2027 open enrollment. 3.15 million people must pick a new Medicare Advantage plan. See every plan and county, free.3.15M must pick a new plan.
Look up your countyYour county →Home / Catalog / Medicare Advantage & Part D
Medicare Advantage & Part DSource-backed product
Medicare Advantage Plan Payments
The money side of Medicare Advantage, 2006 to 2024: CMS's average payment per member per month, average risk scores and rebates by contract, plan and county, plus contracts' medical loss ratio filings. Payment values are averages (weight by member-months). Plan bid data is not included.
What Vlada adds: Preserves the publisher data, normalizes schema eras and identifiers, and connects the product to compatible healthcare entities with measured join coverage.
- rows
- 387.7K
- rows
- datasets
- 4
- datasets
- cadence
- annual
- cadence
- coverage
- 2006-2024
- coverage
Publishers: Centers for Medicare & Medicaid Services
What's inside
MA plan payment — county rollup
CMS county-level summary of MA Part C payments and risk: average PMPM federal payment, average risk score, and average rebate dollars, broken out by county, plan type, and SNP type.
grain: One row per (payment_year, ssa_county_code, plan_type, snp_plan_type). 140,291 rows, 2015-2024.
232.4K rows
MA plan payment — Part D (plan x year)
CMS Part D plan-payment reference: per plan+year averages of the federal subsidies CMS pays each MA-PD / standalone PDP (avg_direct_subsidy, avg_reinsurance, avg_low_income_cost_sharing) plus the plan's average Part D risk score (avg_part_d_risk_score).
grain: One row per (payment_year, contract_id, plan_id). 48,455 rows, 2015-2024.
84.5K rows
MA plan payment — Part C (contract x plan x year)
CMS Part C plan-payment summary: per MA contract+plan+year, the average risk-adjusted A/B payment per member per month (avg_ab_pmpm_payment), the average enrollee risk score (avg_part_c_risk_score), and the average rebate PMPM (avg_rebate_pmpm_payment).
grain: One row per (payment_year, contract_id, plan_id). 40,014 rows, 2015-2024.
65.9K rows
MA / Part D Medical Loss Ratio (MLR)
Contract-level medical loss ratio filings: adjusted MLR and remittance owed for missing the 0.85 floor; revenue, claims, member months and the MLR numerator and denominator only in the wide-detail years. Successor to the retired ma_mlr table.
grain: One row per (contract_id, contract_year). CMS MA/Part-D Medical Loss Ratio Public Use File, 4,984 rows across 2014-2023. Contract-level (no plan grain).
5.0K rows