Top Health Plans Experience Enrollment Gains and Profit Declines

Business Wire


Mark Farrah Associates (MFA),, noted in its latest Healthcare Business Strategy report that most of the top health plans experienced profit declines but saw enrollment gains last year, despite the uncertainty and volatility of health reform.

MFA assessed enrollment changes and profitability for Aetna, Cigna, Health Care Service Corporation (HCSC), Humana, Kaiser Permanente, UnitedHealth Group and WellPoint. Membership data, financial statistics and observations were gleaned from the April 2014 Health Insurer Insights™ series, a Mark Farrah Associates™ publication. MFA reported five of the seven leading health insurers in the nation realized net membership gains from year-end 2012 to year-end 2013 but slight downturns in year-over-year profitability.

Medical membership for the leading U.S. health insurance plans increased 6% from 135.6 million as of December 2012 to 143.6 million as of December 2013. Aetna and UnitedHealth reported the most substantial gains year-over-year while Humana and WellPoint lost membership. Membership changes resulted mainly from mergers and acquisitions but top plans also reported organic growth in select segments. Profitability saw a slight downturn for the majority of leading health plans for 2013, when compared to 2012, but it was still in the favorable range. Health insurers continue to strive for cost containment while investing in reform-driven expansion initiatives, technology and partnerships to sustain and grow business for the long term. The seven leading health plans cover 55% of the insured people in the United States, so the financial health of these plans is important.

To read the full text of “Enrollment Gains and Profit Declines for Top Health Plans", 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 Medicare Business Online™, Medicare Benefits Analyzer™ Health Coverage Portal™, County Health Coverage™, Health Insurer Insights™, and Health Plans USA™.

Mark Farrah Associates
Ann Marie Wolfe, 207-985-8484
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