Blues vs. Non-Blues 5-Year Enrollment Trends Analyzed by Mark Farrah Associates

June 10, 2025

CANONSBURG, Pa.--(BUSINESS WIRE)--Health insurance companies provided fully insured coverage for approximately 186.5 million people in 2024, an increase of over 12.3 million from 2020. Blue Cross Blue Shield (BCBS) association members, parent organizations, and their subsidiaries insured about 37.5% of the total health insurance market. In the latest Healthcare Business Strategy report, Mark Farrah Associates (MFA), www.markfarrah.com, examined health insurance enrollment changes in key segments for Blue Cross Blue Shield (BCBS) and Non-BCBS companies between 2020 and 2024.

Some highlights include:

• Individual enrollment for BCBS companies increased 36.6% over the last 5 years, and non-BCBS companies reported a 106.1% increase during the same period.
   
• Fully insured Group enrollment, which includes the Federal Employees Health Benefits Program (FEHBP), continued to experience decreases throughout the 5-year timeframe for both Blues and non-Blues plans.

• During the 5-year period, Medicare Advantage (MA) enrollment experienced a 32.8% increase for BCBS plans, and non-BCBS MA enrollment saw a 32.3% increase.

• Total 4Q24 Medicaid enrollment for BCBS plans was over 15.2 million and nearly 62.5 million for non-BCBS companies.

To read the FREE full text of "Five Year Health Enrollment Trends Comparing Blues & Non-Blues Plans", visit the MFA Briefs library on Mark Farrah Associates' website.

Healthcare Business Strategy is a FREE brief that presents analysis of important issues and developments affecting healthcare business today. If you would like to be added to our email distribution list, please submit your email to the "Subscribe to MFA Briefs" on our website.

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™, 5500 Employer Health PLUS, and Health Plans USA™. For more information about these products, refer to the brochures available under the Our Products section of the website (www.markfarrah.com) or call 724-338-4100. Follow us on LinkedIn!

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