KENNEBUNK, Maine, May 20, 2015 /PRNewswire/ -- Mark Farrah Associates (MFA), www.markfarrah.com, noted in its latest Healthcare Business Strategy report that most of the top health plans experienced enrollment gains coupled with favorable financial results for 2014. MFA reported medical membership for the leading U.S. health insurance plans increased nearly 5.7% from 139.1 million at year end of 2013 to 144.7 million at the end of 2014.
MFA assessed enrollment changes and profitability for Aetna, Cigna, Health Care Service Corporation (HCSC), Humana, Kaiser Permanente, UnitedHealth Group and Anthem. Collectively, these companies insure or administer health coverage for approximately 54% of the insured population in the United States. Membership data, financial statistics and observations were gleaned from the April 2015 Health Insurer Insights™ series, a Mark Farrah Associates™ publication. MFA reported six of the seven leading health plans in the United States realized net gains in the total number enrolled in Commercial, Medicare and Medicaid plans from year end 2013 to year end 2014.
Membership changes resulted primarily from mergers and acquisitions but leaders also reported organic growth in select segments with many top plans continuing to reflect increases in both risk and ASO enrollment. As of December 2014, Anthem enrolled 37.5 million medical members, an increase of nearly 1.9% year-over-year, positioning the company as the leading health plan based on total membership. UnitedHealth was the only leader of the seven health plans that saw a decline in overall enrollment with 36.8 million medical members as of December 31, 2014, compared to 37.2 million in 2013. Aetna, the third largest health plan in the nation, reported total membership of 23.1 million at year-end 2014, a 1.3% increase since year-end 2013. Humana saw the largest increase in risk-based enrollment with a 27.1% increase but experienced a loss in ASO membership.
Profit margins for the leading companies were generally favorable for year-to-date 2014 performance. Kaiser reported a net income of $3.1 billion on revenues of $57.6 billion for 2014 with a profit margin of 5.34%. UnitedHealth's profit margin declined from 6.3% in 2013 to 5.8% in 2014. The company partly attributed the reduction in operating earnings to ACA Fees and Medicare Advantage funding reductions. Aetna reported a 2014 profit margin of 4.0%, down from 4.3% the prior year and Anthem's margin was 3.5% which was on par with 2013.
To read the full text of "Enrollment Gains and Favorable Profits for Health Insurance Leaders in 2014," visit the Analysis Briefs library on Mark Farrah Associates' website www.markfarrah.com.
About Mark Farrah Associates (MFA)
MFA is a leading data aggregator and publisher providing health plan market data and analysis tools for the healthcare industry. Committed to simplifying analysis of health insurance business, our products include Medicare Business Online™, Medicare Benefits Analyzer™ Health Coverage Portal™, County Health Coverage™, Health Insurer Insights™, and Health Plans USA™.
Mark Farrah Associates
Ann Marie Wolfe, 412-595-7124
SOURCE Mark Farrah Associates