The RUPRI Center's annual analysis of Medicare Advantage
(MA) enrollment shows that there are 2.6 million
nonmetropolitan beneficiaries (24.6% of eligible
nonmetropolitan beneficiaries) enrolled in an MA plan.
The number of nonmetropolitan beneficiaries enrolled in
an MA plan increased by 9.5% from 2017 to 2018.
Nonmetropolitan MA enrollment remains significantly lower
than metropolitan enrollment (24.6% v. 36.4%), but in
2017 the nonmetropolitan rate of growth in MA plan
enrollment was higher than the rate of growth in
metropolitan areas (4.7% v. 2.0%). Among MA plans,
nonmetropolitan enrollment in private fee-for-service MA
plans declined sharply between 2009 and 2018, while
nonmetropolitan enrollment in health maintenance
organizations and local preferred provider organizations
saw significant increases.