Investor Presentation Full Year 2021
113
Investor presentation Full year 2021
Medicare
Uninsured
333
US health insurance is dominated by few large commercial
payers with slow expansion of public insurance coverage
The US population by health insurance status has been stable in
â– Managed Care
Medicaid/CHIP
recent years
Public exchanges
326
Covered lives by PBM in 2021
All other PBMS
14%
Cigna
CVS
Caremark
100%
3%
29%
9%
Humana
8%
3%
80%
23%
22%
Prime 9%
60%
18%
17%
40%
45%
46%
20%
20%
22%
OptumRx
0%
1
2017
2021
Express
Scripts
NAO
12017 data reflect historical data through Oct 2017
2 Managed care population is slightly underestimated as only population under the age 65 is captured to avoid double
counting with those eligible for Medicare.
Source: Centres for Medicare and Medicaid services, office of the actuary, National Health expenditures Projections
PBM: Pharmacy Benefit Manager
Note: Covers all main channels (Managed Care, Medicare Part D, and Medicaid); market share based on claim
adjudication coverage, i.e. not on formulary/rebate decision power
Sources: Cleveland ResearchView entire presentation