MA penetration growth flattened to +25 bps in 2025 after +181 bps in 2024
National MA penetration closed 2025 at 51.30%, up from 51.05% in January — a +25 basis-point gain that is roughly an eighth of the +181 bps jump 2024 delivered (50.52% Dec 2024 vs 48.91% Dec 2023). With MA now structurally above 50% of a 69.4M eligible base, marginal growth has shifted from Original-Medicare conversion to inter-plan share-taking, and the AEP effect is compressing: the Dec-to-Jan jump halved from +137 bps a year ago to +53 bps this AEP. Strategy implication: 2026 contract enrollment will be driven by competitive disenrollment more than market expansion, raising the value of crosswalk analysis and benefit-diff signal.