Payers ranked by Q1 membership growth

Cigna posted the largest membership growth of prominent payer companies in the first quarter of 2023. 

Here's how many new members six of the largest payers have added since the end of 2022, according to regulatory filings: 


New commercial members: 1,174,000

New government members: 489,000

International health members: -194,000

Total first-quarter membership growth: 1,469,000

Total medical insurance membership: 19,473,000


New Medicaid members: 347,500

New commercial members: 1,013,600

Medicare Advantage members: -167,300

New Medicare Part D members: 233,300

Tricare eligibles: -33,000

Total first-quarter membership growth: 1,394,100

Total medical insurance membership: 28,455,500

UnitedHealth Group

New commercial members: 665,000

New Medicare Advantage members: 440,000

New Medicaid members: 210,000

Medicare supplement members: -55,000

International members: -65,000

Total first-quarter membership growth: 1,195,000

Total medical insurance membership: 52,890,000

CVS Health

New commercial members: 813,000

New Medicare Advantage members: 117,000

Medicare supplement members: -19,000

New Medicaid members: 59,000

Total first-quarter membership growth: 970,000

Total medical insurance membership: 10,973,000

Elevance Health 

Commercial risk-based members: -190,000

New commercial fee-based members: 249,000

New Medicare Advantage members: 76,000

 Medicare supplement members: -22,000

New Medicaid members: 318,000

New federal employee beneficiaries: 9,000

Total first-quarter membership growth: 593,000

Total medical insurance membership: 48,124,000


New Medicare Advantage members: 533,500

Medicare Part D members: -595,000

New state-based contracts members: 234,200

Medicare supplement members: -19,600

Military contract members: -29,200

Employer group commercial medical: -49,000

Total first-quarter membership growth: 74,900

Total medical insurance membership: 17,154,100

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