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Market Share of Leading Commercial Risk Health Insurers Averages 45% Over the Past 5 Years

 

January 16, 2020

 

Source: Health Coverage Portal TM, Mark Farrah Associates, presenting data from the National Association of Insurance Commissioners (NAIC) and the California Department of Managed Health Care (CA DMHC).

 

The 5 leading commercial risk health insurers by market share have represented an average of 45% of the total commercial risk market over the past 5 years. Commercial enrollment declined from 78.8 million to 72.9 million enrollees between 3Q15 and 3Q19. Additionally, the leading healthcare insurers each experienced membership changes that resulted in variation of market share.

  • Kaiser continued to lead the commercial risk market with over 9.4 million members in 3Q19, an increase of nearly 1.1 million since 3Q15.
  • UnitedHealth ended 3Q19 with over 8.3 million members, a net increase of 28,000 members.
  • Both Anthem and HCSC experienced a decline in market share between 3Q15 and 3Q19, by 1.1% and 0.7% respectively.
  • CVS market share was at 4.1%, or just over 3.0 million members by the end of 3Q19.

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™, 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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