Blue Cross Blue Shield (BCBS) Uninsured (ASO) Fees Analysis 2021-2025

In 2025, Blue Cross and Blue Shield (BCBS) entities and their affiliates reported receiving $23.6 billion in administrative fees from self-insured accounts based on findings by Mark Farrah Associates (MFA).

Mark Farrah Associates
Managed Medicaid Enrollment Continues Decline for Top Leaders in 2025
Mark Farrah Associates
Profitability of the Individual and Small Group Health Insurance Markets in 2025
Mark Farrah Associates
Medicare Supplement Enrollment Slightly Up in 2025
MFA in the News
KFF
The Medical Loss Ratio (MLR) provision of the Affordable Care Act (ACA) limits the share of premium income that insurers can keep for administration, marketing, and profits. Insurers that fail to meet the applicable MLR threshold are required to pay back excess profits or margins in the form of rebates to individuals and employers that purchased coverage.
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