Payers ranked by 2024 medical loss ratios

The country’s largest payers reported year-over-year increases in medical cost ratios.

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CVS Health reported the highest medical benefit ratio at 92.5%, driven by increased utilization, the unfavorable impact of 2024 Medicare Advantage star ratings, and the impact of higher acuity Medicaid members following redeterminations.

Payers ranked by 2024 MLRs:

CVS Health
2024: 92.5%
2023: 86.2%

Humana
2024: 89.8%
2023: 88%

Molina Healthcare
2024: 89.1%
2023: 88.1%

Elevance Health
2024: 88.5%
2023: 87%

Centene
2024: 88.3%
2023: 87.7%

UnitedHealth Group
2024: 85.5%
2023: 83.2%

Cigna Group
2024: 83.2%
2023: 81.3%

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