Mark Farrah Associates Assessed Health Insurance Segment Profitability

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MCMURRAY, Pa.–(BUSINESS WIRE)–Mark Farrah Associates (MFA), www.markfarrah.com, examined trends in membership, claims incurred PMPM (per member per 30 days), adjusted premium PMPM, and MLR (Medical Loss Ratio) for the Individual and Small Group comprehensive segment leaders. Based on an evaluation of the National Association of Insurance Commissioners’ (NAIC) Supplemental Health Care Exhibit (SHCE), MFA analyzed the profitability of each medical 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 one other 5.1% for 2021 with small businesses opting to either self-insure or drop medical health insurance coverage for his or her employees, overall segment profitability stays strong.
  • While each the Small Group and Individual segments have been impacted by pandemic-influenced medical spending between 2020 and 2021, each segments were profitable for insures over the two-year combined period.

To read the FREE full text of “An Evaluation of Profitability for the Individual and Small Group Health Insurance Markets in 2021“, visit the Evaluation Briefs library on Mark Farrah Associates’ website.

About Mark Farrah Associates (MFA)

MFA is a number one data aggregator and publisher providing health plan market data and evaluation tools for the healthcare industry. Committed to simplifying evaluation of medical health insurance business, our products include: Health Coverage Portal™, Medicare Business Online™, Medicare Advantages Analyzer™, County Health Coverage™, Health Plans USA™ and 5500 Employer Health Plus. Follow us on LinkedIn!

Healthcare Business Strategy is a FREE monthly transient that presents evaluation of necessary issues and developments affecting healthcare business today. In the event you would love to be added to our email distribution list, please submit your email to the “Subscribe to MFA Briefs” section at the underside of this page.

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