Enrollment, penetration, and spend variation for a payer market — county by county.
Medicare Advantage penetration and utilization, Medicaid and CHIP enrollment, AHRQ HCUP payer mix, CMS geographic spending variation, and provider supply for the geography you name.
Why this market needs sourced data
Network planning, plan expansion and payer-facing sales all hinge on enrollment mix and local spending behavior, which vary sharply between adjacent counties.
The published record covers most of it. RepVector joins the pieces and tells you where a measure is suppressed rather than smoothing it over.
What you get, with examples
Penetration at county grain
MA penetration by county drives expansion, contracting and risk conversations.
Example
Rank counties in a state by MA penetration and 65+ growth together.
Medicaid trend visibility
Monthly Medicaid and CHIP enrollment shows the direction of the public book in each state.
Example
Chart 24 months of enrollment against unemployment for the same state.
Utilization and cost variation
CMS geographic variation exposes counties with outlier spending and utilization per beneficiary.
Example
Flag counties where per-capita spend exceeds the state median by 20%.
Network adequacy inputs
Provider registry and facility inventory support adequacy analysis by specialty and geography.
Example
Count in-county specialists by taxonomy against enrollment.
Questions you can ask
What is MA penetration across counties in this state?
How is Medicaid enrollment trending here?
Which counties show outlier Medicare spending per beneficiary?
Is specialist supply adequate relative to enrollment?
Datasets this question usually reaches for
Selection happens at runtime against your question and geography — this list is typical, not fixed. Anything a source cannot cover at your grain is reported as a gap.
- Medicare Advantage penetration by county
- Medicare Advantage utilization by state
- Medicaid & CHIP enrollment by state (monthly)
- Hospital inpatient stays by payer (AHRQ HCUP Fast Stats)
- Medicare spending and utilization by county (Geographic Variation)
- Medicare monthly enrollment
- NPPES national provider registry
Topics this page covers
- Medicare Advantage penetration by county
- Medicaid enrollment trend by state
- payer mix hospital inpatient stays
- Medicare spending variation by county
- provider network adequacy data
Related solutions
Hospitals and health systems
Service-line discharge volume, payer mix, quality measures, cost-report finances and competitor capacity for any hospital market, sourced from CMS and AHRQ.
Read morePharma and market access
Prescriber-level Part D volume, Medicaid drug utilization, disease burden, clinical trial sites and adverse event signals for launch planning in any geography.
Read moreTelehealth and digital health
Broadband availability, provider shortage areas, prevalence, payer mix and provider supply for telehealth expansion and digital health go-to-market planning.
Read moreBuild the payers and managed care list for one county and check the names yourself.
Three runs free. Every row carries its source, vintage and rank reason. See pricing.