U.S. insurers continue to get more of their business from state managed Medicaid programs.

Enrollment in insurer-managed Medicaid plans increased 9 percent between June 30, 2015, and June 30, 2016, to 48 million, according to Portland, Maine-based Mark Farrah Associates.

That was down from a 23 percent Medicaid plan annual enrollment growth rate recorded in mid-2015. But Medicaid plan enrollment grew faster than enrollment in any other type of plan included in the data. Medicaid enrollees accounted for 18 percent of insurers’ June 30 enrollment.

Related: Managed Medicaid plans whip commercial plans

Insurers were providing or administering health coverage for a total of 262 million people in the middle of this year.

The biggest source of business was employers with self-insured health plans. Insurers were administering self-insured plan coverage for 117 million workers and dependents.

Individual major medical was the segment with the worst performance. The number of people with that type of coverage fell 3 percent, to 19 million. Only 7 percent of the insurers’ enrollees had individual major medical coverage.

Related:

Medicaid market player list holds steady

Medicare Advantage issuers gain market share

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