Exhibit 1

2007 2008 2009 2010 2011 2012 2013 2014

1,165 1,249 1,451

1,218 1,104 1,114 1,195 1,242

335 412

525 522

512 504 548 511

452

801

696

413 220 201

180 120 42

43

51

59

59 54 51 48

104

118 107

102

116 101 100 93

2,098

2,6232,830

2,314

2,011 1,9742,074 2,014

OtherRegional PPOsPFFSLocal PPOsHMO

NOTE: Excludes SNPs, employer-sponsored (i.e., group) plans, demonstrations, HCPPs, PACE plans, and plans for special populations (e.g., Mennonites). Other category includes cost plans and Medicare MSAs. SOURCE: MPR/KFF analysis of CMS’s Landscape Files for 2007 – 2014.

Distribution of Medicare Advantage Plans by Plan Type, 2007-2014

Exhibit 2

Number of Medicare Advantage Plans Available, by Plan Availability Status, 2013 and 2014

hg

349 discontinued

plans

1,725plans continuing from 2013 to 2014

289 new plans

2,074 plans available in 2013

2,014 plans available in 2014

Each is equivalent to about 6 plans

NOTE: Excludes SNPs, employer-sponsored (i.e., group) plans, demonstrations, HCPPs, PACE plans, and plans for special populations (e.g., Mennonites). SOURCE: MPR/KFF analysis of CMS’s Landscape Files for 2013 – 2014.

Exhibit 3

Total HMOs Local PPOs PFFS Regional PPOs

99%

89%83%

51%

71%

100% 96%87%

50%

69%

98%

62%67%

59%

76%

Nationally Metro Non-metro

NOTE: Excludes SNPs, employer-sponsored (i.e., group) plans, demonstrations, HCPPs, PACE plans, and plans for special populations (e.g., Mennonites). The total includes cost and MSA plans, which are not shown separately. Plans in the territories are included in the total, but not in the urban/rural categories. SOURCE: MPR/KFF analysis of CMS’s Landscape and Penetration Files for 2014.

Share of Medicare Beneficiaries with Access to One or More Medicare Advantage Plans, By Plan Type, and Metropolitan Status of County, 2014

Exhibit 4

2007 2008 2009 2010 2011 2012 2013 2014

309440 408

210 256321 362 347

60

230197

140 92113

21415270

8381

68 61

66

68

61439

753686

418 409

500

644

560

InstitutionalChronic or Disabling ConditionDual Eligibles

NOTE: Excludes employer-sponsored (i.e., group) plans, demonstrations, HCPPs, PACE plans, and plans for special populations (e.g., Mennonites). SOURCE: MPR/KFF analysis of CMS’s Landscape Files for 2007 – 2014.

Distribution of Special Needs Plans by Plan Type, 2007-2014

Exhibit 5

83% 73%

68%

33%30%

19% 18% 16%

NOTE: Excludes SNPs, employer-sponsored (i.e., group) plans, demonstrations, HCPPs, PACE plans, and plans for special populations (e.g., Mennonites). BCBS affiliates are BlueCross BlueShield affiliates. This analysis only includes Wellpoint plans offered by the BCBS affiliated lines of business. SOURCE: MPR/KFF analysis of CMS’s Landscape and Penetration Files for 2014

Percent of Medicare Beneficiaries with One or More Medicare Advantage Plans Available from Particular Firms, 2014

Other BCBS

affiliates

Wellpoint BCBS

affiliates

Exhibit 6

Total HMOs Local PPOs PFFS Regional PPOs

$51

$36

$66 $66

$53 $50

$33

$69 $71

$56 $51

$34

$73

$83

$57

$49

$35

$70 $70

$38

2011 2012 2013 2014

NOTE: Excludes SNPs, employer-sponsored (i.e., group) plans, demonstrations, HCPPs, PACE plans, and plans for special populations (e.g., Mennonites). Includes only Medicare Advantage plans that offer Part D benefits. The total includes cost plans, which are not shown separately, as well as plans with zero premiums. All numbers are rounded to the nearest dollar.SOURCE: MPR/KFF analysis of CMS’s Landscape Files for 2011 – 2014.

Unweighted Average Monthly Premiums for Medicare Advantage Prescription Drug Plans, 2011-2014

Exhibit 7

Total HMOs Local PPOs PFFS Regional PPOs

$35 $27

$56 $56

$28

$39 $31

$64 $66

$36

2013 2014 (Weighted by 2013 enrollment)

NOTE: Excludes SNPs, employer-sponsored (i.e., group) plans, demonstrations, HCPPs, PACE plans, and plans for special populations (e.g., Mennonites). Includes only Medicare Advantage plans that offer Part D benefits. The total includes cost plans, which are not shown separately, as well as plans with zero premiums. Weighted monthly premiums assume that enrollees remain in the same plan from one year to the next. Calculations take into account service area changes. SOURCE: MPR/KFF analysis of CMS’s Landscape Files for 2013 – 2014, CMS’s 2014 Part C and D Crosswalk file, and September 2013 Enrollment file.

