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.



Rhode Island

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 (%)
Rhode Island 2015 30,554 42,427 72
Rhode Island 2016 33,214 45,818 72
Rhode Island 2017 29,394 42,914 68
Rhode Island 2018 32,025 44,155 73
Rhode Island 2019 32,888 44,045 75
Rhode Island 2020 33,003 43,743 75
Rhode Island 2021 31,678 42,317 75
Rhode Island 2022 30,986 41,181 75

  • 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.