Healthcare Finance News July 5, 2024
Gross margins per enrollee ranged from $753 in the Medicaid managed care market to $1,982 in the MA market.
The highest gross margins among insurers come from Medicare Advantage, which boasted gross margins per enrollee of $1,982 on average by the end of 2023, compared to $1,048 in the individual market, according to a new KFF analysis of insurers’ financial performance.
KFF’s brief examined two measures of financial performance – gross margins and medical loss ratios (MLRs) – in the Medicare Advantage, Medicaid managed care, individual and fully insured group health insurance markets using data reported by insurance companies to the National Association of Insurance Commissioners (NAIC) through the end 2023.
In that year, per enrollee gross margins were highest...
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