Transcript Number of Medicare Part D Stand-Alone Prescription Drug Plans

Exhibit 1
Number of Medicare Part D Stand-Alone Prescription Drug Plans,
2006-2014
1,875
1,824
1,689
1,576
1,429
1,109
2006
2007
2008
2009
2010
2011
1,169
1,041
1,031
2012
2013
NOTE: Excludes plans in the territories. Total for 2014 includes 168 plans under CMS sanction and closed to new enrollees as of
October 2013.
SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP landscape source files, 2006-2014.
2014
Exhibit 2
Number of Medicare Part D Stand-Alone Prescription Drug Plans,
by Region, 2014
National Average: 35 PDPs
32
ME, NH
35
33
OR, WA
34
37
31
33
IA, MN, MT, NE,
ND, SD, WY
36
ID, UT
34
38
34
36
34
33
36
36
35
36
29
37
35
NJ
39
PA, WV
35
34
35
35
AL, TN
33
28
34
IN, KY
34
34
33
35
28-33 drug plans (9 regions)
NOTE: PDP is prescription drug plan. Excludes plans in the territories. Includes
168 plans under CMS sanction and closed to new enrollees as of October 2013.
SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS
PDP landscape source file, 2014.
CT, MA,
RI, VT
34 drug plans (8 regions)
35 drug plans (7 regions)
36-39 drug plans (10 regions)
36
DE, DC, MD
Exhibit 3
Weighted Average Monthly Premiums for Medicare Part D
Stand-Alone Prescription Drug Plans, 2006-2014
$45
$40
$35.09
$35
$30
$25.93
$27.39
$37.25 $38.29 $37.57 $38.14
$29.89
$39.90
2013-2014:
5%
projected
increase
$25
$20
Projected
2006-2014: 54% increase
$15
$10
$5
$0
2006
2007
2008
2009
2010
2011
2012
2013
NOTE: Average premiums are weighted by enrollment in each year. Excludes plans in the territories. Estimate for 2014 includes
premiums for 168 plans under CMS sanction and closed to new enrollees as of October 2013.
SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP enrollment and landscape files, 2006-2014.
2014
Exhibit 4
Distribution of Changes in Monthly Premium Amounts for
Medicare Part D Stand-Alone Prescription Drug Plan Enrollees
If Enrollees Do Not Switch Plans Between 2013 and 2014
Decrease of $10
or more
4%
Increase of
more than $10
14%
$1 to $10
decrease
31%
$1 to $10
increase
44%
Minimal change
7%
NOTE: “Minimal change” represents premium changes of no more or less than a $1 increase or decrease. Analysis includes 168
plans under CMS sanction and closed to new enrollees as of October 2013.
SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP enrollment, crosswalk, and landscape files, 2014.
Exhibit 5
Premiums in Medicare Part D Stand-Alone Prescription Drug Plans
with Highest 2013 Enrollment, 2006-2014
Name of PDP in 2014
First
year
plan
offered
2013 Enrollment
(of 18.2 million)
Weighted Average
Monthly Premium1
% Change
Number
% of
Total
First
year
2013
2014
20132014
First year2014
AARP MedicareRx Preferred
2006
3,830,000
21.0%
$26.31
$40.45
$43.41
+7%
+65%
SilverScript Basic2
2006
2,868,000
15.8%
$30.94
$33.05
$29.43
-11%
-5%
Humana Preferred
2011
1,817,000
10.0%
$14.80
$18.50
$22.72
+23%
+54%
Humana Enhanced
2006
1,297,000
7.1%
$14.73
$43.73
$47.53
+9%
+223%
AARP MedicareRx Saver Plus
2013
723,000
4.0%
--
$15.00
$23.22
+55%
--
First Health Value Plus
2012
721,000
4.0%
$25.44
$29.47
$44.58
+51%
+75%
First Health Essentials
2006
704,000
3.9%
$24.98
$37.26
$50.80
+36%
+103%
Cigna Medicare Rx Secure
2006
684,000
3.8%
$35.05
$35.69
$30.85
-14%
-12%
WellCare Classic
2007
634,000
3.5%
$15.80
$33.39
$20.72
-38%
+31%
NOTE: PDP is prescription drug plan. Some PDPs listed here have undergone name changes since the first year the plan was offered
that are not shown here. 1Average premiums are weighted by enrollment in each region for each year. 2Plan is under CMS sanction
and closed to new enrollees as of October 2013.
SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP enrollment, crosswalk, and landscape files, 2006-2014.
Exhibit 6
Change in Weighted Average Premiums for Medicare Part D
Stand-Alone Prescription Drug Plans, by Region, 2014
National Average: 5% increase
-4%
ME, NH
7%
2%
OR, WA
9%
9%
6%
IA, MN, MT, NE,
ND, SD, WY
5%
2%
15%
4%
9%
2%
4%
3%
4%
3%
0%
NJ
1%
PA, WV
5%
IN, KY
2%
2%
12%
10%
AL, TN
2%
9%
11%
5% 6%
ID, UT
16%
-4%
5%
-6%
14%
-6% to 0% change (4 regions)
NOTE: Includes 168 plans under CMS sanction and closed to new enrollees as of
October 2013.
SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP
enrollment, crosswalk, and landscape files, 2013-2014.
CT, MA,
RI, VT
1% to 3% change (9 regions)
4% to 6% change (9 regions)
7% to 16% change (12 regions)
4%
DE, DC, MD
Exhibit 7
Share of Medicare Part D Stand-Alone Prescription Drug Plans,
By Type of Gap Coverage, 2006-2014
72%
71%
85%
75%
81%
73%
76%
69%
82%
In 2014, the coverage
gap is partially filled by a
50% price discount and
2.5% plan payment for
brand-name drugs and
28% plan payment for
generic drugs, as
required by the ACA
No/Little Additional
Gap Coverage
Mostly Generics
27%
13%
2%
2006
1%
2007
29%
2008
25%
2009
19%
2010
14%
18%
17%
9%
7%
2011
2012
Generics and Brands
16%
2%
13%
2013
2014
1,429 PDPs 1,875 PDPs 1,824 PDPs 1,689 PDPs 1,576 PDPs 1,109 PDPs 1,041 PDPs 1,031 PDPs 1,169 PDPs
NOTE: ACA is the Patient Protection and Affordable Care Act. Analysis excludes plans in the territories. The category "No/little" gap coverage
includes plans offering coverage of few generics (and for 2014 few brands). In 2008 and 2009, the number of plans offering gap coverage for
brands rounds to 0%. Totals may not sum to 100% due to rounding. Total for 2014 includes 168 plans under CMS sanction and closed to new
enrollees as of October 2013; 2014 analysis excludes missing coverage gap data for SmartD Rx Plus PDP (3% of PDPs in 2014).
SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP landscape source files, 2006-2014.
Exhibit 8
Share of Medicare Part D Stand-Alone Prescription Drug Plans,
By Type of Gap Coverage,* 2014
In 2014, the coverage gap is partially filled by a 50% price discount and 2.5% plan payment for
brand-name drugs and 28% plan payment for generic drugs, as required by the ACA
No/little additional
gap coverage includes:
• No gap coverage (76%)
• Few generics (3%)
• Few brands (3%)
Generics
and brands
No/little additional
gap coverage
82%
Additional gap coverage for generics
and brands includes:
• Many generics and some brands (6%)
• Many generics and few brands (<1%)
• Some generics and some brands (7%)
13%
2%
Missing
Mostly generics
Additional gap coverage for
mostly generics includes:
• Some generics (1%)
• Many generics (1%)
Total Number of PDPs in 2014 = 1,169
NOTE: ACA is the Patient Protection and Affordable Care Act. PDP is prescription drug plan. Total includes 168 plans under CMS
sanction and closed to new enrollees as of October 2013. Missing coverage gap data is for SmartD Rx Plus PDP. *Percent of
formulary drugs covered in the gap: “few”=>0%-<10%; “some”=≥10%-<65%; “many”=≥65%-<100%.
SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP landscape source file, 2014.
Exhibit 9
Share of Medicare Part D Stand-Alone Prescription Drug Plans,
By Deductible Amount, 2006-2014
No
deductible
Partial
deductible
58%
60%
59%
Standard
deductible
amount:
8%
8%
42%
47%
45%
47%
24%
18%
10%
10%
4%
43%
45%
49%
55%
Standard
deductible
8%
40%
11%
34%
32%
33%
34%
36%
40%
2006
2007
2008
2009
2010
2011
2012
2013
2014
$250
$265
$275
$295
$310
$310
$320
$325
$310
NOTE: Estimates may not sum to total due to rounding. Analysis for 2014 includes 168 plans under CMS sanction and closed to
new enrollees as of October 2013.
SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP landscape source files, 2006-2014.
Exhibit 10
Number of Medicare Part D Stand-Alone Prescription Drug Plans
Available Without a Premium to Low-Income Subsidy Recipients,
2006-2014
640
157
De minimis plans*
Benchmark plans
495
53
409
308
409
483
327
74
75
113
258
252
218
352
331
79
442
308
Total
number 2006
of PDPs: 1,429 PDPs
307
332
307
273
2007
2008
2009
2010
2011
2012
2013
2014
1,875 PDPs
1,824 PDPs
1,689 PDPs
1,576 PDPs
1,109 PDPs
1,041 PDPs
1,031 PDPs
1,169 PDPs
NOTE: PDP is prescription drug plan. Excludes plans in the territories. Analysis for 2014 includes 168 plans under CMS sanction and
closed to new enrollees as of October 2013. *De minimis plans can retain Low-Income Subsidy beneficiaries despite exceeding the
benchmark premium by $2 in 2007, $1 in 2008, and $2 in 2011-2014.
SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP landscape source files, 2006-2014.
Exhibit 11
Number of Benchmark Plans, by Region, 2014
Total Number of Benchmark Plans Across All Regions = 352
4 to 7
8 to 10
11 to 12
13 to 15
(6 regions)
(8 regions)
(10 regions)
(10 regions)
7
ME, NH
12
8
10
OR, WA
12
IA, MN, MT, NE,
ND, SD, WY
13
13
5
9
11
11
7
14
13
12
11
4
8
PA, WV
15
13
10
8
IN, KY
11
12
14
13
12
ID, UT
4
8
AL, TN
13
CT, MA, RI, VT
12
NJ
13
DE, DC, MD
9
5
HI
NOTE: Includes “de minimis” plans that can retain Low-Income Subsidy beneficiaries despite exceeding the benchmark premium by
$2 in 2014; includes 168 plans under CMS sanction and closed to new enrollees as of October 2013.
SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP landscape source file, 2014.
Exhibit 12
Change in Number of Benchmark Plans, By Region, 2013-2014
Net Change in Benchmark Plans Across All Regions = +21
Increase +1 to +4
No change
Decrease -1 to -6
(20 regions)
(5 regions)
(9 regions)
-3
ME, NH
+2
+2
OR, WA
+2
+2
+3
-1
ID, UT
+4
+1
+1
0
+3
+1
-1
+4
PA, WV
+4
+2
+3
-4
+3
IA, MN, MT, NE, ND,
SD, WY
0
+4
+3
IN, KY
+2
-2
-3
0
-6
AL, TN
0
CT, MA, RI, VT
-4
+3
-6
HI
NOTE: Analysis includes 168 plans under CMS sanction and closed to new enrollees as of October 2013.
SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP landscape source files, 2013-2014.
+2
NJ
0
DE, DC, MD
Exhibit 13
Low-Income Subsidy (LIS) Enrollment by Benchmark Plan Status,
as of 2014 Open Enrollment Period
2013 plan IS
benchmark plan
in 2014
2013 plan
IS NOT benchmark
plan in 2014
6.3 million LIS
enrollees
(77%)
1.9 million LIS
enrollees
(23%)
Total LIS Enrollment in PDPs in 2013 = 8.2 million
NOTE: CMS is Centers for Medicare & Medicaid Services. PDP is prescription drug plan. Analysis includes enrollment in PDPs only.
Analysis includes 168 plans under CMS sanction and closed to new enrollees as of October 2013.
SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP enrollment, crosswalk, and landscape files, 2013-2014.
Exhibit 14
Number of Benchmark Plans Offered by Four Major Part D
Organizations, 2006-2014
Number of
PDP regions
(out of 34):
2006
2007
2008
34
30
30
28
27
31
2009
34 34 34 34
2010
33
2011
34
2012
2013
2014
34
32
31
30
28 28
27
25
27
25
23
22
22
21 21
20
17
15
10
9
7
3
4
0
CVS Caremark
Humana
UnitedHealth
Cigna
2,635,000 LIS enrollees
in 2013
1,112,000 LIS enrollees
in 2013
1,057,000 LIS enrollees
in 2013
1,014,000 LIS enrollees
in 2013
NOTE: PDP is prescription drug plan. Plan count for Cigna for 2014 includes recently-acquired HealthSpring plans.
SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP landscape source files, 2006-2014.