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.



Montana

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 (%)
Montana 2015 44,924 81,536 55
Montana 2016 46,992 74,953 63
Montana 2017 43,954 61,500 71
Montana 2018 40,803 53,969 76
Montana 2019 39,314 49,530 79
Montana 2020 39,800 49,830 80
Montana 2021 42,511 52,709 81
Montana 2022 48,624 58,145 84

  • 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.