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Health Plan Revenue Shifting From Commercial

A recent analysis of 2011 health plan data filed with insurance regulators for year-end 2011 shows health plans continue to see revenue move away from commercial. The article by Debra A. Donahue on markfarrah.com, talks about the analysis and give a detailed breakdown of the source of revenues.

The report shows a 1.1% increase in the average number of people covered throughout the year and a 5.9% increase in health plan revenues between December 2010 and December 2011. The continuous changes in the economic environment have shifted where revenue comes from for these health plans. Comprehensive, risk-based commercial plans have fallen from 59% of the market share to 47% in just about five years. The trend continues and shows how a struggling economy changes the way people view their health plans.

The information from the NAIC 2011 data available from MFA’s Health Coverage Portal, shows sources of revenue come from 47% commercial, 22.3% managed Medicare, 16% managed Medicaid, 7.4% FEHBP, 2.3% from dental only, .4% from vision only, 1.9% from Medicare supplements, and 2.7% from other health plans sources.

Written by Sam Tabes

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