Articles from Mark Farrah Associates

Mark Farrah Associates’ (MFA), www.markfarrah.com, Medicare Business Online™ (MBO) product simplifies the analysis and tracking of Medicare Advantage (MA) and stand-alone Prescription Drug Plan (PDP) enrollment by health plan as released by the Centers for Medicare & Medicaid Services (CMS). MFA’s improved user interface includes easy-to-navigate tables with download to Excel functionality allowing for swift monitoring of competitive positions in the MA and stand-alone PDP senior markets. Data is organized at national, state, and county levels and is aggregated by parent, contract, and plan. Trend data for Medicare Eligibles and current enrollment for Original Medicare are also featured.

Mark Farrah Associates (MFA), a leading data aggregator and publisher of health plan market data and analytics, aggregates industry metrics from statutory financial statements filed with state insurance regulators in its Health Coverage Portal™ (HCP). MFA continually strives for ongoing product enhancement and development, to further simplify the analysis of health insurance business. MFA’s newly enhanced Health Coverage Portal™ provides expanded capabilities and time-saving ease of use for the analysis of annual and quarterly financials, enrollment and industry ratios for health plans across all 50 states, the District of Columbia and U.S. territories. Data sources include statutory financial reports from the NAIC (National Association of Insurance Commissioners) and the CA DMHC (California Department of Managed Health Care).

Mark Farrah Associates, www.markfarrah.com, a leading provider of market data and intelligence solutions, provides a practical, low-cost tool for companies looking for a nationwide overview of the health insurance industry, including market share and general financial data for health plans nationwide in Health Plans USA™. This online database gives you access to annual enrollment, revenue, and expenses for Commercial Risk, ASO, Medicare and Medicaid plans. The annual 2024 data is available!

In the latest Healthcare Business Strategy report, Mark Farrah Associates, www.markfarrah.com, summarized key findings from the 2023 MLR report released by the Department of Health and Human Services (HHS). The Affordable Care Act’s (ACA) MLR provision requires health insurers who fail to spend specified percentages of their health care premium income to pay rebates to their customers. The goal of this provision is to curb growth in health care premiums while ensuring that plans are adequately covering healthcare expenses. This brief focused on health plan performance as it relates to the 2023 Medical Loss Ratio, and the related rebates subsequently due to consumers.

Mark Farrah Associates (MFA), www.markfarrah.com, presents 5500 Employer Health Plus. This tool has been designed to simplify the analysis of employer health & welfare benefits including health, drug, dental, vision, disability and other benefits. MFA’s 5500 Employer Health Plus uniquely focuses on health & ancillary benefits purchased by private sector employers and the relationships employers have with contracted insurers, administrators and brokers.

Blue Cross and Blue Shield (BCBS) organizations’ combined membership comprised 37.7% of total U.S. health insurance enrollment, or 120 million members nationwide as of September 30, 2024, based on statutory reporting. The leading BCBS affiliated insurers based on revenue as of September 30, 2024, include: Elevance, Health Care Service Corp. (HCSC), Guidewell Mutual Holding Group, Independence Blue Cross, and Blue Shield of CA. In the latest Healthcare Business Strategy report, Mark Farrah Associates (MFA), www.markfarrah.com, analyzed profit margins of BCBS plans, comparing year-to-date performance from third quarter 2020 to third quarter 2024.

Mark Farrah Associates (MFA), www.markfarrah.com, reviewed data on Elevance Health, Inc.’s (NYSE: ELV) Anthem Blue Cross and Blue Shield subsidiary’s acquisition of Indiana University Health Plans (IU Health Plans) on December 31, 2024. Data was obtained utilizing multiple products available to MFA’s customers, including the NEW Enrollment Analysis tables in Medicare Benefits AnalyzerTM and the improved mapping capabilities under its County Health CoverageTM product’s new user interface.

Mark Farrah Associates (MFA), www.markfarrah.com, a leading provider of market data and intelligence solutions, provides county-level market share and demographics data essential for the analysis of health insurance market position and competition. MFA maintains reasonable estimates of health plan membership by county in its County Health Coverage™ product.

Mark Farrah Associates (MFA), www.markfarrah.com, released a third quarter 2024 health insurance segment enrollment update. MFA compared membership between the 3rd quarter of 2023 with the 3rd quarter of 2024 to provide greater insight into enrollment trends for the Individual, Group, ASO, Medicare Advantage, and Medicaid insurance segments. As of September 30, 2024, approximately 319 million people received medical coverage from U.S. health insurers. This number is down 2 million members from a year ago.

