Traditional health insurance is at the heart of the U.S. insurance market.

Medicine Network September 4th In the field of commercial health insurance, the United States is a group-based procurement of corporate insurance market, before the outbreak, the Number of U.S. employers paid for group insurance 163 million, the number of members of insurance 13 million, the number of unsecured 29 million.
, U.S. government health insurance is second only to commercial coverage, with 60 million Medicare and 71 million Medicaid.
as medical costs rise, companies are increasingly struggling to afford rising premiums, which slows the rise in premiums in the group insurance market.
, of course, this easing is largely based on passing on the burden of the original business to individuals, relying mainly on high deductible insurance (HDHP) to reduce premium increases.
According to a 2015 Kaiser Family Foundation report with the nonprofit Peterson Center on Healthcare, more than 60 percent of employees receive insurance deductibles of less than $500 from businesses, but the percentage of users with deductibles of more than $1,000 a year has risen significantly, from 17 percent in 2005 to 24 percent in 2015.
12 per cent of employees had deductibles of more than $2,000.
same time, more than half of employees diagnosed with cancer had deductibles of more than $5,000.
this approach, employers' health insurance spending growth has gradually flattened, with premiums for group insurance rising by only an average of 3% a year since 2012.
, however, the decline in growth in the traditional commercial health insurance market is not good for insurers, forcing them to seek new growth points.
U.S. insurance market, driven by the Affordable Care Act, had high hopes, but it remained narrow, falling back after peaking at 17.4 million in 2015 and falling back to more than 13 million in 2019.
, only the largest amount of government health care business can be the main growth point, which is currently the main battleground for large commercial insurance companies.
U.S. government allows commercial insurance to run Medicare and Medicaid, the former under the name Medicare Advantage, or Medicaid C, and the latter called Medicaid MCO.
increase in net premiums for Medicaid MCO rose from $43.1 billion in 2007 to $224 billion in 2017.
MA business rose from $69.9 billion in 2007 to $202.7 billion in 2017.
2017, the total market size of U.S. government health care is $1.3 trillion, and the commercial insurance operations have reached a third.
We analyzed six of the leading U.S. insurers in CMS-related supplements - United Healthcare, Humana, Aetna, Anthem, Cigna and Centene - and found that The highest number of cmS-related commercial supplements, including Medicare and Medicaid Supplements, was United Healthcare, with 15.67 million members in 2019, or 32 percent of the company's total membership, up 4 percentage points from 2016.
followed by Anthem, with 10.98 million CMS-related business supplements in 2019, accounting for 27% of the company's total membership, up 3 percentage points from 2016.
Two other companies, Humana and Centene, with CMS-related complementary products at the heart of their business, each had more than 9 million cmS-related business supplements in 2019, accounting for 55% and 59% of the company's total membership, respectively, but down 9 and 4 percentage points respectively from 2016.
in terms of premium income from CMS supplements, 42% of United Healthcare's total premium income in 2019 came from CMS-related supplements, up 10 percentage points from 2016, a significant increase in importance.
the same trend, with CMS-related products accounting for 27% of its membership but revenue of 61%.
and Centene's CMS-related premium income already accounts for 87% and 81% of total revenue, which is the absolute majority.
another company, Cigna, also accounts for 31% of revenue, even though CMS-related supplements account for only 8% of the company's total membership.
all companies except Centene, CMS-related supplements accounted for an increase in total premium income from 2016 to 2019.
CMS-related premium income of insurance companies as a percentage of total premium income data source: Listed companies report, Latitude Health analysis between 2016 and 2019, the average annual growth rate of each company's membership in addition to Humana slightly lower, all but 4% to 10%, Cigna due to the original membership base is small, the fastest growth rate.
Centene, a specialist company focused on Medicare and Medicaid's complementary businesses, has maintained an average annual membership growth rate of 8%.
United Healthcare and Centene grew at an average annual rate of 20 percent over the four-year period on premium income from CMS-related supplements, reflecting the market's potential to gain strong support from major insurers and grow.
, even as membership growth slowed, average annual CMS-related revenue growth reached 9%.
the head company's lead is clear in terms of MA products alone.
2019, according to the Kaiser Family Foundation, United Healthcare accounts for 26 per cent, Humana for 18 per cent, BlueCross Blue Shield for 15 per cent (working closely with Anthem), Aetna for 7 per cent and Cigna for 10 per cent.
these companies together account for 69% of the market, up 6 percentage points from 2018.
market concentration has increased rapidly.
From the above data and analysis can sum up a few points: in the CMS supplementary products market, head insurance companies increase significantly, CMS importance increased, reflected in the number of members and premium income ratio increased on each company in 2016 to 2019 CMS-related product membership growth rate of 4% to 10%, and a number of companies CMS-related products annual premium income The average growth rate is more than 10%, United Healthcare as the largest health insurance company in the United States, in this market, the average annual income growth rate of 20% CMS supplementary business is the government subsidy support market, insurance companies in the membership of the premium plus the overall value of subsidies gradually exceed group insurance, group insurance market due to fierce competition, per capita premiums and profits are thinner, and CMS supplementary business market per capita acquisition value is higher.
This from the insurance companies in the CMS business premium ratio is significantly higher than the proportion of members can be seen that the MA market is obvious head company market, and head company concentration increased significantly combined with the previous analysis of Medicaid supplement product MCO products can also be seen that this market has obvious regional characteristics, major insurance companies in its Advantage of the region to compete for and get the first position, it can be seen that regional channel advantage for the market is very critical to the traditional U.S. commercial health insurance market slowdown forced insurance companies to seek new growth points, and gradually to undertake the government health insurance supplementary insurance transformation, this transition process from the early 1990s to the present 30 years, now finally occupy the main market share of commercial health insurance.
government health insurance in the commercial health insurance share will have a profound impact on the market, will also profoundly change the future development model of insurance companies.
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