The Affordable Care Act requires companies covering healthier customers to send funds to the Centers for Medicare and Medicaid Services, which allocates the money to insurers covering sicker policyholders. Here’s how much select for-profit insurers stand to pay or receive in the risk-adjustment process this year ($ in millions).
| Company | Receives | Pays | Net |
|---|---|---|---|
| Centene | $1,375.3 | $593.1 | $782.2 |
| Elevance Health | $713.3 | $357.1 | $356.2 |
| Cigna Group | $176.7 | $92.6 | $84.2 |
| Humana | $42.0 | $2.8 | $39.3 |
| Molina Healthcare | $161.1 | $190.2 | -$29.2 |
| CVS Health | $31.0 | $65.4 | -$34.4 |
| UnitedHealth Group | $145.4 | $748.6 | -$603.2 |
| Friday Health Plans | $0.2 | $780.0 | -$779.7 |
| Oscar Health | $37.7 | $1,426.3 | -$1,388.7 |
| Bright Health Group | $0.0 | $1,915.4 | -$1,915.4 |
Numbers do not include high-cost risk payments for the individual and small group markets, or default risk-adjustment charges.