Friday, October 26, 2018

Top Five Health Insurers' Enrollment in Risk-Based Markets, 2014 vs. 2018


The "big five" health insurers are increasingly seeing Medicare Advantage (MA) and managed Medicaid as safe revenue bets, especially as individual market enrollment has fallen for some insurers due to the volatility of the Affordable Care Act exchanges and as more employer groups have shifted to self-funded (Administrative Services Only) arrangements. Since 2014, the big five's MA presence has grown 43%, and encompasses 56% of the total market. UnitedHealthcare in particular has grown its MA business by 68%, and managed Medicaid by 19%. Only Cigna Corp. has grown its group market presence in the same time period, with decreases in all other risk-based lines of business.

Top Five Health Insurers’ Enrollment in Risk Based Markets 2014 vs. 2018
SOURCE: AIS's Directory of Health Plans (DHP). Go to aishealthdata.com/dhp for more information.


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