Enrollment in the US individual health insurance marketplace exceeded 16 million last year, a 25 percent jump from 2020. The uptick is due, in part, to enhanced subsidies from the American Rescue Plan Act and extended enrollment periods. According to analysis by partner Brandon Flowers and colleagues, enrollment was up 12 percentage points since 2019 for insurtechs, but fell by double digits for some other large insurers.
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A bar graph shows health insurance enrollment from 2014 to 2022 in the US. Each bar is broken into different healthcare coverage options, including insurtech, CO-OP, Medicaid, regional or local plans, national plans, Blue Cross and Blue Shield, and provider plans. Major changes visible include a steady reduction in Blue plans, which include those carried by Blue Cross and Blue Shield, from 60% in 2014 to 42% in 2022. It shows a steady increase in insurtech plans, which include Bright Health, Friday Health Plans, and Oscar Health, from 0% enrollment in 2014 to 14% by 2022. There is a secondary data set showing estimated enrollment, showing 14.5 million people enrolled in 2014 and 16.1 million by 2022.
Note: Figures may not sum to 100%, because of rounding. Footnote 1: Plans carried by Bright Health, Friday Health Plans, or Oscar Health. Footnote 2: Consumer operated and oriented plans. Footnote 3: Blue Cross Blue Shield payers. Footnote 4: On- and off-exchange plans.
Source: McKinsey Center for US Health System Reform analysis of federal and state individual marketplace data
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To read the article, see “The individual health insurance market in 2023,” April 11, 2023.