Enrollment in Health Insurance
(August 2018 Report)
Enrollment Trends monitors health insurance coverage in the Commonwealth of Massachusetts, where coverage is defined by unique Massachusetts residents with primary medical membership in the 13 largest commercial payers, MassHealth (Medicaid), or Medicare.
The August 2018 edition of Enrollment Trends offers insights into changes in health insurance coverage in Massachusetts from March 2016 through March 2018.
Key Findings from the August 2018 Enrollment Trends
- Over four million Massachusetts residents received their primary, medical health insurance coverage through private commercial insurance between March 2016 and March 2018.
- In March 2018, MassHealth shifted approximately two-thirds of its Managed Care Organization (MCO) and Primary Care Clinician (PCC) plan enrollees to Accountable Care Organization (ACO) plans.
- Unsubsidized Qualified Health Plan (QHP) enrollment decreased by 14.4% (-7,000 members) from March 2017 to March 2018, while subsidized QHP enrollment increased by 55.0% (+5,000 members) over the same time period.
- The accompanying databook has additional detail not included in the main report. The report is also accompanied by a technical appendix and MA APCD programming code.
- Enrollment Trends is produced using the Massachusetts All-Payer Claims Database, supplemented with additional data from commercial payers, the Massachusetts Health Connector, and the Centers for Medicare and Medicaid Services.