A record number of people are enrolled in private Medicare Advantage plans despite payment changes, according to new analysis.

The Kaiser Family Foundation said Monday that 14.4 million Medicare beneficiaries are enrolled in those plans this year, up nearly 10 percent from 2012 and 30 percent since 2010.

Enrollment has grown significantly since enactment of Medicare's prescription drug benefit and comes despite the fact that the average number of plans available to enrollees nationwide fell from a high of 48 plans in 2009 to 20 each of the last two years.

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