Mark Farrah Associates (MFA), www.markfarrah.com, examined trends in membership, claims incurred PMPM (per member per month), adjusted premium PMPM, and MLR (Medical Loss Ratio) for the Individual and Small Group comprehensive segment leaders. Based on an analysis of the National Association of Insurance Commissioners’ (NAIC) Supplemental Health Care Exhibit (SHCE), MFA analyzed the profitability of both health insurance segments for 2021.
- The Individual segment experienced enrollment growth of 16%, to 13.2 million members for 2021.
- While the Small Group segment continues to lose membership, down another 5.1% for 2021 with small businesses opting to either self-insure or drop health insurance coverage for their employees, overall segment profitability remains strong.
- While both the Small Group and Individual segments have been impacted by pandemic-influenced medical spending between 2020 and 2021, both segments were profitable for insures over the two-year combined period.
To read the FREE full text of "An Analysis of Profitability for the Individual and Small Group Health Insurance Markets in 2021", visit the Analysis Briefs library on Mark Farrah Associates' website.
About Mark Farrah Associates (MFA)
MFA is a leading data aggregator and publisher providing health plan market data and analysis tools for the healthcare industry. Committed to simplifying analysis of health insurance business, our products include: Health Coverage Portal™, Medicare Business Online™, Medicare Benefits Analyzer™, County Health Coverage™, Health Plans USA™ and 5500 Employer Health Plus. Follow us on LinkedIn!
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