Medicare Advantage Now Chosen By The Majority Of Minority And Low-Income Beneficiaries

Health Affairs December 21, 2022
David Muhlestein, Nathan Smith

Medicare Advantage (MA) has become increasingly popular over the past decade, with significant movement of beneficiaries away from traditional fee-for-service Medicare. While fee-for-service is still the option chosen by most beneficiaries (55 percent), some subsets of beneficiaries are much more likely to be enrolled in MA—specifically beneficiaries who are either a racial minority or dually eligible for Medicare and Medicaid benefits.

As of January 2022, 61 percent of these minority, dual eligibles are in an MA plan, while 51 percent of minority, non-dual eligibles and 51 percent of non-minority, dual eligibles also are enrolled in an MA plan (see exhibit 1). Only non-minority, non-dual-eligible enrollees are still more likely to choose Medicare fee-for-service with 41 percent enrolled in MA.

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