Concentration in Health Insurance Markets
This interactive chart provides details on 1) enrollment in the overall individual market and the individual exchanges as measured by covered life-years, and 2) covered life-years in each state's individual exchange as a proportion of covered life-years in the overall individual market from 2015 through 2022.
Alabama
Source: GAO analysis of data from the Centers for Medicare & Medicaid Services (CMS). | GAO-25-107194
The table below displays data for the selected state. Click here to download the data used in this graphic.
| State | Year | Covered life-years, individual exchange | Covered life-years, individual market | Individual exchange covered life-years as a proportion of overall individual market (%) |
|---|---|---|---|---|
| Alabama | 2015 | 124,766 | 246,660 | 51 |
| Alabama | 2016 | 144,237 | 235,313 | 61 |
| Alabama | 2017 | 147,871 | 212,992 | 69 |
| Alabama | 2018 | 144,941 | 197,891 | 73 |
| Alabama | 2019 | 139,462 | 187,166 | 75 |
| Alabama | 2020 | 142,035 | 183,729 | 77 |
| Alabama | 2021 | 169,652 | 207,175 | 82 |
| Alabama | 2022 | 202,823 | 235,142 | 86 |
- We calculated the size of each market from 2015 through 2022 using covered life-years that issuers reported to Centers for Medicare & Medicaid Services or states. This measure is calculated as the average number of lives insured each month in the reporting year. Rather than a point-in-time measurement, this measure accounts for changes in enrollment that occur throughout the year.
- Covered life-years is one of several ways to measure health insurance enrollment, so it may differ from other measures of market size.
- We rounded market share values of less than 0.5 percent to zero.