New AIS Report Provides Thorough Overview of the U.S. Commercial Risk Health Plan Market

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Now available from Atlantic Information Services, Commercial Health Plan Market Metrics provides a snapshot of the rapidly evolving commercial risk health insurance market, by assessing the impact of the individual mandate, exchanges and other Affordable Care Act initiatives.

Atlantic Information Services, Inc. (AIS) is pleased to announce the publication of Commercial Health Plan Market Metrics, a brand-new report that analyzes the commercial risk health insurance market in the wake of the first full year of implementation of the Affordable Care Act. Produced by AIS’s independent researchers — the same team responsible for producing AIS’s Directory of Health Plans — the report is filled with charts and analyses of membership, premium revenue, claims expenses and other metrics that measure the performance of specific insurers and various segments of the commercial risk health insurance market.

This new benchmarking tool provides:

  • Rankings of insurers by profit margin, medical loss ratio, and average premium revenue and average claims per member per year.
  • An alphabetical listing of 195 carriers participating in this market, with details on each insurer’s membership, premium revenue and claims reported for the 2014 plan year.
  • Specifics on the number of enrollees from exchanges, and calculated ratios for gross profit margin, MLR and PMPY average revenue vs. expenses at the company level.
  • A synopsis of each state market, including exchange enrollees and a list of key players in the individual, small-group and large-group commercial markets in those states.

To produce Commercial Health Plan Market Metrics, AIS researchers collected and analyzed data from almost all companies serving risk-based health insurance policies by group size (individual, small group, large group) and by market segments such as publicly traded plans, Blue Cross Blue Shield plans, provider-sponsored plans and CO-OPs during 2014, providing a complete overview of the commercial risk market.

For more information on Commercial Health Plan Market Metrics, including a full table of contents and sample pages, visit

About Atlantic Information Services
Atlantic Information Services, Inc. (AIS) is a publishing and information company that has been serving the health care industry for more than 25 years. It develops highly targeted news, data and strategic information for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. AIS products include print and electronic newsletters, websites, looseleafs, books, strategic reports, databases, webinars and conferences. Learn more at

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Susan Namovicz-Peat, Director, Directories and Databases Division
Atlantic Information Services
+1 (202) 775-9008 Ext: 3045
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