2025 Medicare Trends: Contraction, Growth, and Strategic Shifts
Discover key 2025 Medicare trends, from plan count declines to growth in special needs plans. Explore strategic shifts, state-level changes, and market evolution impacting Medicare Advantage.
Mixed Performance in HMO and PPO SNP Plans, With New Growth Opportunities
HMO and PPO plans see mixed trends, with Non-SNPs declining but new additions indicating recovery. D-SNPs and C-SNPs show strong growth, while I-SNPs face mixed performance.
New plans increase despite a reduction in total HMO and PPO offerings
HMO and PPO plans see declines, but new additions surge by 12% and 16% respectively. Explore market trends and opportunities for innovation.
27% of C-SNPs in 2025 are new plans, though no Initial Contracts were introduced
SNPs show growth in 2025, with C-SNPs up 21% and D-SNPs expanding 8%. Meanwhile, I-SNPs declined, and Non-SNP plans fell 5.6%, revealing a shift toward specialized care.
Renewal Plans with SAR increased from 8% to 18% in MA Only plans and from 3% to 11% in MAPD plans.
Medicare Advantage plans face a 2.3% decline, but new MA Only plans grew by 32%, reflecting innovation despite market contraction.
State-by-State Medicare Advantage Trends: Growth in 38%, Shifts in 54%, Stability in 8%
In 2025, state-level Medicare Advantage plans show diverse trends, with 38% growing, 54% declining. Key states expand while others consolidate.
First-ever shift: Medicare Advantage plan count reduces from 5,805 to 5,682 in 2025
Explore 2025 Medicare Advantage trends, with plan counts dropping and Renewal Plans with SAR surging. Uncover new growth opportunities.
