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.



Maryland

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 (%)
Maryland 2015 112,193 288,004 39
Maryland 2016 136,515 294,636 46
Maryland 2017 130,018 260,099 50
Maryland 2018 128,456 220,984 58
Maryland 2019 131,665 213,483 62
Maryland 2020 148,438 229,018 65
Maryland 2021 159,628 237,723 67
Maryland 2022 168,636 245,583 69

  • 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.