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Expand chart
Data: Centers for Medicare & Medicaid Services; Map: Harry Stevens/Axios

States in the Midwest, South and West have the highest proportions of Medicare members enrolled in Medicare Advantage. Some states have more than 40% of their Medicare population in the taxpayer-subsidized private plans.

The big picture: Roughly a third of all Medicare enrollees are in MA, a program that has garnered bipartisan support despite its shortcomings, and some Wall Street estimates think MA will be the majority option by 2021.

By the numbers: More than 22 million seniors and people with disabilities have a Medicare Advantage plan, according to February 2019 enrollment data from the Centers for Medicare & Medicaid Services. The map highlights enrollment data from 2017, when there were 19.2 million MA enrollees.

  • The state with the highest proportion of private Medicare plan enrollees (57.3%) is Minnesota, although many people are enrolled in "Medicare cost" plans that function as a hybrid between MA and traditional Medicare.
  • MA is the choice of at least 40% of all Medicare enrollees in 6 other states (California, Florida, Hawaii, Oregon, Pennsylvania and Rhode Island).
  • MA is far less popular in states with sparse populations, like Alaska, Vermont and Wyoming.

Between the lines: States with high concentrations of MA enrollees also have dominant systems of hospitals and doctors that sell MA plans.

  • Many MA members in Pennsylvania buy plans from Highmark, Geisinger and UPMC, while Kaiser Permanente has a strong grip of the market along the West Coast.

What to watch: Health insurance companies will always aggressively pursue areas where there are a lot of seniors, like Florida and California, but the distribution shows there are pockets of the Midwest and Northeast that could be their next targets.

Go deeper

Updated 6 hours ago - Politics & Policy

U.S. sounds alarm on Ukraine

Conscripts line up at a Russian railway station yesterday before departing for Army service. Photo: Sergei Malgavko/TASS via Getty Images

The Biden administration is "deeply concerned" by new intelligence — detailed for Axios and other outlets — showing Russia stepping up preparations to invade Ukraine as soon as early 2022.

Why it matters: Most of this was known from public sources and satellite imagery, but the administration is sending a stronger signal by releasing specific details from the intelligence community.

CNN fires Chris Cuomo

Photo: Kevin Mazur/Getty Images for CNN

CNN said Saturday evening it has fired one of its star anchors, Chris Cuomo, following new revelations from a legal review made by the company into Cuomo's involvement in the management of his brother's sexual harassment scandal.

Why it matters: Saturday's firing speaks to how much pressure CNN was under by employees and critics to address Cuomo's behavior.

Updated 9 hours ago - Energy & Environment

Electric car prices could go up before they come down

Illustration: Eniola Odetunde/Axios

The secret to affordable electric vehicles is cheaper batteries. But after years of falling prices, battery costs are now headed in the wrong direction.

Why it matters: Costlier batteries could drive up the price of electric vehicles — threatening the auto industry's transition away from fossil fuels, and, in turn, society's fight against climate change.

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