AIS Health Plan Data Show Shift to Individual, Public-Sector Coverage

Share Article

Researchers for the forthcoming AIS’s Directory of Health Plans: 2017 have found significant enrollment gains in commercial risk-based individual (non-group) and Medicaid HMO plans.

The health insurance industry in 2017 saw gains in two sectors most threatened by potential changes to the Affordable Care Act: Commercial risk-based individual (non-group) enrollment grew 11% in 2017, while Medicaid HMO enrollment grew almost 7%, according to AIS’s Directory of Health Plans: 2017.

Preliminary data from the upcoming Directory indicate that the public sector continues to flourish overall. Medicare Advantage plans gained almost a million more members from this time last year, and enrollment in dual-eligible plans grew by a whopping 16% from 2016, gaining 376,000 new members.

By comparison, the number of people covered under group policies all decreased slightly, with small-group plans seeing the largest reduction (5.5%). Large group plans shrunk by a mere 1%, while ASO/self-funded group membership remained flat.

The individual-market increase of more than 1.8 million people occurred despite several large insurers’ drastically reducing their public exchange presence in 2017, which resulted in a slight drop (1%) in reported public exchange enrollment. That figure stood at 9,589,438 in 2017, compared with 9,691,529 in 2016. This figure includes some SHOP exchange enrollment.

AIS’s Directory of Health Plans is the most comprehensive resource available on the U.S. health plan market, with enrollment data and contact information for all health plans operating in the United States. By maintaining impeccable research standards and strict methodology through 14 annual editions, the Directory offers extremely accurate and sensitive insight into developing trends.

Available in various formats, AIS’s Directory of Health Plans: 2017 will ship in June for book and USB purchasers. Subscribers to the online version can get immediate access to the data via an interactive website. For more information, and to order AIS’s Directory of Health Plans: 2017, visit For more information on the online version, visit

About AIS Health
AIS Health is a publishing and information company that has served the health care industry for more than 30 years. AIS Health’s mission is to provide objective and relevant business and strategic information for health care executives, by developing highly targeted news, data and analysis for managers at health insurance companies, pharmaceutical organizations, providers, purchasers and other health care industry stakeholders. AIS Health, which maintains journalistic independence from its parent company, MMIT, is committed to integrity in reporting and bringing transparency to health industry data. Learn more at and

Share article on social media or email:

View article via:

Pdf Print

Contact Author

Susan Namovicz-Peat, Director, Data Solutions
AIS Health
+1 (202) 688-0070 Ext: 3045
Email >
Follow >
Visit website