companies, investor groups, associations, and others can leverage Medicare Data Solution’s powerful, flexible market analytic capabilities and user-friendly, mapping interface 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

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 fast 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.

 

Contact us today to learn how Medicare Data Solution can be customized for you. Call us at (202) 364-8283 or email us at MDS@gormanhealthgroup.com.

 

 

CMS Publishes Final 2009 MA Capitation Rates and Part D Payment Policies; CMS Will Conduct Plan Level Audits and Not Make Coding Intensity Adjustments for 2009, 04.10.08
2009 Advance Notice of Capitation Rates, 3.04.08
CMS Call Letter Establishes New Requirements and Reporting Metrics for Plans 1.24.08
Other SNP Sponsors Could Follow In QMed's Wake, Consultant Says; Medicare Advantage News, 11.15.07
The Medicare Outlook: Keys to Success in the New Senior Market, Munich Re America HealthCare Newsletter, 11.01.07
 
Protecting Beneficiaries: Improving & Monitoring Medicare Marketing Practices - AHIP, 05.07
Hard Sell Cited as Insurers Push Plans to Elderly, New York Times, 05.07.07
Advantage Plan's Risk- Wall Street Journal, 04.22.07
Power Shift in Congress Revives Health Debate - New York Times, 01.02.07
 

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