3 datasets found
  1. Market share of top U.S. health insurance companies 2023

    • statista.com
    • ai-chatbox.pro
    Updated Aug 6, 2024
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    Statista (2024). Market share of top U.S. health insurance companies 2023 [Dataset]. https://www.statista.com/statistics/761446/leading-us-health-insurers-in-the-us-covered-lives/
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    Dataset updated
    Aug 6, 2024
    Dataset authored and provided by
    Statistahttp://statista.com/
    Description

    As of 2023, UnitedHealth Group had a share of 15 percent in the U.S. health insurance market. Elevance health (Anthem) had the second-largest health insurance market share, covering ten percent of the market. The top five largest insurance companies represented around 50 percent of the total U.S. market share in the health insurance industry.

    Health insurance market in the U.S.

    The United States does not have a universal healthcare system for its citizens. In the U.S. most individuals depend on employer-sponsored health coverage for their healthcare needs. Private health insurance dominates the market as it provides group and non-group policies. Public health insurance offers coverage under federal programs, Medicare and Medicaid/CHIP are the most popular ones. The U.S. health insurance industry has witnessed significant changes in the last decade, with increased spending by private insurance, expanded coverage through the ACA, and a growing Medicare Advantage market.

    Medicare Advantage market

    Medicare Advantage plans give Medicare beneficiaries the option of receiving benefits from private plans rather than from the traditional Medicare program. UnitedHealthcare, part of UnitedHealth Group, is the largest U.S. health insurance company by total membership. In 2023, Medicare Advantage provided coverage to 31 million Americans, among which some 8.9 million Medicare Advantage (MA) beneficiaries were enrolled in a plan from the UnitedHealth Group Inc.

  2. State-based Marketplace (SBM) Medicaid Unwinding Report

    • healthdata.gov
    • data.virginia.gov
    • +1more
    application/rdfxml +5
    Updated Sep 30, 2023
    + more versions
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    data.medicaid.gov (2023). State-based Marketplace (SBM) Medicaid Unwinding Report [Dataset]. https://healthdata.gov/dataset/State-based-Marketplace-SBM-Medicaid-Unwinding-Rep/aume-h4i3
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    csv, xml, tsv, application/rdfxml, application/rssxml, jsonAvailable download formats
    Dataset updated
    Sep 30, 2023
    Dataset provided by
    data.medicaid.gov
    Description

    Metrics from individual Marketplaces during the current reporting period. The report includes data for the states using State-based Marketplaces (SBMs) that use their own eligibility and enrollment platforms
    Source: State-based Marketplace (SBM) operational data submitted to CMS. Each monthly reporting period occurs during the first through last day of the reported month. SBMs report relevant Marketplace activity from April 2023 (when unwinding-related renewals were initiated in most SBMs) through the end of a state’s Medicaid unwinding renewal period and processing timeline, which will vary by SBM. Some SBMs did not receive unwinding-related applications during reporting period months in April or May 2023 due to renewal processing timelines. SBMs that are no longer reporting Marketplace activity due to the completion of a state’s Medicaid unwinding renewal period are marked as NA. Some SBMs may revise data from a prior month and thus this data may not align with that previously reported. For April, Idaho’s reporting period was from February 1, 2023 to April 30, 2023.

    Notes:

