Mark Farrah Associates July 19, 2017
The Centers for Medicare & Medicaid Services (CMS) reported in their March 2017 Open Enrollment Report that 12.2 million consumers had enrolled in Marketplace plans following the 2017 open enrollment period. This includes more than 9.2 million consumers in the 39 states using the HealthCare.gov platform and 3.0 million consumers enrolled in State Based Marketplaces. Thereupon, in March, health insurers reported providing individual, non-group coverage for approximately 17.6 million people. These updates indicate that 69.5% of individual medical members were enrolled through the Marketplace. About 30.5% of this segment represents covered lives enrolled in off-exchange plans; currently an estimated 5.36 million.
The individual market poses greater risks for insurance carriers than other health care segments. The sustainability of this challenging...