2020 marked a watershed year for Medicare Advantage. In the drive for higher Annual Election Period (AEP) numbers, health plans competed in more markets with a greater array of plan types, cost structures and supplemental benefit offerings. Carrot Health’s 2020 AEP Performance Report captures overall trends in AEP growth and the specific features that distinguished winning from losing plans. In particular, 2020 PBPs offered lower costs, more flexibility in doctor choice, and specific supplemental benefits like meal plans and transportation. To compete effectively with the large national plans, regional plans must be highly strategic and targeted in plan design and marketing while addressing member needs for improved health outcomes and better care experience.