Managed Healthcare Executive June 16, 2019
Enrollment growth is one of—if not the—most important consideration in the early years of a start-up Medicare Advantage (MA) organization (MAO). Enrollment impacts an MAO’s revenue and profitability and is a key driver to becoming successful. For these reasons, enrollment projections are a critical component of any new MAO’s financial pro forma. However, enrollment assumptions are often difficult to develop, especially for a new MAO without any prior experience.
But there are ways to better understand enrollment potential for new organizations. To better inform enrollment expectations for new MAOs, Milliman, analyzed historical enrollment experience for 109 parent organizations new to the MA market from 2007 to 2018, including by population type and size.
This...
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