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Health Insurers Outline Medicare Expansion Plans

Margaret Dick Tocknell, for HealthLeaders Media, May 30, 2012

Humana
Humana projects that it will add 330,000 to 340,000 new Medicare Advantage members this year. It has targeted these growth opportunities:

  • Medicare age-ins as baby boomers retire
  • Group Medicare business
  • Longer-term Medicare/Medicaid dual-eligibles

It has formed an alliance with CareSource, a Dayton, Ohio-based Medicaid health plan, to serve dual-eligibles in several states. CareSource operates primarily in Ohio and Michigan, but through this alliance is expected to expand its geographic footprint.

UnitedHealth Group
The utilization trend that began in 2011 continues with the first quarter showing a "modest" increase across Medicare, Medicaid, and its commercial lines of business. Outpatient and inpatient each posted increased utilization with inpatient "very restrained." Hospital bed days were flat to down in each business line.

The pending acquisition of two South Florida health plans will help boost Medicaid and Medicare Advantage membership. Miami-based Preferred Care Partners and Coral Gables-based Medica HealthCare Plans will add about 12,000 Medicaid members and 85,000 Medicare Advantage members. The acquisition also includes eight primary care centers.

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