CB Insights October 30, 2020
The Medicare Advantage (MA) market is growing, as a larger portion of Medicare beneficiaries enroll in the private, all-in-one alternative.
The MA market remains dominated by incumbent insurers. The top 6 stakeholders — including Humana, Aetna, and UnitedHealthcare — account for approximately 80% of enrolled MA members, according to the CMS September 2020 MA enrollment report.
To keep costs low and maintain quality of care, these insurers work with a broad set of partners — including digital health startups, industry incumbents, non-profits, and tech companies — to coordinate care, manage chronically ill patients, enhance benefits, and expand networks.
However, competing startup players like Bright Health and Devoted Health are gaining traction by leveraging technology to...