Fourteen states reported negative median year-over-year (Y-o-Y) membership growth for the year ending in the first quarter of 2019.
At the median, membership fell the most in Illinois at negative 1.4 percent. This was followed by New Jersey and Pennsylvania, which each recorded negative membership growth rates of 1.3 percent.
Other states with negative year-over-year median membership growth include the District of Columbia, Massachusetts, Nebraska, Connecticut, Mississippi, North Dakota, Delaware, Michigan, Wyoming, New York, and Oklahoma.
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