In the latest analysis brief, Mark Farrah Associates (MFA), provided insights about the current employer-group Medicare Advantage (MA) market and assessed membership trends by carrier and state. As of November 1, 2024, almost 280,000 more beneficiaries were enrolled in employer-group MA plans than in December of 2023, a 5.2% increase according to the Centers for Medicare and Medicaid Services (CMS) Medicare Advantage enrollment reports aggregated by Mark Farrah Associates in Medicare Business Online™.

Mark Farrah Associates (MFA), www.markfarrah.com, compared 2Q24 and 2Q23, per member per month (PMPM) health premiums and expenses for the Individual, Employer-Group, Medicare, and Medicaid segments. Financial insights were gleaned from aggregated statutory financial data from MFA’s Health Coverage Portal™.

Mark Farrah Associates (MFA), www.markfarrah.com, released an analysis presenting a brief assessment of the 2025 Medicare market landscape. MFA used plan information detail presented in Medicare Benefits Analyzer™, a subscription based dataset providing customers easy access to competitive Medicare.gov benefits data and Star Quality Ratings. With the 2025 Annual Election Period (AEP) well underway, health plans invested in Medicare Advantage (MA) business have been eagerly marketing their products to attract more seniors.

Mark Farrah Associates (MFA), www.markfarrah.com, released a year-over-year comparison for health insurance segment enrollment. MFA assessed membership between 2Q23 and 2Q24 to provide greater insight into enrollment trends for the Individual, Group, ASO, Medicare Advantage, and Medicaid insurance segments. As of June 30, 2024, approximately 319 million people received medical coverage from U.S. health insurers. This number is down 5.3 million members from a year ago.

Mark Farrah Associates (MFA), www.markfarrah.com, compared 2023 and 2022, per member per month (PMPM) health premiums and expenses for the Individual, Employer-Group, Medicare, and Medicaid segments. Financial insights were gleaned from aggregated statutory financial data from MFA’s Health Coverage Portal™.

In its latest Business Strategy brief, Mark Farrah Associates (MFA) assessed short-and long-term individual health insurance enrollment trends. According to financial statements filed by insurers, and with estimates by MFA, enrollment in individual medical plans, both on and off the exchange, totaled approximately 24.3 million as of March 31, 2024, the highest it has ever been. This is an increase of 4.9 million members, or 25%, from 1Q23.

Mark Farrah Associates (MFA), www.markfarrah.com, examined trends in membership, claims incurred PMPM (per member per month), adjusted premiums PMPM, and MLRs (Medical Loss Ratios) for the Individual and Small Group comprehensive medical/health insurance markets and segment leaders. Based on an analysis of the National Association of Insurance Commissioners (NAIC) Supplemental Health Care Exhibit (SHCE), MFA also analyzed the profitability of both health insurance segments for the last five years.

In the latest Healthcare Business Strategy report, Mark Farrah Associates (MFA), www.markfarrah.com provided an overview of the 2023 Medicare Supplement market with insights about competitive positioning and standardized plan type preferences. Medicare Supplement plans, also known as Medigap or Med Supp plans, covered over 13.58 million seniors as of December 31, 2023. Many leading managed care organizations, Blues plans, regional plans, and multiline carriers compete in the Medicare Supplement space.

Mark Farrah Associates (MFA), www.markfarrah.com, released a year-end 2023 health insurance segment enrollment update. MFA compared membership between 4th quarter 2023 and 4th quarter 2022 to provide greater insight into enrollment trends for the Individual, Group, ASO, Medicare Advantage, and Medicaid insurance segments. As of December 31, 2023, approximately 318 million people received medical coverage from U.S. health insurers. This number is down 2.1 million members from a year ago.

Mark Farrah Associates (MFA), www.markfarrah.com, recently assessed Medicare Advantage (MA), including Medicare Advantage with Prescription Drug Plan (MA-PD) and Prescription Drug Plan (PDP) performance, market share and market growth by state as of April 1, 2024. Report findings indicate more than half of people eligible for Medicare selected a Medicare Advantage plan and another third selected a Part D - prescription drug plan in 2024. Total MA membership exceeded 33.4 million and Medicare stand-alone PDPs covered nearly 22.7 million members. Key highlights include:

Mark Farrah Associates (MFA), www.markfarrah.com simplifies analysis of Medicare benefits and Star Quality Ratings information in Medicare Benefits Analyzer™ (MBA). This powerful web-based application presents the latest plan premiums, PCP and specialist co-pays, prescription drug tier pricing, co-pays for inpatient and outpatient procedures, specialty benefits and many additional data elements in a comparative database format. In addition, MBA includes monthly enrollment updates as well as Medicare Star Quality Ratings.