Weighted Average Monthly Premiums for Medicare Advantage Prescription Drug Plans, Total and by Plan Type, 2013-2014(2014 Weighted by 2013 Enrollment; Includes Plans Available in Both 2013 and 2014)

% Change, 2013 to 2014

+14% +13% +15% +19% +27%

Exhibit 8

Total HMOs Local PPOs PFFS Regional PPOs

90%

72%

40%

26%

37%

88%

75%

46%

30%23%

87%

78%

37%

2%

28%

84%77%

33%

2%

28%

2011 2012 2013 2014

NOTE: Excludes SNPs, employer-sponsored (i.e., group) plans, demonstrations, HCPPs, PACE plans, and plans for special populations (e.g., Mennonites). Includes only Medicare Advantage plans that offer Part D benefits. The total includes cost plans, which are not shown separately. Calculations reflect service area changes.SOURCE: MPR/KFF analysis of CMS’s Landscape and Penetration Files for 2011 – 2014

Share of Beneficiaries with Access to Medicare Advantage Prescription Drug Plans with No Additional Premium, Total and by Plan Type, 2011-2014

Exhibit 9

2011 2012 2013 2014 2011 2012 2013 2014 2011 2012 2013 2014 2011 2012 2013 20145% 5% 4% 3% 6% 5% 3% 3% 7% 7% 5% 4%

46% 45% 44%34%

53% 53% 50%37%

43% 39%30% 26% 41%

31%

13% 10%

25% 27% 27%

23%

19% 21%24%

22%

33% 36%

36%

24%

36%

37%

16%

24% 24% 25%41%

22% 21% 23%38%

17% 19%28%

45%

24%31%

72%

90%

$5001-$6700 $3401-$5000 $2501-3400 $2500 or less

NOTE: Excludes SNPs, employer-sponsored (i.e., group) plans, demonstrations, HCPPs, PACE plans, MSAs, and plans for special populations (e.g., Mennonites). Percentages are unweighted by enrollment. Totals may not add to 100% due to rounding. PFFS plans not shown because 98% of PFFS plans were missing limits in 2013 and 2014. SOURCE: MPR/KFF analysis of CMS’s Landscape Files for 2014.

Distribution of Medicare Advantage Plans’ Out-of-Pocket Spending Limits, by Plan Type, 2011-2014

All Plans HMOs Local PPOs Regional PPOs

Exhibit 10

2007 2008 2009 2010 2011 2012 2013 2014

67%49% 48% 47% 47% 52% 51% 50%

27%

35% 35% 31% 30% 24% 23% 25%

6%17% 17% 22% 23% 24% 26% 25%

Some brands and generics

Generics only

No additional gap coverage (beyond ACA requirements)

NOTE: Excludes SNPs, employer-sponsored (i.e., group) plans, demonstrations, HCPPs, PACE plans, MSAs, and plans for special populations (e.g., Mennonites). Includes only Medicare Advantage plans that offer Part D benefits. Percentages are unweighted by enrollment. Totals may not add to 100% due to rounding. All plans that cover brand name drugs in the coverage gap also cover generic drugs in the gap. Less than 1% of plans in 2010 - 2014 cover all brands and generics in the gap.SOURCE: MPR/KFF analysis of CMS’s Landscape Files for 2007-2014.

Share of Medicare Advantage Prescription Drug Plans, by Coverage in the Gap, 2007-2014

% of plans offering drug coverage

75% 73% 73% 79% 80% 81% 82% 83%

Exhibit 11

All Plans HMOs Local PPOs PFFS Regional PPOs

50% 47%54%

47%

73%

25% 31% 20%

3%

25% 23% 26%

53%

23%

Some brands and generics

Generics only

No additional gap coverage (beyond ACA requirements)

NOTE: Excludes SNPs, employer-sponsored (i.e., group) plans, demonstrations, HCPPs, PACE plans, and plans for special populations (e.g., Mennonites). Includes only Medicare Advantage plans that offer Part D benefits. Percentages are unweighted by enrollment. Totals may not add to 100% due to rounding. All plans that cover brand name drugs in the coverage gap also cover generic drugs in the gap. The total includes cost plans, which are not shown separately. SOURCE: MPR/KFF analysis of CMS’s Landscape Files for 2014.

Share of Medicare Advantage Prescription Drug Plans, by Coverage in the Gap and Plan Type, 2014