Relief May Be Coming for Smaller Insurers Left Out of Government-Business Boon

Government-funded health plans have become highly profitable for the country’s largest insurers as Medicaid rolls have swelled and as more and more seniors choose Medicare Advantage plans. Yet analysts say changes are coming that may partially even the playing field between smaller health plans and industry heavyweights, which command the bulk of government business.

A new report from the insurance-focused credit rating firm A.M. Best — titled “US Health Insurers Prepare for Shift Driven by End of Government Mandates” — stated that health plans overall “have reported good top-line growth over the last two years, with premium revenues up 8.2% in 2021 and 10.9% through the third quarter of 2022.”

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Leslie Small

Leslie Small

Leslie has been working in journalism since 2009 and reporting on the health care industry since 2014. She has covered the many ups and downs of the Affordable Care Act exchanges, the failed health insurer mega-mergers, and hundreds of other storylines spanning subjects such as Medicaid managed care, Medicare Advantage, employer-sponsored insurance, and prescription drug coverage. As the managing editor of Health Plan Weekly and Radar on Drug Benefits, she writes and edits for both publications while overseeing a small team of reporters who also focus on the managed care sector. Before joining AIS Health, she was a senior editor for the e-newsletter Fierce Health Payer, and she started her career as a copy editor at multiple local newspapers. She graduated with a dual degree in journalism and political science from Penn State University.

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