Medical membership totaled approximately 47.3M as of September 30, 2023, an increase of 42,000 or 0.1% year-over-year, driven primarily by growth in BlueCard, Affordable Care Act health plans, and Medicare Advantage membership, partially offset by attrition in Medicaid due to the resumption of eligibility redeterminations and a new entrant into one of our state Medicaid programs in the third quarter, as well as declines in our Employer Group risk-based business. During the third quarter of 2023, medical membership decreased by 664,000 driven by attrition in Medicaid due to the aforementioned dynamics.
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