Mark Farrah Associates, www.markfarrah.com, a leading provider of market data and intelligence solutions, provides county-level market share and demographics data essential for the analysis of health insurance market position and competition. MFA maintains reasonable estimates of health plan membership by county in the County Health Coverage™ product. This product features company market share by state, county, and plan for the Private Risk; now with Individual and Group segments split out, Private ASO, Managed Medicaid, Medicare Advantage, and PDP segments. Breakdowns by product type (HMO, PPO, etc.) are also presented, as well as market share by Metropolitan Statistical Areas (MSAs), population demographics and visual mapping tools.

Mark Farrah Associates (MFA), a leading data aggregator and publisher of health plan market data and analytics, aggregates industry metrics from statutory financial statements filed with state insurance regulators in its Health Coverage Portal™ (HCP). Insurance companies provided medical coverage for over 318 million people as of December 31, 2023, based on membership data filed in statutory financial reports from the NAIC (National Association of Insurance Commissioners) and the CA DMHC (California Department of Managed Health Care). Annual 2023 data is now available!

Mark Farrah Associates’ (MFA), www.markfarrah.com, Medicare Business Online™ (MBO) product simplifies the analysis and tracking of Medicare Advantage (MA) and stand-alone Prescription Drug Plan (PDP) enrollment by health plan as released by the Centers for Medicare & Medicaid Services (CMS). Easy-to-navigate tables with download to Excel functionality allow for swift monitoring of competitive positions in the MA and stand-alone PDP senior markets. Data is organized at national, state, and county levels and is aggregated by parent, contract, and plan. Trend data for Medicare Eligibles and current enrollment for Original Medicare are also featured.

Mark Farrah Associates (MFA), www.markfarrah.com, reviewed final year-end 2022 enrollment mix and financial metrics for the top 5 health plans. UnitedHealth, Elevance Inc., CVS Health, Centene, and Health Care Service Corp. (HCSC) insured 43% Americans in the commercial, Medicare and Medicaid markets. Key takeaways include:

Mark Farrah Associates (MFA), www.markfarrah.com, presents a high-level analysis of the leading employers in top business sectors, as well as the key health benefit insurers that serve them, utilizing information from MFA’s 5500 Employer Health Plus product. Large private-sector employers providing health and welfare benefit plans subject to ERISA are required to file the annual Form 5500 with the Internal Revenue Service. Form 5500 is a primary source of employer information about health and welfare benefits. Observations obtained from 5500 Employer Health Plus are based on 86,200 employers that indicated they had active health benefit contracts as of their most recent filings.

Mark Farrah Associates, www.markfarrah.com, a leading provider of market data and intelligence solutions, provides a practical, low-cost tool for companies looking for a nationwide overview of the health insurance industry, including market share and general financial data for health plans nationwide in Health Plans USA™. This online database gives you access to annual enrollment, revenue, and expenses for Commercial Risk, ASO, Medicare and Medicaid plans. Annual 2023 data is now available!

Mark Farrah Associates (MFA), www.markfarrah.com, presents 5500 Employer Health Plus. This tool has been designed to simplify the analysis of employer health & welfare benefits including health, drug, dental, vision, disability and other benefits. MFA’s 5500 Employer Health Plus uniquely focuses on health & ancillary benefits purchased by private sector employers and the relationships employers have with contracted insurers, administrators and brokers.

In the latest Healthcare Business Strategy report, Mark Farrah Associates, www.markfarrah.com, summarized key findings from the 2022 MLR report released by the Department of Health and Human Services (HHS). The Affordable Care Act’s (ACA) MLR provision requires health insurers who fail to spend specified percentages of their health care premium income to pay rebates to their customers. The goal of this provision is to curb growth in health care premiums while ensuring that plans are adequately covering healthcare expenses. This brief focused on health plan performance as it relates to the 2022 Medical Loss Ratio, and the related rebates subsequently due to consumers.

