Mark Farrah Associates Assessed Year-Over-Year Health Insurance Segment Profitability
- For 2022, the average medical expense ratio for the Individual segment was 86.5%, as compared to 87.8% the previous year.
- For the Employer-Group Risk segment, growth in premium, which more than offset the increase in medical expenses, pushed the average medical expense ratio for this segment down to 86.2% for 2022, from 88.7% in 2021.
- For Medicare Advantage, premium growth, which was greater than the increase in medical expenses, pushed the average medical expense ratio for this segment down to 86.1% for 2022, from 87% in 2021.
- For Managed Medicaid, the increase in premiums offset the increase in medical expenses per member per month, dropping the medical expense ratio down slightly to 86.5% in 2022.
Market analysts throughout the industry rely on enrollment data and segment performance metrics to gain better insights into health plan market share and competitive positioning.
To read the full text of "2022 Health Insurance Segment Profitability", visit the MFA Briefs library on
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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
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