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Health insurance companies provided fully insured coverage for approximately 183 million people in 2025, a decrease of over 1.1 million from 2021. Blue Cross Blue Shield (BCBS) association members, parent organizations, and their subsidiaries insured about 37.2% of the total health insurance market. In the latest Healthcare Business Strategy report, Mark Farrah Associates (MFA), www.markfarrah.com, examined health insurance enrollment changes in key segments for Blue Cross Blue Shield (BCBS) and Non-BCBS companies between 2021 and 2025.
Some highlights include:
Individual enrollment for BCBS companies increased 16.5% over the last 5 years, and non-BCBS companies reported a 78.2% increase during the same period.
Fully insured Group enrollment, which includes the Federal Employees Health Benefits Program (FEHBP), continued to experience decreases throughout the 5-year timeframe for both Blues and non-Blues plans.
During the 5-year period, Medicare Advantage (MA) enrollment experienced a 41.7% increase for BCBS plans, and non-BCBS MA enrollment saw an 18.8% increase.
Total 2025 Medicaid enrollment for BCBS plans was over 14.7 million and 60.2 million for non-BCBS companies.
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