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 2024.



Tennessee

Source: GAO analysis of data from the Centers for Medicare & Medicaid Services (CMS). | GAO-27-108927


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 (%)
Tennessee 2015 166,546 384,536 43
Tennessee 2016 204,366 376,865 54
Tennessee 2017 187,988 292,098 64
Tennessee 2018 192,061 255,781 75
Tennessee 2019 172,823 227,477 76
Tennessee 2020 176,649 226,049 78
Tennessee 2021 206,833 252,744 82
Tennessee 2022 253,944 295,568 86
Tennessee 2023 365,021 401,023 91
Tennessee 2024 544,445 581,439 94

  • We calculated the size of each market from 2015 through 2024 2024 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.