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Exhibit 1 NOTE: Excludes plans in the territories. Total for 2014 includes 168 plans under CMS sanction and closed to new enrollees as of October 2013.

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Presentation on theme: "Exhibit 1 NOTE: Excludes plans in the territories. Total for 2014 includes 168 plans under CMS sanction and closed to new enrollees as of October 2013."— Presentation transcript:

1 Exhibit 1 NOTE: Excludes plans in the territories. Total for 2014 includes 168 plans under CMS sanction and closed to new enrollees as of October SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP landscape source files, Number of Medicare Part D Stand-Alone Prescription Drug Plans,

2 Exhibit 2 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 SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP landscape source file, Number of Medicare Part D Stand-Alone Prescription Drug Plans, by Region, drug plans (9 regions) 34 drug plans (8 regions) 35 drug plans (7 regions) drug plans (10 regions) 33 CT, MA, RI, VT 36 DE, DC, MD 34 NJ 32 ME, NH 34 IA, MN, MT, NE, ND, SD, WY 37 ID, UT 35 OR, WA 39 PA, WV 35 IN, KY 35 AL, TN National Average: 35 PDPs

3 Exhibit 3 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 SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP enrollment and landscape files, Weighted Average Monthly Premiums for Medicare Part D Stand-Alone Prescription Drug Plans, : 54% increase : 5% projected increase Projected

4 Exhibit 4 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 SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP enrollment, crosswalk, and landscape files, 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

5 Exhibit 5 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. 1 Average premiums are weighted by enrollment in each region for each year. 2 Plan is under CMS sanction and closed to new enrollees as of October SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP enrollment, crosswalk, and landscape files, Premiums in Medicare Part D Stand-Alone Prescription Drug Plans with Highest 2013 Enrollment, Name of PDP in 2014 First year plan offered 2013 Enrollment (of 18.2 million) Weighted Average Monthly Premium 1 % Change Number % of Total First year First year AARP MedicareRx Preferred20063,830, %$26.31$40.45$ %+65% SilverScript Basic ,868, %$30.94$33.05$ %-5% Humana Preferred20111,817, %$14.80$18.50$ %+54% Humana Enhanced20061,297,0007.1%$14.73$43.73$ %+223% AARP MedicareRx Saver Plus ,0004.0%--$15.00$ %-- First Health Value Plus ,0004.0%$25.44$29.47$ %+75% First Health Essentials ,0003.9%$24.98$37.26$ %+103% Cigna Medicare Rx Secure ,0003.8%$35.05$35.69$ %-12% WellCare Classic ,0003.5%$15.80$33.39$ %+31%

6 Exhibit 6 NOTE: Includes 168 plans under CMS sanction and closed to new enrollees as of October SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP enrollment, crosswalk, and landscape files, % 3% 4% 16% 9%2% 15% 4% -6% 12% 9% 0% 2% 5% 2% 5% 10% 14% 6% 5% -4% -6% to 0% change (4 regions) 1% to 3% change (9 regions) 4% to 6% change (9 regions) 7% to 16% change (12 regions) 2% CT, MA, RI, VT 4% DE, DC, MD 11% NJ -4% ME, NH Change in Weighted Average Premiums for Medicare Part D Stand-Alone Prescription Drug Plans, by Region, % IA, MN, MT, NE, ND, SD, WY 9% ID, UT 7% OR, WA 6% PA, WV 1% IN, KY 2% AL, TN National Average: 5% increase

7 Exhibit 7 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, Share of Medicare Part D Stand-Alone Prescription Drug Plans, By Type of Gap Coverage, ,429 PDPs1,875 PDPs1,824 PDPs1,689 PDPs1,576 PDPs1,109 PDPs1,041 PDPs1,031 PDPs1,169 PDPs 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 Generics and Brands

8 Exhibit 8 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 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, Share of Medicare Part D Stand-Alone Prescription Drug Plans, By Type of Gap Coverage,* 2014 No/little additional gap coverage includes: No gap coverage (76%) Few generics (3%) Few brands (3%) Additional gap coverage for mostly generics includes: Some generics (1%) Many generics (1%) 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%) 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 Generics and brands Mostly generics Missing

9 Exhibit 9 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 SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP landscape source files, Share of Medicare Part D Stand-Alone Prescription Drug Plans, By Deductible Amount, Standard deductible amount: $250 $265$275 $295 $310 $320$325$310

10 Exhibit 10 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 *De minimis plans can retain Low-Income Subsidy beneficiaries despite exceeding the benchmark premium by $2 in 2007, $1 in 2008, and $2 in SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP landscape source files, Number of Medicare Part D Stand-Alone Prescription Drug Plans Available Without a Premium to Low-Income Subsidy Recipients, Total number of PDPs: ,429 PDPs1,875 PDPs1,824 PDPs1,689 PDPs1,576 PDPs1,109 PDPs1,041 PDPs1,031 PDPs1,169 PDPs

11 Exhibit OR, WA IA, MN, MT, NE, ND, SD, WY NJ 4 HI CT, MA, RI, VT 7 ME, NH AL, TN Number of Benchmark Plans, by Region, 2014 Total Number of Benchmark Plans Across All Regions = ID, UT 13 DE, DC, MD 13 PA, WV 15 IN, KY 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 SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP landscape source file, to 78 to 1011 to 1213 to 15 (6 regions)(8 regions)(10 regions)

12 Exhibit 12 Increase +1 to +4No changeDecrease -1 to -6 (20 regions)(5 regions)(9 regions) OR, WA IA, MN, MT, NE, ND, SD, WY IN, KY NJ 0 DE, DC, MD -6 HI CT, MA, RI, VT -3 ME, NH -2 AL, TN Change in Number of Benchmark Plans, By Region, Net Change in Benchmark Plans Across All Regions = PA, WV +3 ID, UT NOTE: Analysis includes 168 plans under CMS sanction and closed to new enrollees as of October SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP landscape source files,

13 Exhibit 13 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 SOURCE: Georgetown/NORC/Kaiser Family Foundation analysis of CMS PDP enrollment, crosswalk, and landscape files, Low-Income Subsidy (LIS) Enrollment by Benchmark Plan Status, as of 2014 Open Enrollment Period Total LIS Enrollment in PDPs in 2013 = 8.2 million 2013 plan IS benchmark plan in million LIS enrollees (77%) 2013 plan IS NOT benchmark plan in million LIS enrollees (23%)

14 Exhibit 14 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, Number of Benchmark Plans Offered by Four Major Part D Organizations, UnitedHealthCignaHumana Number of PDP regions (out of 34): CVS Caremark 1,057,000 LIS enrollees in ,635,000 LIS enrollees in ,014,000 LIS enrollees in ,112,000 LIS enrollees in 2013


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