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.
Hawaii
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 (%) |
|---|---|---|---|---|
| Hawaii | 2015 | -- | 45,014 | -- |
| Hawaii | 2016 | 13,343 | 41,383 | 32 |
| Hawaii | 2017 | 16,170 | 39,048 | 41 |
| Hawaii | 2018 | 16,058 | 35,212 | 46 |
| Hawaii | 2019 | 16,865 | 35,555 | 47 |
| Hawaii | 2020 | 18,400 | 32,813 | 56 |
| Hawaii | 2021 | 19,933 | 34,589 | 58 |
| Hawaii | 2022 | 19,762 | 33,916 | 58 |
- 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.
- Hawaii is not included in this figure for 2015 because we were unable to obtain data for that year.