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  5. The Post-Pandemic Payer Mix: What Happened and What’s Next?

The Post-Pandemic Payer Mix: What Happened and What’s Next?

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15 June 2021

Editor’s Note: In this two-part series, we first examine how the pandemic has impacted the payer mix. In part two, coming later this year, we will speculate on the mix shift of the future as a result of legislation, technological innovation, and economic and demographic outlook.

As we emerge from the pandemic in the US, we have endured much as a society. Through multiple surges, variants, deepened health equity disparities, vaccine science (and vaccine myth), there is finally light at the end of the tunnel. But 15 months ago, as the country went into lockdown and significant portions of the economy ceased to function, job losses and unemployment reached heights not seen since the Great Depression. Anxiety and other behavioral health issues skyrocketed. We were entering the Great Unknown, and one of the unknowns was how the pandemic would impact the health insurance enrollment mix.

Although many predicted significant disruptions, the healthcare insurance market shows strong resiliency (see Figure 1). While there was movement over the last year, it was more modest, and the health insurance system, on the whole, was able to accommodate the economic impact of job losses, and so on. Large group fully insured business declined by 1.6 million lives from 2019 to 2020 – a decline of 3.7 percent, while small group fully insured declined by nearly five percent, continuing a downward trend from 2018 and prior years.

This article is courtesy of Oliver Wyman. The remainder of the article can be read at this link.