September 25, 2023
Approximately 325 million people received medical coverage from U.S. health insurers as of June 30, 2023, based on data filed in statutory financial reports from the NAIC (National Association of Insurance Commissioners), the CA DMHC (California Department of Managed Health Care), CMS (Centers for Medicare and Medicaid Services) and various state agencies. This number is up from 315 million, or nearly 9.6 million additional members, from a year ago. In this brief, Mark Farrah Associates (MFA) assesses the latest year-over-year enrollment trends, comparing second quarter 2022 with second quarter 2023 segment membership.
Segment by Segment Enrollment Trends
Medicare Advantage (MA) membership continued to experience increases, as year-over-year trends have shown steady growth for over a decade. As of June 30, 2023, 2.1 million more seniors chose an MA plan from the previous year. Medicaid saw significant growth of over 4.6 million members, year-over-year. The Individual market for both on-and off-exchange business increased membership by over 1.7million and the Employer-Group ASO (Administrative Services Only) segment gained just over 2 million members, with total enrollment reaching approximately 128.6 million people as of 2Q23. In contrast to these enrollment increases, the Employer-Group risk segment, including Federal Employees Health Benefit Plans (FEHBP) business, continued to experience a decline of over a million members.
Market analysts throughout the industry rely on enrollment data and segment performance metrics to gain better insights into health plan market share and competitive positioning. MFA will continue to report on important plan performance and competitive shifts across all segments.
About the Data
The data used in this analysis brief was obtained from Mark Farrah Associates' Health Coverage Portal™ database. Employer group ASO figures may be estimated by Mark Farrah Associates using credible company and industry resources. Individual, Non-group membership reported by some carriers may include CHIP (Children’s Health Insurance Program). These adjustments may have resulted in moderate understatement or overstatement of enrollment changes by segment. Findings reflect enrollment reported by carriers with business in the U.S. and U.S. territories. Data sources include NAIC (National Association of Insurance Commissioners), the CA DMHC (California Department of Managed Health Care), CMS (Centers for Medicare and Medicaid Services) and various state agencies.
About Mark Farrah Associates (MFA)
Mark Farrah Associates (MFA) is a leading data aggregator and publisher providing health plan market data and analysis tools for the healthcare industry. Our product portfolio includes Health Coverage Portal™, County Health Coverage™, 5500 Employer Health plus, Medicare Business Online™, Medicare Benefits Analyzer™, and Health Plans USA™. For more information about these products, refer to the informational videos and brochures available under the Our Products section of the website or call 724-338-4100.
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