    1. This table represents consumers whose Medicaid/CHIP coverage was denied or terminated following renewal and 1) whose applications were processed by an SBM through an integrated Medicaid, CHIP, and Marketplace eligibility system or 2) whose applications/information was sent by a state Medicaid or CHIP agency to an SBM through an account transfer process. Consumers who submitted applications to an SBM that can be matched to a Medicaid/CHIP record are also included. See the "Data Sources and Metrics Definition Overview" at http://www.medicaid.gov for a full description of the differences between the SBM operating systems and resulting data metrics, measure definitions, and general data limitations. As of the September 2023 report, this table was updated to differentiate between SBMs with an integrated Medicaid, CHIP, and Marketplace eligibility system and those with an account transfer process to better represent the percentage of QHP selections in relation to applicable consumers received and processed by the relevant SBM. State-specific variations are:
      - Maine’s data and Nevada’s April and May 2023 data report all applications with Medicaid/CHIP denials or terminations, not only those part of the annual renewal process. - Connecticut, Massachusetts, and Washington also report applications with consumers determined ineligible for Medicaid/CHIP due to procedural reasons. - Minnesota and New York report on eligibility and enrollment for their Basic Health Programs (BHP). Effective April 1, 2024, New York transitioned its BHP to a program operated under a section 1332 waiver, which expands eligibility to individuals with incomes up to 250% of FPL. As of the March 2024 data, New York reports on consumers with expanded eligibility and enrollment under the section 1332 waiver program in the BHP data. - Idaho’s April data on consumers eligible for a QHP with financial assistance do not depict a direct correlation to consumers with a QHP selection. - Virginia transitioned from using the HealthCare.gov platform in Plan Year 2023 to an SBM using its own eligibility and enrollment platform in Plan Year 2024. Virginia's data are reported in the HealthCare.gov and HeathCare.gov Transitions Marketplace Medicaid Unwinding Reports through the end of 2024 and is available in SBM reports as of the April 2024 report. Virginia's SBM data report all applications with Medicaid/CHIP denials or terminations, not only those part of the annual renewal process, and as a result are not directly comparable to their data in the HealthCare.gov data reports. - Only SBMs with an automatic plan assignment process have and report automatic QHP selections. These SBMs make automatic plan assignments into a QHP for a subset of individuals and provide a notification of options regarding active selection of an alternative plan and/or, if applicable, making the first month’s premium payment.
    2. SBMs report on all applicable applications received and not on the Medicaid-defined cohorts of individuals whose renewal is due in a given month. The data in this table are not cumulative and count unique Marketplace activities during the reporting period month in which the relevant activity occurs. As such, activities by any one consumer may be included across reporting months. For example, a consumer who submits an application and receives a determination of QHP eligibility may be counted in one month but his/her plan selection could be counted in a later month. Thus, the percentages do not necessarily depict a direct correlation to the count of consumers on applications received during the current reporting month. Total counts represent activity across the reporting months and are not cumulative as of the latest reporting month. Updated applications in the reporting month are only counted once. Updated applications in a following month may be counted again in that applicable month only if the consumer obtains a new Medicaid/CHIP renewal.
    3. SBMs have different operational processes and eligibility systems for handling QHP, Medicaid and CHIP eligibility determinations. While CMS works with SBMs to align the metric definitions across the Marketplaces there can be limitations and anomalies among the SBM data due to different SBM system capabilities. Additionally, variances in the data may be attributable to differences in how states are conducting unwinding renewals including processing timelines and whether states are staging applications for population cohorts (e.g., over age 65).
    Percentages shown are of consumers on applications whose Medicaid/CHIP coverage was denied or terminated following renewal during the reporting period month.
    Percentages shown are of consumers on account transfers whose Medicaid/CHIP coverage was denied or terminated following renewal during the reporting period month. The percentages for SBMs with integrated eligibility systems and the SBM Total - Integrated and SBM Total data record groups are marked as not available (NA) because SBMs with integrated eligibility systems do not receive account transfers. Additionally, some SBMs with account transfer processes adjusted, with guidance from CMS, the count of "Consumers on Account Transfers Associated with a Medicaid/CHIP Coverage Denial or Termination Following Renewal" to include all consumers on applications who are associated with a Medicaid/CHIP coverage denial or termination following renewal for purposes of calculating the Percent - Account Transfer data record group. For example, Pennsylvania conducts automatic QHP eligibility determinations for Marketplace plans for some account transfers and as of the December 2023 report, revised its data to report those consumers in the account transfer and application metrics. As of the April 2024 report, New Jersey revised its data to report consumers on account transfers and direct applications in the account transfer and application metrics to reflect overall SBM activity in the Percent - Account Transfer data record group.
    APTC: Advance Premium Tax Credit; CHIP: Children's Health Insurance Program; QHP: Qualified Health Plan; BHP: Basic Health Program

  3. Share of Medicare Advantage enrollment in the U.S. 2024, by ethnicity

    • statista.com
    Updated May 12, 2025
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    Statista (2025). Share of Medicare Advantage enrollment in the U.S. 2024, by ethnicity [Dataset]. https://www.statista.com/statistics/1380123/medicare-advantage-enrollment-by-ethnicity-in-the-us/
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    Dataset updated
    May 12, 2025
    Dataset authored and provided by
    Statistahttp://statista.com/
    Time period covered
    2024
    Area covered
    United States
    Description

    In 2024, ** percent of Latino Medicare beneficiaries were enrolled in Medicare Advantage in the United States, the highest share among all ethnic groups. This statistic depicts the share of Medicare beneficiaries enrolled in Medicare Advantage (MA) by ethnicity in the United States in 2024.

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Statista (2024). Market share of top U.S. health insurance companies 2023 [Dataset]. https://www.statista.com/statistics/761446/leading-us-health-insurers-in-the-us-covered-lives/
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Market share of top U.S. health insurance companies 2023

Explore at:
Dataset updated
Aug 6, 2024
Dataset authored and provided by
Statistahttp://statista.com/
Description

As of 2023, UnitedHealth Group had a share of 15 percent in the U.S. health insurance market. Elevance health (Anthem) had the second-largest health insurance market share, covering ten percent of the market. The top five largest insurance companies represented around 50 percent of the total U.S. market share in the health insurance industry.

Health insurance market in the U.S.

The United States does not have a universal healthcare system for its citizens. In the U.S. most individuals depend on employer-sponsored health coverage for their healthcare needs. Private health insurance dominates the market as it provides group and non-group policies. Public health insurance offers coverage under federal programs, Medicare and Medicaid/CHIP are the most popular ones. The U.S. health insurance industry has witnessed significant changes in the last decade, with increased spending by private insurance, expanded coverage through the ACA, and a growing Medicare Advantage market.

Medicare Advantage market

Medicare Advantage plans give Medicare beneficiaries the option of receiving benefits from private plans rather than from the traditional Medicare program. UnitedHealthcare, part of UnitedHealth Group, is the largest U.S. health insurance company by total membership. In 2023, Medicare Advantage provided coverage to 31 million Americans, among which some 8.9 million Medicare Advantage (MA) beneficiaries were enrolled in a plan from the UnitedHealth Group Inc.

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