The Medicare Advantage market is at an inflection point. The past few years have seen unprecedented enrollment growth, fueled by a rapidly increasing senior segment and an enabling regulatory environment. While growth this year remained strong, it was slower than in years past. What’s more, conflicting trends converging on Medicare Advantage organizations (MAOs) may result in more tempered growth going forward.

Meanwhile, the big keep getting bigger. United, Humana, and CVS/Aetna continue to amass lives at a breakneck pace. By contrast, many Blues1 and nonprofit plans that serve this market continue to be left behind as market growth exceeds their own enrollment gains. ARTICLE