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Deft Research

Deft Research

市场调研

Minneapolis，MN 1,862 位关注者

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关于我们

Deft Research is the healthcare industry’s trusted source for relevant market and consumer information. We are committed to helping our clients identify opportunities for innovation and better service and communicate with their members. Our research and guidance supports the nation’s top healthcare brands in making more confident business plans and decisions. We offer both innovative custom solutions and industry leading syndicated services.

网站
https://www.deftresearch.com
所属行业
市场调研
规模
11-50 人
总部
Minneapolis，MN
类型
私人持股
创立
2005
领域
Acquisition and Retention Modeling、Agent/Broker Studies、Conjoint Analysis、Employer Research、Market Assessments、Member Experience Studies、Quality Ratings Diagnostics、Syndicated Reports、Segmentation和Secondary Data Analysis

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  • 查看Deft Research的组织主页
    Deft Research

    1,862 位关注者

    ?? Major ACA Marketplace Changes Proposed for 2025—What’s Next? ?? The new CMS Marketplace Integrity and Affordability Rule could shake up the health insurance landscape. Key takeaways: ? Tighter eligibility rules – Consumers could lose tax credits after one year of non-filing, not two. ? Shorter Open Enrollment – Moving the deadline from Jan 15 to Dec 15 aligns with employer plans but limits consumer flexibility. ? Stricter fraud prevention – Enhanced income verification and tax filing requirements aim to reduce improper enrollments but may add administrative complexity. ? DACA recipients out – CMS proposes revoking ACA eligibility, sparking policy and ethical debates. ? No more $0 plans? – Automatic re-enrollment may require at least a $5 premium to keep coverage active. These changes could impact risk pools, premium stability, and overall access to care. What impact do you think these policies will have on enrollment, premiums, and overall healthcare affordability? Let’s discuss. ??

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    Deft Research

    1,862 位关注者

    Did you know that enrollment in Part B Givebacks plans more than doubled (+157%). Check out the post from George Dippel on impacts that he foresees coming from our MA Growth Tracker https://bit.ly/47FXbds

    查看George Dippel的档案
    George Dippel

    President at Deft Research

    As seen in an image from Deft’s 2025 MA Growth Tracker below, enrollment in Part B Giveback plans skyrocketed for 2025, more than doubling from just 2.6 million to a whopping 6.7 million in the Individual, non-SNP MA market. Givebacks are now a benefit that 31% of non-SNP seniors have, whereas last year only 12% had them. Providing a benefit like Part B Givebacks comes with a heavy PMPM price tag that plan designers have to offset somewhere else. With more carriers initiating medical deductibles for 2025 and with the percentage of seniors paying drug deductibles jumping from 23% to 60%, there was room to add some cost to plans despite recent reimbursement challenges and the IRA. But getting more MA seniors hooked on a larger Social Security check may make it harder to retain those consumers should givebacks become less tenable in future benefit years. The market has told us that once you give seniors a cash benefit, it is very, very difficult to take it away. Over the last 6 years the percentage of seniors paying $0 premiums in the Individual, non-SNP space has grown from 59% to today’s 76%--never once going down. During that same stretch, Givebacks have grown from just 4% of the market to now 31%--never once going down. For 20 years, Deft Research has been providing market research services and insights for the senior and commercial health insurance markets to help our clients drive better business decisions. Weekly, I will be providing snippets from our latest studies and sharing our thoughts based on our research. #DeftResearch?#MAGrowth?

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    Deft Research

    1,862 位关注者

    ?? Exciting news from CMS! ?? The latest data from OEP enrollments is in, and the results are impressive! - MA grew 1.33% during the 2025 AEP - Full-Pay MA grew by 0.8% over the AEP - C-SNP saw major growth, with enrollment increasing 25% - D-SNP enrollment was solid over the full AEP, with growth of 0.8% - Of the national carriers, Cigna and Elevance displayed large enrollment increases over the full AEP. Cigna grew 19%, Elevance grew 11%, United did not make major gains, it had a good AEP for enrollment with growth of 4%, Humana, Aetna, and Centene saw enrollment declines around 6%, Devoted Health lost nearly 15% of its membership during the full AEP. See chart below for the 30 largest MA carriers only. The Deft MA Growth Tracker is a go-to tool for quickly accessing the latest CMS data and gaining valuable insights. Given this unpredictable year- we will be tracking enrollments closely this AEP. Our MA Growth Tracker is a tool that can help navigate the data in just a few clicks. Check out the link to learn more!??https://hubs.li/Q038jW0J0 #CMS #OEP #Enrollments #GrowthTracker #AEPMonitoring #DeftResearch ??

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