Gross Margins Per Enrollee by Market, 2023

  1. Medicaid Managed Care: $753
  2. Group Market: $910
  3. Individual Market: $1,048
  4. Medicare Advantage: $1,982
Notes: Gross margins per enrollee are the amount by which total premium income exceeds total claims costs, divided by the number of enrollees. Gross margins include administrative costs, tax liability, and profits.

Source: KFF Brief: Health Insurer Financial Performance in 2023, July 2, 2024 - https://www.kff.org/medicare/issue-brief/health-insurer-financial-performance/

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