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Data: Centers for Medicare & Medicaid Services; Chart: Andrew Witherspoon / Axios

More than 3 million people are enrolled in a Medicare Advantage plan that is owned by a hospital system or physician group, which is up more than 20% from 2015, according to an Axios analysis of federal data.

What it means: Seniors are increasingly choosing Medicare Advantage instead of traditional Medicare, and hospitals want a piece of those Medicare Advantage dollars as their other revenues stagnate or grow slowly.

Context: Seniors often switch to Medicare Advantage plans for perks like gym membership or vision coverage, in exchange for agreeing to a more limited network of hospitals and doctors.

The details: We tracked Medicare Advantage enrollment growth for 43 hospital systems and physician groups from 2015 to 2018 using data from the Centers for Medicare & Medicaid Services. Here's what we found:

  • More than 3 million people have a Medicare Advantage plan owned by a hospital or doctor system as of January 2018, compared with 2.5 million in 2015.
  • Kaiser Permanente, the dominant provider and insurance system on the West Coast and in the Mid-Atlantic, covers more than half (almost 1.6 million) of that total.
  • The 10 systems with the most Medicare Advantage members represent a vast majority (84%) of the enrollment in provider-owned plans.

Yes, but: The 3 million people in provider plans only represent about 1 out of 7 Medicare Advantage enrollees. And the 20% growth rate for those plans was actually slower than the 24% enrollment uptick for the overall Medicare Advantage program over the same period.

  • This means most people are still buying Medicare Advantage plans from the big for-profit players like UnitedHealth Group, Humana and Aetna.
  • But health care is local. The prevalence of provider-owned Medicare plans indicates hospitals and doctors with strong brands continue to attract people who otherwise would go to a large insurance company — leading to new revenue and profit.

Go deeper: The shift in Medicare spending.

Go deeper

Updated 1 hour ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 12:30 p.m. ET: 32,626,165 — Total deaths: 990,134 — Total recoveries: 22,523,822Map.
  2. U.S.: Total confirmed cases as of 12:30 p.m. ET: 7,040,313 — Total deaths: 203,918 — Total recoveries: 2,727,335 — Total tests: 99,488,275Map.
  3. States: U.S. reports over 55,000 new coronavirus cases — "We’re not closing anything going forward": Florida fully lifts COVID restaurant restrictions.
  4. Health: Young people accounted for 20% of cases this summer — The long-term pain of the mental health pandemicFewer than 10% of Americans have coronavirus antibodies.
  5. Business: Millions start new businesses in time of coronavirus.
  6. Education: Summer college enrollment offers a glimpse of COVID-19's effect.

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Louisville on Wednesday. Photo: Jon Cherry/Getty Images

Rarely have national security officials, governors, tech CEOs and activists agreed as broadly and fervently as they do about the possibility of historic civil unrest in America.

Why it matters: The ingredients are clear for all to see — epic fights over racism, abortion, elections, the virus and policing, stirred by misinformation and calls to action on social media, at a time of stress over the pandemic.

Bryan Walsh, author of Future
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Illustration: Sarah Grillo/Axios

A less visible but still massive trauma caused by the coronavirus is becoming clear: our mental health is suffering with potentially long-lasting consequences.

Why it matters: Mental health disorders that range from schizophrenia to depression and anxiety exert a severe cost on personal health and the economy. Addressing that challenge may require out-of-the-box solutions.