Despite social and economic consequences of the Covid-19 pandemic, which continued to resonate in 2022, the health insurance market persevered in most business segments. Approximately 318 million people received medical coverage from U.S. health insurers as of December 31, 2022, 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 309.2 million, or approximately 8.4 million additional members, from a year ago. In this brief, Mark Farrah Associates (MFA) assesses the latest year-over-year enrollment trends, comparing fourth quarter 2021 with fourth quarter 2022 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 December 31, 2022, 562,000 more seniors chose an MA plan from the previous year. Managed Medicaid saw significant growth of over 5.4 million members, year-over-year. The Individual market for both on-and off-exchange business increased membership by just over a million and the Employer-Group ASO (Administrative Services Only) segment gained over 2.4 million members, with total enrollment reaching approximately 127.5 million people as of 4Q22. In contrast to these enrollment increases, the Employer-Group risk segment, including Federal Employees Health Benefit Plans (FEHBP) business, experienced a decline of over a million members.
Health insurers continue to bolster their reach for improved health care delivery by providing access to affordable healthcare, expanding choices and service options, and propelling competition and innovation. 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. As always, 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. It is important to note that MFA estimated fourth quarter 2022 enrollment for a small number of health plans that are required to report quarterly enrollment but had not yet filed. 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™, Medicare Business Online™, Medicare Benefits Analyzer™, 5500 Employer Health PLUS, 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 (www.markfarrah.com), or call 724-338-4100.
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