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.
West Virginia
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 (%) |
|---|---|---|---|---|
| West Virginia | 2015 | 27,126 | 47,110 | 58 |
| West Virginia | 2016 | 29,543 | 45,766 | 65 |
| West Virginia | 2017 | 25,586 | 35,409 | 72 |
| West Virginia | 2018 | 21,326 | 27,087 | 79 |
| West Virginia | 2019 | 18,221 | 22,519 | 81 |
| West Virginia | 2020 | 17,384 | 20,859 | 83 |
| West Virginia | 2021 | 16,921 | 19,951 | 85 |
| West Virginia | 2022 | 21,099 | 23,675 | 89 |
- 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.