Largest payers' membership mix

The largest payers have a higher share of commercial and Medicare members than smaller plans, according to an analysis from Mark Farrah Associates. 

In a March 21 report, the data aggregator broke down the share of membership between products for the largest plans. Combined, the five largest insurers have 38% of their enrollment in the commercial market, and a combined 22% in Medicare and Medicaid. 

All other insurers have 26% of their membership in commercial products and 17% in Medicare and Medicaid combined. 

Other types of coverage include standalone prescription drug plans, Medigap, dental and vision products. 

Here is the membership mix among the largest payers by enrollment in 2022: 

UnitedHealth Group 
Commercial: 33% 
Medicare: 11% 
Medicaid: 8% 
Other: 48% 

Elevance Health 
Commercial: 47% 
Medicare: 3% 
Medicaid: 17%
Other: 33% 

CVS Health 
Commercial: 39% 
Medicare: 8% 
Medicaid: 5% 
Other: 48% 

Centene
Commercial: 9% 
Medicare: 4% 
Medicaid: 51% 
Other: 36% 

HCSC 
Commercial: 71% 
Medicare: 1% 
Medicaid: 5% 
Other: 23%

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