Mark Farrah Associates (MFA), a leading data aggregator and publisher of health plan market data and analytics, aggregates industry metrics from statutory financial statements filed with state insurance regulators in its Health Coverage Portal™ (HCP) database tool. For 3Q23, insurance companies reported medical coverage of over 320.5 million Americans, based on membership data filed in statutory financial reports from the NAIC (National Association of Insurance Commissioners) and the CA DMHC (California Department of Managed Health Care). MFA is anticipating the release of the annual 2023 data that will be available on March 8th!

Total Medicaid enrollment included nearly 85.8 million Americans, representing a year-over-year (YOY) decrease of over 2.2 million enrollees, as of September 30, 2023 (3Q23). This decrease in enrollment is primarily due to the conclusion of the public health emergency (PHE) on March 31, 2023, when many state health departments initiated “unwinding” plans of renewals and redeterminations for coverage. Mark Farrah Associates (MFA) analyzed third quarter Medicaid enrollment trends from its County Health Coverage™ database tool.

Blue Cross and Blue Shield (BCBS) organizations’ combined membership comprised 37% of total U.S. health insurance enrollment, or 119.7 million members nationwide as of September 30, 2023, based on statutory reporting. The leading BCBS affiliated insurers with over $14 billion in revenue as of September 30, 2023, include: Elevance (formerly Anthem), Health Care Service Corp. (HCSC), Guidewell Mutual Holding Group, Independence Blue Cross, and Blue Shield of CA. In the latest Healthcare Business Strategy report, Mark Farrah Associates (MFA), www.markfarrah.com, analyzed profit margins of BCBS plans, comparing year-to-date performance from third quarter 2020 to third quarter 2023.

Mark Farrah Associates (MFA), www.markfarrah.com, reported enrollment in individual medical plans totaled approximately 20.4 million as of September 2023, representing a 15.8% increase from the 17.6 million members in September 2022. This is the largest number of participants this segment has seen. In the latest brief, MFA provides insights into third quarter individual health insurance market trends with state-by-state membership comparisons.

In the latest analysis brief, Mark Farrah Associates (MFA), provided insights about the current employer-group Medicare Advantage (MA) market and assessed membership trends by carrier and state. As of November 1, 2023, over 283,000 more beneficiaries were enrolled in employer-group MA plans than in December of 2022, a 5.5% increase according to the Centers for Medicare and Medicaid Services (CMS) Medicare Advantage enrollment reports aggregated by Mark Farrah Associates in Medicare Business Online™.

Mark Farrah Associates (MFA), www.markfarrah.com, released an analysis presenting a brief assessment of the 2024 Medicare market landscape. MFA used plan information detail presented in Medicare Benefits Analyzer™, a subscription based dataset providing customers easy access to competitive Medicare.gov benefits data and Star Quality Ratings. With the 2024 Annual Election Period (AEP) well underway, health plans invested in Medicare Advantage (MA) business have been eagerly marketing their products to attract more seniors.

Mark Farrah Associates (MFA), www.markfarrah.com, compared second quarter, year-over-year profitability for the Individual, Employer-Group, Medicare and managed Medicaid segments. Financial insights were gleaned from aggregated 2Q22 and 2Q23 statutory financial data from MFA’s Health Coverage Portal™.

Mark Farrah Associates (MFA), www.markfarrah.com, released a second quarter health insurance segment enrollment update. MFA compared membership between 2nd quarter 2022 with 2nd quarter 2023 to provide greater insight into enrollment trends for the Individual, Group, ASO, Medicare Advantage, and Medicaid insurance segments. As of June 30, 2023, approximately 325 million people received medical coverage from U.S. health insurers. This number is up from 315 million, or approximately 9.6 million additional members, from the second quarter a year ago.

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 2022.

The individual market has seen numerous changes in the last fifteen years. Enrollment in individual medical plans, both on and off the exchange, totaled approximately 19.5 million as of March 31, 2023, nearing the height of the market in early 2015, according to financial statements filed by insurers, and with estimates by Mark Farrah Associates (MFA). In the latest brief, MFA provides insights into enrollment and financial trends for the individual health insurance segment.

Mark Farrah Associates (MFA), www.markfarrah.com, released an analysis brief providing insights into the 2022 profitability for commercial and government lines of health insurance business. MFA compared year-over-year profitability for the Individual, Employer-Group, Medicare Advantage and managed Medicaid segments. Financial insights were gleaned from aggregated 2021 and 2022 National Association of Insurance Commissioners (NAIC) statutory financial data from MFA’s Health Coverage Portal™.

