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Mark Farrah Associates (MFA), www.markfarrah.com, released a year-end 2025 health insurance segment enrollment update. MFA compared membership between 4th quarter 2025 with 4th quarter 2024 to provide greater insights into enrollment trends for the Individual, Group, ASO, Medicare Advantage, and Medicaid insurance segments. As of December 31, 2025, approximately 318 million people received medical coverage from U.S. health insurers. This number is down 2.3 million members from a year ago.
The Medicare Advantage market experienced a membership increase in 4Q25 with over 987,100 million new members, representing a 3% growth, from 4Q24.
Between 4Q24 and 4Q25, membership for the Individual market lost approximately 489,000 members.
The Employer-group risk and Employer-group ASO (administrative services only for self-funded plans) segments provide the largest sources of coverage in the industry, however, while Employer-group ASO saw a 1.5 million increase of enrollees from 4Q24, the Employer-group risk market experienced a -2.8% year-over-year membership decline.
Managed Care Organizations and Fee-for-Service Medicaid programs experienced a -3.7% decline in membership from the previous year.
