KFF July 13, 2020
Rachel Fehr, Daniel McDermott, and Cynthia Cox

The coronavirus pandemic and the resulting economic downturn are likely to impact the individual insurance market in profound but complex ways. In this brief, we analyze first quarter data from 2011 through 2020 to examine how the individual insurance market performed under the Affordable Care Act (ACA) and during the first few months of the year, when the coronavirus pandemic was first emerging in the United States.

We use financial data reported by insurance companies to the National Association of Insurance Commissioners and compiled by Mark Farrah Associates to look at the average premiums, claims, medical loss ratios, gross margins, and enrollee utilization in the individual market. These figures include coverage purchased through the ACA’s exchange marketplaces and ACA-compliant plans...

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Topics: ACA (Affordable Care Act), CMS, Govt Agencies, Insurance, Patient / Consumer, Payer, Provider, Public Exchange
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