Individual Health Insurance Market Reaches New Heights according to Mark Farrah Associates
In its latest Business Strategy brief,
The individual segment has been profitable, overall, for health plans since 2017. However, since 2021, premium growth has, once again, been outpaced by medical expense growth, leading to increasing medical loss ratios (MLRs) and carriers exiting the individual marketplace or altering their service areas to continue to offer coverage at an affordable price. Traditional MLRs for 1Q24 averaged 78.8%, down from 79.3%, in first quarter of 2023, at premiums per member per month (PMPM) of
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