The fastest-growing states for Medicare Advantage | 2025

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Alaska saw the highest growth rate in Medicare Advantage of any state in 2025, according to a new analysis published by consulting firm Chartis

The report, published March 25, analyzed MA enrollment data from CMS. Overall, national MA enrollment grew by 3.9% from 2024 to 2025. 

Growth in MA enrollment slowed compared to previous years. In 2024, enrollment grew by 7%. 

The states with the highest MA enrollment growth rates previously had low penetration overall. In Alaska, just 2% of Medicare beneficiaries are enrolled in MA. In Wyoming, 18% of Medicare eligibles are enrolled in MA. 

Vermont was the only state to see a decline in Medicare Advantage enrollment for 2025, with a 5% decrease. 

Here are the states with the highest MA growth rates for 2025: 

  • Alaska: 27%
  • Wyoming: 18%
  • Maryland: 9%
  • North Dakota: 8%
  • South Dakota: 8%
  • Idaho: 7%
  • Utah: 7%
  • Delaware: 6%
  • Mississippi: 6%
  • North Carolina: 6%
  • Washington, D.C.: 6%

See the full report here

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