In the latest Healthcare Business Strategy report, Mark Farrah Associates (MFA), www.markfarrah.com, reported Medicare Supplement plans, also known as Medigap or Med Supp plans, covered over 13.7 million seniors as of December 31, 2022. Many leading managed care organizations, Blues plans, regional plans, and multiline carriers compete in the Medicare Supplement space.

Mark Farrah Associates, www.markfarrah.com, a leading provider of market data and intelligence solutions, provides county-level market share and demographics data essential for the analysis of health insurance market position and competition. MFA maintains reasonable estimates of health plan membership by county in the County Health Coverage™ product. This product features company market share by state, county, and plan for the Private Risk, Private ASO, Managed Medicaid, Medicare Advantage, and PDP segments. Breakdowns by product type (HMO, PPO, etc.) are also presented, as well as market share by Metropolitan Statistical Areas (MSAs) for over 390 MSAs, population demographics and visual mapping tools.

Mark Farrah Associates (MFA), a leading data aggregator and publisher of health plan market data and analytics, aggregates industry metrics from statutory financial statements filed with state insurance regulators in its Health Coverage Portal™ (HCP). Insurance companies provided medical coverage for over 317 million people as of December 31, 2022, based on membership data filed in statutory financial reports from the NAIC (National Association of Insurance Commissioners) and the CA DMHC (California Department of Managed Health Care). Annual 2022 data is now available!

Mark Farrah Associates (MFA), www.markfarrah.com, assessed Medicare Advantage (MA), including Medicare Advantage with Prescription Drug Plan (MA-PD) and Prescription Drug Plan (PDP) performance, market share and market penetration by state as of March 1, 2023. Total MA membership exceeded 31.7 million and Medicare stand-alone PDPs covered over 22.5 million members. Key highlights include:

Mark Farrah Associates (MFA), www.markfarrah.com, previously noted health insurance enrollment shifting from commercial risk to government business. In a newly released Business Strategy report, using data gleaned from MFA’s 5500 Employer Health Plus and other products, it highlights two carriers, Fallon Health Group and Humana. Both entities have announced plans to transition away from Commercial business to focus more on Government business lines.

Mark Farrah Associates’ (MFA), www.markfarrah.com, Medicare Business Online™ (MBO) product is best known for how it simplifies the analysis and tracking of Medicare Advantage (MA) and stand-alone Prescription Drug Plan (PDP) enrollment by health plan as released by the Centers for Medicare & Medicaid Services (CMS). As MFA continually strives for ongoing product enhancement, we are excited to announce a new MBO user interface that provides the same valuable data but with expanded capabilities, additional history, and ease of use, to further simplify the analysis of health insurance business.

In the latest Healthcare Business Strategy report, Mark Farrah Associates, www.markfarrah.com, summarized key findings from the 2021 MLR report released by the Department of Health and Human Services (HHS). The Affordable Care Act’s (ACA) MLR provision requires health insurers who fail to spend specified percentages of their health care premium income to pay rebates to their customers. The goal of this provision is to curb growth in health care premiums while ensuring that plans are adequately covering healthcare expenses. This brief focused on health plan performance as it relates to the Medical Loss Ratio, and the related rebates subsequently due to consumers.

Mark Farrah Associates (MFA) analyzed Medicaid enrollment figures from its County Health CoverageTM database product for three counties in Texas, with a focus on health plan market position. Prior to the COVID-19 Pandemic, Texas Medicaid enrollment was approximately 3.1 million (as of December 31, 2019). Since then, the program has expanded 75% to cover nearly 5.3 million Texans, as of September 30, 2022. MFA’s analysis covers the top three counties in Texas, based on Medicaid enrollment: Harris, Dallas, and Bexar.

Blue Cross and Blue Shield (BCBS) organizations’ combined membership comprised 38% of total U.S. health insurance enrollment, or nearly 119 million members nationwide as of September 30, 2022, based on statutory reporting. The leading BCBS affiliated insurers with over $17 billion in revenue as of September 30, 2022, include: Elevance Health (formerly Anthem), Health Care Service Corp. (HCSC), Independence Blue Cross, Blue Shield of CA, and Guidewell Mutual Holding Group. In the latest Healthcare Business Strategy report, Mark Farrah Associates (MFA), www.markfarrah.com, analyzed profit margins of BCBS plans, comparing year-to-date performance from third quarter 2019 to third quarter 2022.

