CMS Data · Who Picks What

Who actually picks a private Medicare plan?

Millions of people choose between original Medicare and a private Medicare plan every year. One public record shows how many pick each, down to the county. Another shows who those people are, their age, their income level, where they live, but the two are almost never read together. Put side by side, they answer the real question: which people are moving to private plans, where, and how fast?

Private vs. originalBy age & incomeBy countyAnswer in seconds
Oshri Cohen, CMS healthcare data made useful
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The problem

Who picks what never sat together.

How many people choose a private Medicare plan versus original Medicare is published down to the local level, but on its own it doesn't tell you who is making each choice. The details about the people, their age, income level, and circumstances, live somewhere else and aren't always broken out by plan choice the way you'd want. To ask who is choosing what, someone first had to line up the places and the people so a single profile read cleanly across both.

Put the two side by side and the picture sharpens. You can ask whether private plans skew younger or older, whether lower-income people lean one way, and how the makeup of each choice differs county by county. That's the difference between knowing private plans are growing and knowing exactly which people are driving the shift.

What it answers

Questions you can finally ask.

Each is a question you simply ask and get an answer to, not a three-week analysis project.

Do private plans skew younger or older?

Break private and original Medicare down by age to see which one draws people who are newly eligible versus those who've been on Medicare for years.

Where do lower-income people concentrate?

Compare how people who qualify for extra help spread across the two choices and across places, since they're not distributed evenly.

How does the choice vary by community?

Profile who picks each option to surface differences in plan choice across different communities and backgrounds.

Which counties are tipping toward private plans?

Map where private plans are growing against who lives there to find the places where the shift is fastest.

Is the choice different for men and women?

Compare how men and women split between private and original Medicare to see whether the patterns differ.

Where is original Medicare holding on?

Find the people and places staying with original Medicare instead of moving to private plans, the flip side of the growth story.

What goes into it

What the answer pulls together.

Who picks each option

How many people choose a private plan versus original Medicare, reported down to states and counties over time.

Who those people are

Age, income level, and background, the picture of the people behind the numbers.

Where they live

The shared location details that let plan choice and people be lined up to the same place.

Knowing private Medicare plans are growing is a headline. Knowing exactly which people, in which counties, are driving it is a strategy.

Oshri Cohen · On CMS data
Common questions

What people ask about this.

Is this about named individuals?

No, it's the grouped totals and breakdowns that are published, not records on named people. The value is in the cross-tabs, plan choice by age, income, and place, which is exactly what public reporting supports without touching anyone's private details.

Can it show trends over time, not just a snapshot?

Yes. The numbers are published across periods, so you can watch how the split between private and original Medicare moves for a given group or county, rather than reading a single moment. That's where the interesting shifts live.

How current is the answer?

It stays current on its own. When new information is published, it's already in there, so you're asking against today's picture, not a year-old extract.

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