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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.

Read more about Health plan financial performance: 2011-2016.

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 about Government health plan financial trends: 2011-2016.

Part three: Commercial health plans

Commercial lines of business used to be growth and profitability engines for many health plans. But market and policy changes have posed significant challenges. And many plans have struggled financially, especially in the individual market.

The third and final installment in this series takes a closer look at commercial plan performance (for group and individual) over recent years and the impact that policy changes have had.

Read more about Commercial health plan financial trends: 2011-2016.

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