Mark Farrah Associates (MFA), www.markfarrah.com, presents a high-level overview of health benefit insights gleaned from MFA’s 5500 Employer Health Plus product. Large private-sector employers providing health and welfare benefit plans subject to ERISA are required to file the annual Form 5500 with the Internal Revenue Service. Form 5500 is a primary source of employer information about health and welfare benefits as well as pension plans. Observations obtained from 5500 Employer Health Plus are based on 80,438 employers that indicated they had active health benefit contracts as of their most recent filings.

In the latest analysis brief, Mark Farrah Associates (MFA), provided insights about the current employer-group Medicare Advantage (MA) market and assessed membership trends by carrier and state. As of October 1, 2022, nearly 156,000 more beneficiaries were enrolled in employer-group MA plans than in December of 2021, a 3% increase according to the Centers for Medicare and Medicaid Services (CMS) Medicare Advantage enrollment reports aggregated by Mark Farrah Associates in Medicare Business Online™.

Mark Farrah Associates (MFA), www.markfarrah.com, released an analysis presenting a brief assessment of the 2023 Medicare market landscape. MFA used plan information detail presented in Medicare Benefits Analyzer™, a subscription based dataset providing customers easy access to competitive Medicare.gov benefits data and Star Quality Ratings. With the 2023 Annual Election Period (AEP) well underway, health plans invested in Medicare Advantage (MA) business have been eagerly marketing their products to attract more seniors.

Mark Farrah Associates (MFA), www.markfarrah.com, reported enrollment in individual medical plans totaled 17.4 million as of June 2022, representing a 9.1% increase from the 15.9 million members in June 2021. According to the Centers for Medicare & Medicaid Services (CMS) reports, also combined with data from MFA’s Health Coverage Portal™, more than 10.3 million of these members were enrolled through the healthcare.gov platform at second quarter 2022, and 4.3 million enrolled in State-based marketplaces. In the latest brief, MFA provides insights into individual health insurance market trends with state-by-state membership comparisons.

Mark Farrah Associates (MFA), www.markfarrah.com, released an analysis brief providing insights into mid-year profitability for commercial and government lines of health insurance business. MFA compared second quarter, year-over-year profitability for the Individual, Employer-Group, Medicare and managed Medicaid segments. Financial insights were gleaned from aggregated 2Q21 and 2Q22 National Association of Insurance Commissioners (NAIC) statutory financial data from MFA’s Health Coverage Portal™.

Mark Farrah Associates (MFA), www.markfarrah.com, released a mid-year 2022 health insurance segment enrollment update. Based on membership data filed with statutory financial reports from the NAIC (National Association of Insurance Commissioners), the CA DMHC (California Department of Managed Health Care), and data from MFA’s ASO estimates, insurance companies provided medical coverage for over 311 million people, as of June 30, 2022. This number is up from 304 million or approximately 7.4 million members, from a year ago.

Mark Farrah Associates (MFA), www.markfarrah.com will be releasing the 2023 Medicare benefits and Star Quality Ratings information in Medicare Benefits Analyzer™ (MBA). This powerful web-based application presents the latest plan premiums, PCP and specialist co-pays, prescription drug tier pricing, co-pays for inpatient and outpatient procedures, specialty benefits and many additional data elements in a comparative database format. In addition, MBA includes monthly enrollment updates as well as Medicare Star Quality Ratings. As of early October, customers will have access to this important information to analyze their positions and target opportunities in the highly competitive Medicare marketplace.

In the latest Healthcare Business Strategy report, Mark Farrah Associates (MFA), www.markfarrah.com, provides a brief overview of Kaiser Permanente’s Senior Advantage Los Angeles and Orange Co. health maintenance organization (HMO) plan (KP SALAOP), using information available in MFA’s Medicare Benefits Analyzer™ and Medicare Business Online™ products. This plan has gained the top spot nationwide, based on enrollment, for Medicare Advantage (MA) plans sold to individuals, without special needs, while competing in a highly competitive area.

Mark Farrah Associates, www.markfarrah.com, a leading provider of market data and intelligence solutions, provides county-level market share and demographics data essential for the analysis of health insurance market position and competition. MFA maintains reasonable estimates of health plan membership by county in the County Health Coverage™ product. This product features company market share by state, county, and plan for the Private Risk, Private ASO, Managed Medicaid, Medicare Advantage, and PDP segments. Breakdowns by product type (HMO, PPO, etc.) are also presented, as well as market share by Metropolitan Statistical Areas (MSAs) for over 390 MSAs, population demographics and visual mapping tools.

