Health Insurer Financial Performance in 2024 Authors: Jared Ortaliza, Jeannie Fuglesten Biniek, Elizabeth Hinton, Jada Raphael, Tricia Neuman, and Cynthia Cox Published: Feb 23, 2026

https://www.kff.org/medicare/health-insurer-financial-performance/?utm_campaign=KFF-Medicare&utm_medium=email&_hsenc=p2ANqtz-_OEe4G7Vybfy8pe0-JR2Yn86TsayyUsAQokyUtCCIWzVZKtElGgVXtfSv_o9GQ5vR2CcDL12UOhS4k6Yi9aDtCB3L6Yw&_hsmi=405037724&utm_content=405037724&utm_source=hs_email KFF Examines Insurers’ Financial Performance in 2024 Across Four Markets An updated KFF analysis of trends in health insurers’ financial data shows that insurers’ gross margins per enrollee dipped slightly in 2024 across four markets, remaining highest in the Medicare Advantage market ($1,655), followed by the individual (non-group) market ($987), the fully insured group (employer) market ($846), and Medicaid managed care ($608). The Medicare Advantage market’s higher margins in part reflect the fact that enrollees are older and less healthy than those in other markets, with similar percentage margins translating into higher dollar amounts. The analysis also examines insurers’ medical-loss ratios across the four markets.