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Second Quarter Health Insurance Membership Trends Assessed by Mark Farrah Associates
[October 06, 2026]

Second Quarter Health Insurance Membership Trends Assessed by Mark Farrah Associates


Mark Farrah Associates (MFA), www.markfarrah.com, released a year-over-year comparison for health insurance segment enrollment. MFA assessed membership between 2Q25 and 2Q26 to provide greater insight into enrollment trends for the Individual, Group, Administrative Services only for self-funded plans (ASO), Medicare Advantage (MA), and Medicaid insurance segments. As of June 30, 2026, approximately 312.5 million people received medical coverage from U.S. health insurers. This number is down 2.8% from a year ago.

  • For 2Q26, the Medicare Advantage market experienced a membership increase of 700,000 new members, representing a 2% growth from 2Q25.
  • Membership for the Individual market decreased 17.2% between 2Q25 and 2Q26.
  • Managed Care Organizations (MCOs) and Fee-for-Service type Medicaid programs, based on membership filed in statutory financial reports, as well as state reported Medicaid and the Centers for Medicaid and Medicare Services (CMS) reported Medicaid enrollment reports, experienced a 4.1-million-member decline from 2Q25.
  • The Employer-group risk and Employer-group ASO segments provide the largest sources of coverage in the industry; however, while Employer-group ASO saw an enrollment increase of 0.8%, the Employer-group risk market continued to experience year-over-year membership declines.

To read the full text of "Second Quarter Health Insurance Enrollment Trends: Market Segment Performance", visit the Analysis Briefs library on Mark Farrah Associates website.

About Mark Farrah Associates (MFA)

Mark Farrah Associates (MFA) is a leading data aggregator and publisher providing health plan market data and analysis tools for the healthcare industry. Our product portfolio includes Health Coverage Portal™, County Health Coverage™, Medicare Business Online™, Medicare Benefits Analyzer™, 5500 Employer Health PLUS, ASO Employer Health plus and Health Plans USA™. For more information about these products, refer to the product pages and brochures available under the Our Products section of the website (www.markfarrah.com), or call 724-338-4100.


Also, for the latest insights about health plan enrollment trends and financial performance, visit the FREE MFA Healthcare Business Strategy Briefs on the MFA website.


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