Mark Farrah Associates (MFA), a leading data aggregator and publisher of health plan market data and analytics, aggregates industry metrics from statutory financial statements filed with state insurance regulators in its Health Coverage Portal TM (HCP). Insurance companies provided medical coverage for nearly 310 million people as of March 31, 2022, based on membership data filed in statutory financial reports. The commercial group, individual and government segments dominate the industry and market assessment is crucial to attaining that competitive edge.

In the latest Healthcare Business Strategy report, Mark Farrah Associates (MFA), www.markfarrah.com assessed administrative fees revenues from self-insured accounts for Blue Cross and Blue Shield (BCBS) plans and their affiliates. Based on statutory filings from the National Association of Insurance Commissioners (NAIC), BCBS entities reported receiving $18.7 billion in reimbursements in 2021 from uninsured, also referred to as Administrative Services Only (ASO), plans, an 18% hike from the $15.8 billion reported in 2017. MFA’s Blues analysis found:

In the latest Healthcare Business Strategy report, Mark Farrah Associates (MFA), www.markfarrah.com assessed first quarter, year-over-year, Medicaid market trends with insights about health plan competition, using MFA’s Health Coverage Portal™. For 1Q22, total Medicaid membership stands at almost 86 million, as available through statutory sources and State managed and non-managed Medicaid program reports and covers 25.8% of the 332.78 million people in the U.S., as of March 2022.

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.

Mark Farrah Associates (MFA), www.markfarrah.com, presents a high-level overview of health benefit insights gleaned from MFA’s 5500 Employer Health Plus product. Large private-sector employers providing health and welfare benefit plans subject to ERISA are required to file the annual Form 5500 with the Internal Revenue Service. Form 5500 is a primary source of employer information about health and welfare benefits as well as pension plans. Observations obtained from 5500 Employer Health Plus are based on 79,287 employers that indicated they had active health benefit contracts as of their most recent filings.

In the latest Healthcare Business Strategy report, Mark Farrah Associates (MFA), www.markfarrah.com, reported Medicare Supplement plans, also known as Medigap or Med Supp plans, covered over 13.9 million seniors as of December 31, 2021. Many leading managed care organizations, Blues plans, regional plans, and multiline carriers compete in the Medicare Supplement space.

Mark Farrah Associates (MFA), www.markfarrah.com, released a year-end 2021 health insurance segment enrollment update. MFA compared membership between 4th quarter 2020 with 4th quarter 2021 to provide greater insight into enrollment trends for the Individual, Group, ASO, Medicare Advantage, and Medicaid insurance segments.

Mark Farrah Associates, www.markfarrah.com, a leading provider of market data and intelligence solutions, provides county-level market share and demographics data essential for the analysis of health insurance market position and competition. MFA maintains reasonable estimates of health plan membership by county in the County Health Coverage™ product. This product features company market share by state, county, and plan for the Private Risk, Private ASO, Managed Medicaid, Medicare Advantage, and PDP segments. Breakdowns by product type (HMO, PPO, etc.) are also presented, as well as market share by Metropolitan Statistical Areas (MSAs), population demographics, and visual mapping tools.

Blue Cross and Blue Shield (BCBS) organizations’ combined membership comprised 49% of total U.S. commercial enrollment, or over 95 million members nationwide as of September 30, 2021, based on statutory reporting. The leading BCBS affiliated insurers with over $15 billion in revenue as of September 30, 2021, include: Anthem Inc., Health Care Service Corp. (HCSC), Independence Blue Cross, Guidewell Mutual Holding Group (Florida Blues), and Blue Shield of California. With diversified product portfolios, Blues organizations represent many aspects of the health insurance industry. In its latest Healthcare Business Strategy report, Mark Farrah Associates (MFA), www.markfarrah.com, analyzed profit margins of BCBS plans, comparing year-to-date performance from third quarter 2018 to third quarter 2021.

Mark Farrah Associates (MFA), www.markfarrah.com, presents an analysis of the top insurers and employers in the Miami, Florida area, gleaned from 5500 Employer Health Plus, a product designed to simplify the analysis of the 5500 series data Miami is home to several large employers, attracting both national and local insurers competing for a share of the expanding health insurance industry. Focusing attention on total health and health-related premiums earned through risk-based insurance (not self-funded) in Miami, it is apparent that all the leading national carriers are competing in the area, including UnitedHealth, CVS/Aetna, Anthem, Kaiser Foundation, and Humana.

