‘Big 6’ payers ranked by medical benefits ratio

Payers’ medical benefits ratios — the percentage of premium revenue spent on medical services — have fluctuated with the flow of the COVID-19 pandemic, resulting in industrywide increases.

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In 2020, as the pandemic began to unfold, payers largely benefitted from a decrease in elective medical services, bringing down medical benefits ratios. However, as 2021 allowed more members to receive elective treatments, the ratios are rising. 

Here are how the largest six payers stacked up:

1. UnitedHealthcare: 82.6 percent (up from 79.1 percent year over year)

2. Cigna: 84 percent (up from 78.3 percent year over year)

3. Aetna: 85 percent (up from 80.9 percent year over year)

4. Humana: 86.7 percent (up from 83.1 percent year over year)

5. Anthem: 87.5 percent (up from 84.6 percent year over year)

6. Centene: 87.8 percent (up from 86.2 percent year over year)

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