Comprehensive Database of Health Plan Enrollment and Market Share

The most trusted resource for health plan market analysis is now available online

AIS's Directory of Health Plans

A thorough and definitive tool to calculate health plan market share:

  • View enrollment totals for any user-defined market
  • National and state-level enrollment data by company
  • Enrollment by company, by sector — commercial, Medicare, Medicaid
  • Company ownership information
  • Contracted or affiliated PBMs, Specialty Pharmacy Providers and Behavioral Health Vendors for each health plan
  • Subscription Includes:

    • 24/7 access to this industry-leading database from any computer or tablet
    • Download full spreadsheets of health plan enrollment data with calculated market shares by state and sector and a special monthly worksheet with more granular plan-level data for Medicare and Medicaid plans
    • Original AIS news reporting on events and strategies with impact on health plan market share
    • Support from AIS experts on how to understand and apply this robust data to your projects
    • Full access to the online database, news feed and In-App downloads for up to 25 users — assigned by you
    • Additional data fields not available in the Snapshot edition — including the following enrollment fields at the insurer/state level: Individual/Small-Group/Large-Group breakdowns, Public Exchange Enrollment, ASO/non-risk/self-insured, Medicare Supplement, PDP Enrollment and Medicare FFS (aka original or traditional Medicare) by state
    • Free bonus spreadsheets and data reports offered throughout the year from the AIS research team, including PDFs reports with full Payer Portraits and a special report on Integrated Delivery Systems
    • 12-month subscription includes 4 quarterly updates of all enrollment fields, plus monthly plan-level enrollment data on public-sector plans

    Popular Use Cases:

    • Market researchers can discover which health plans operate in each state, in the commercial, Medicare and Medicaid managed care markets.

    • Health business strategists can gauge competitors' strengths and identify where opportunities for market expansion lie.

    • Health plans and their advisers can conduct accurate market research using the most current, most thoroughly vetted and most trusted data available.

    • Policymakers and industry observers can track enrollment trends and growth by state, by sector or by company.

    • Pharmacy benefit and pharmaceutical industry executives can identify the PBMs and specialty pharmacy providers contracted with each plan

    • Market analysts can stay up to date on news and events with immediate or long-range impact on market share, with guidance from AIS researchers on how to calculate market impact of events.

    • Health care policymakers can track growth in the managed Medicaid, Medicare and individual commercial sectors in the post-ACA market.

    • Industry analysts can quickly see which plans are the leaders in any state or sector.

    Curated for:

    • Health plan executives, managed care and managed markets directors
    • Analysts, market researchers and business development managers
    • Vendors selling goods and services to health insurance companies
    • Network directors, contract and payer relations managers
    • Health care policy makers
    • Sales and marketing directors, brand managers
    • Account executives, product managers
    • Benefits advisors
    • Actuaries
    • Businesses seeking partnership opportunities with health plans

    Sources include:

    All known health insurers are surveyed annually by AIS staff researchers. Payer organizations are contacted individually at least once a year by AIS researchers, and surveyed or interviewed about all their health insurance offerings. Data provided directly by companies via survey is deemed the most accurate and up-to-date information on that company. For companies that do not return a survey, or where blanks are left on responses, researchers endeavor to complete the record through other means.

    Survey data are audited against public records as available. For listed entities that prefer for AIS to fill out enrollment information from publicly available data sources, commercial enrollment is from state insurance department filings and/or SEC filings. Medicare enrollment is from Centers for Medicare and Medicaid Services (CMS) records. Medicaid enrollment, when not provided by the company, is collected from state Medicaid agency reports. See specific data sets for source dates.

    Data from company websites, SEC filings, company press releases and published news reports were used to supplement the records.

    Try before you buy – View our interactive product demo View Interactive Demo →
    or Call 1-800-521-4323 for more information