In the latest Healthcare Business Strategy report, Mark Farrah Associates (MFA) assessed year-over-year Managed Medicaid market trends and examined how carriers in this segment have fared between the third quarter of 2020 (3Q20) to the third quarter of 2021 (3Q21). Managed care companies that participate in Managed Medicaid markets are experiencing unprecedented membership growth due, in part, to the continuing impact of the COVID-19 pandemic. For 3Q21, Managed Medicaid membership, available through statutory sources, accounted for approximately 85% of the total Medicaid and CHIP membership. These carriers covered 70.3 million beneficiaries, with CVS Health reporting the largest percentage increase in membership between 3Q20 and 3Q21.

Mark Farrah Associates (MFA), www.markfarrah.com, presents 5500 Employer Health Plus, its newest offering of invaluable database products. This tool has been designed to simplify the analysis of employer health & welfare benefits including health, drug, dental, vision, disability and other benefits. MFA’s 5500 Employer Health Plus uniquely focuses on health & ancillary benefits purchased by private sector employers and the relationships employers have with contracted insurers, administrators and brokers.

Mark Farrah Associates (MFA), www.markfarrah.com, presents an analysis of the top insurers and employers in the Dallas, Texas area, gleaned from 5500 Employer Health Plus, a product designed to simplify the analysis of the 5500 series data. Large private-sector employers providing health and welfare benefit plans subject to ERISA are required to file the annual Form 5500 with the Internal Revenue Service. Benefit information found within the 5500 Series filings includes insurer-reported figures such as insured counts and premiums, as well as employer/sponsor and broker information. The top insurers competing for health insurance market share in the Dallas Metro area include Cigna, CVS, HCSC, Kaiser, and UnitedHealth.

Mark Farrah Associates (MFA), www.markfarrah.com, released an analysis brief presenting a snapshot of the 2022 Medicare market landscape. MFA used plan information detail presented in Medicare Benefits Analyzer™, a subscription based dataset providing customers easy access to competitive Medicare.gov benefits data and Star Quality Ratings. With the 2022 Annual Election Period (AEP) well underway, health plans invested in MA business have been eagerly marketing their products to attract more seniors.

Mark Farrah Associates (MFA), www.markfarrah.com announces the release of the 2022 Medicare benefits and Star Quality Ratings info in Medicare Benefits Analyzer™ (MBA). Medicare Benefits Analyzer™ presents the latest plan premiums, PCP and specialist co-pays, prescription drug tier pricing, co-pays for inpatient and outpatient procedures, specialty benefits and many additional data elements in a comparative database format. In addition, MBA includes monthly enrollment updates as well as Medicare Star Quality Ratings. Customers now have access to this important information to analyze their positions and target opportunities in the highly competitive Medicare marketplace.

Mark Farrah Associates (MFA), www.markfarrah.com, released a second quarter 2021 health insurance segment enrollment update. Based on membership data filed with statutory financial reports from the NAIC (National Association of Insurance Commissioners), the CA DMHC (California Department of Managed Health Care), and data from MFA’s ASO estimates, insurance companies provided medical coverage for 301 million people, as of June 30, 2021. This number is up from 293.7 million or approximately 7.2 million members, from a year ago. Second quarter enrollment trends indicated membership gains for Individual, Medicare Advantage (MA), and Medicaid, while the Employer-Group risk and Employer-Group ASO (administrative services only for self-funded plans) business, experienced year-over-year declines.

Mark Farrah Associates (MFA), www.markfarrah.com, released an analysis brief providing insights into mid-year profitability for commercial and government lines of health insurance business. MFA compared second quarter, year-over-year profitability for the Individual, Employer-Group, Medicare and managed Medicaid segments. Financial insights were gleaned from aggregated 2Q20 and 2Q21 National Association of Insurance Commissioners (NAIC) statutory financial data from MFA’s Health Coverage Portal™.

Mark Farrah Associates (MFA), www.markfarrah.com, reported enrollment in individual medical plans totaled 15.9 million as of June 2021, representing a 4.9% increase from the 15.2 million members in June 2020. According to the Centers for Medicare & Medicaid Services (CMS) reports combined with data from MFA’s Health Coverage Portal™, 8.3 million of these members were enrolled through the healthcare.gov platform at second quarter 2021, and 3.8 million enrolled in State-based marketplaces. In the latest brief, MFA provides insights into individual health insurance market trends with state-by-state membership comparisons.