?? 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. ??
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.
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https://www.deftresearch.com
Deft Research的外部链接
- 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
地点
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主要
Suite 1370
US,MN,Minneapolis,55402
Deft Research员工
动态
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Happy Employee Appreciation Day from Deft Research! ?? We value our team every day and are so grateful to have you all. Your hard work and dedication are the driving force behind our success. Thank you for being an essential part of our journey! #EmployeeAppreciation #TeamDeft #Grateful
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The 2025 AEP saw an unprecedented shake-up in Medicare Advantage plans. Did you know that 1 in 6 seniors switched their coverage for 2025? Take a look at a few interesting facts from our Medicare Shopping and Switching Study released a few weeks ago. To learn more click here https://hubs.li/Q039J3zK0 #DeftResearch #MAInsights
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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
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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Which Rising Factors Now Drive Shopping and Switching? Dive into this year’s Individual and Family Plan Shopping and Switching Study for a deep look at the latest trends from the ACA market’s recent Open Enrollment Period. Click here to get the Free Executive Research Brief. https://hubs.li/Q038jCLx0 #ACAInsights #DeftResearch
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Live in Action! Check out George Dippel giving his presentation on the Trends in Medicare Consumer Shopping and Switching yesterday at the MMS Rise event! Deft Research and Integrity partners at at booth #303 if you are at the event, come visit! #MMSRise #MedicareTrends #HealthcareInnovation
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?? 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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Did you know that the ACA enrollment surged this OEP with another 3.1 million new members ?? Deft's latest study on the IFP Shopping and Switching reveals key trends impacting the ACA. Take a look at this video with George Dippel to learn more. ?? #ACAInsights #ICHRAInsights #DeftResearch
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With the Inflation Reduction Act reshaping the 2025 AEP, Medicare Advantage plans are facing new challenges that will have lasting implications for 2026. Join us in a complimentary webinar where we will team up with Rebellis Group to talk about the topic of: Navigating the Chaos: Key AEP 2025 Trends Shaping 2026 MA Bid Strategy. Details below. Register here: https://hubs.li/Q037Qd4p0
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Subscribe to our exclusive monthly newsletter to get the latest news, insights, and upcoming product launches delivered right to your inbox. The Dish by Deft is your go-to source for all things Medicare and Commercial. If you haven't joined us yet, subscribe to our newsletter https://hubs.li/Q037z8dP0 Don't let this opportunity pass you by! #SubscribeNow #TheDishByDeft
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