CMS Data · Private Medicare share

Where is private Medicare actually winning?

Most people 65 and older choose between traditional government Medicare and a private plan version. Where the private plans are gaining ground shifts county by county and month by month. The public information that would show it sits in separate places, slightly mismatched, so almost nobody puts it together. Set it side by side and tracked over time and you can simply ask which counties are flipping toward private plans, and how fast.

Private vs governmentCounty by countyMonth by monthAnswer in seconds
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The problem

How many, and what share, aren't the same answer.

One public source counts how many people in each county are on a private Medicare plan, refreshed every month. Another expresses that as a share of everyone eligible. Those answer different questions, how many people and what fraction of the market, and they're published separately and labeled a little differently. To see where private plans are genuinely gaining you need both: a rising headcount means little without the share, and a share means little without the trend.

Set the headcount and the share side by side, county by county, month after month, and the movement becomes legible. You can watch a county's share climb or stall, see which plans are driving it, and tell the markets that are filling up from the ones where government Medicare is still the default, all in one question instead of stitching monthly spreadsheets by hand.

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.

Which counties have the highest private-plan share?

Rank counties by how much of the eligible population has chosen a private plan, to see where it's already the dominant choice.

Where is private-plan share growing fastest?

Compare one month to the next to surface the counties flipping toward private plans rather than the ones already filled up.

Which plans are driving a county's growth?

Break a county's members down by plan to credit the gains to specific plans instead of treating private Medicare as one block.

Where are private plans still underused?

Find counties with lots of eligible people but low private-plan share, the open space where government Medicare still leads.

How crowded is a county's market?

See how much of a county's private-plan membership sits with a few plans, to gauge whether it's a near-monopoly or genuinely competitive.

Which counties are filling up?

Spot counties where share has leveled off near the top, signaling future growth has to come from switching, not new sign-ups.

What goes into it

What the answer pulls together.

How many people each plan covers

The monthly count of members on each private plan in each county, the raw headcount behind every share figure.

What share of the market that is

Private-plan members measured against everyone eligible in a county, so growth can be read as share, not just a bigger number.

How it changes month to month

The same county lined up across months, so single snapshots turn into a trend you can actually see moving.

Everyone has a national headline about private Medicare plans. The decisions get made at the county level, where the share and the trend actually live. That's where the data should answer you.

Oshri Cohen · On CMS data
Common questions

What people ask about this.

Why use both the headcount and the share?

The headcount tells you how many people; the share tells you what fraction of the market that is. One without the other misleads, a county can add members while losing share. Putting them side by side, and tracking across months, is what turns two static figures into a real read on momentum.

Can this go below the county level?

County is the finest level this information is published at, with the breakdown by plan giving you the detail inside it. That's already fine enough to drive decisions about where to compete, who to partner with, and where to grow. You can pivot freely between place and plan.

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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