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Analysis

Health plan financial series

A deep dive into market trends for fully-insured health plans

Amid increasing policy and market turbulence, how have US health plans fared? This series takes a closer look at the financial performance of fully-insured health plans (from 2011-2016) and trends among government and commercial lines of business.

Part one: Health plan financial performance (2011-2016)

Health plan market headlines seem to focus on volatility around the individual market. But what does the overall market look like from a financial performance perspective?

Analyzing data over a six-year span, this report outlines how the financial performance of the fully-insured health plan market in the US varies depending on scale, geography, population, and other factors.

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Part two: Medicare Advantage and Medicaid managed care trends

​Expanding on the research from part one in the series, this report takes a deeper dive into the government side of health plans.

How have Medicare Advantage and Medicaid managed care been impacted by the Affordable Care Act (ACA) and other new policies and programs? And how does financial performance compare between the two programs?

Read more.

Looking ahead

We are currently developing the third installment in this series. Stay tuned for a report that puts commercial health plans—both individual and group—under a microscope.

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