BCBS companies collectively reported an average medical loss ratio of 90.2% in the first half of 2023, according to an Oct. 24 report from Fitch Ratings shared with Becker's.
The report includes financial information about 32 of the 33 affiliated BCBS companies, including parent companies of multiple plans such as Elevance Health and Highmark.
BCBS companies ranked by MLRs in first half of 2023:
- BCBS Kansas: 103.8%
- BCBS Vermont: 102.3%
- Hawaii Medical Service Association: 97.2%
- BCBS Massachusetts: 95.2%
- Excellus BCBS: 93.6%
- BCBS Alabama: 93.4%
- Cambia Health Solutions (4 Regence plans): 93.3%
- Blue Shield of California: 92.9%
- Independence Blue Cross: 92.6%
- CareFirst BCBS: 92%
- Premera Blue Cross (2 plans): 91.6%
- BCBS Rhode Island: 91.3%
- Florida Blue: 90.8%
- Highmark (6 plans): 90.7%
- BCBS North Carolina: 90.6%
- BCBS Wyoming: 90.2%
- Elevance Health (14 plans): 90.1%
- Capital Blue Cross: 90.1%
- BCBS Minnesota: 89.6%
- Health Care Service Corp. (5 plans): 89.1%
- BCBS South Carolina: 89.1%
- BCBS Kansas City: 88.6%
- Blue Cross of Idaho: 88.3%
- BCBS Arizona: 87.2%
- BCBS Nebraska: 86.3%
- BCBS Tennessee: 86%
- Arkansas BCBS: 85.1%
- BCBS Louisiana: 84.9%
- BCBS North Dakota: 83.7%
- BCBS Mississippi: 83.5%
- Wellmark BCBS: 83.3%
- BCBS Michigan: 79.7%