2012_Health Plan Report_031312x Passport 37 G Basic Facts Nonprofit Health Plans
User Manual: Passport 37-G
Open the PDF directly: View PDF 
.
Page Count: 5
| Download | |
| Open PDF In Browser | View PDF |
BASIC FACTS & FIGURES: NONPROFIT HEALTH PLANS1 • Of the 154 health plans in the United States with at least 100,000 enrollees, 97 (or 63%) are nonprofit, 41 are for-profit (27%), and 16 (10%) are government. • Of the 230,773,945 total enrollees in these 154 health plans, 104,273,365 (or 45%) are in nonprofit health plans. Fifty-seven percent (57%) of total enrollees (or 132,427,681) are fully insured lives and, of these, 50% come from nonprofit health plans. Nonprofit For-Profit Government Totals • % 50% 47% 3% 100% Total Enrollment 104,273,365 122,407,737 4,092,843 230,773,945 % 45% 53% 2% 100% The following table ranks these health plans by fully insured enrollment (not including network lives): Rank Fully Insured 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 1 Fully Insured Enrollment 66,074,819 62,377,369 3,975,493 132,427,681 Ownership Company Fully Insured Enrollment Total Enrollment Total 1 2 6 3 4 8 7 19 10 11 18 22 24 5 13 26 9 28 12 FP FP N FP N N FP FP FP N N N FP FP N FP N N N UnitedHealthcare WellPoint, Inc. Kaiser Permanente Aetna Health Care Service Corporation Blue Cross Blue Shield of Michigan Humana Health Net, Inc. Coventry Health and Life Insurance Company AmeriHealth Mercy/Independent Blue Cross Blue Shield of California EmblemHealth, Inc. AMERIGROUP Community Care Cigna CareFirst Blue Cross Blue Shield Molina Healthcare, Inc. Highmark, Inc. Horizon Blue Cross Blue Shield BlueCross BlueShield of Tennessee 18,420,651 13,967,763 8,013,441 5,564,193 4,834,048 4,436,836 4,151,075 2,574,000 2,523,930 2,373,680 2,213,761 2,193,706 1,997,000 1,946,913 1,896,446 1,883,900 1,855,398 1,736,292 1,728,594 34,675,651 29,576,763 8,959,294 18,636,285 12,783,198 4,436,836 6,741,375 2,574,000 3,609,930 3,528,574 2,731,983 2,305,015 1,997,000 11,499,083 3,496,446 1,883,900 4,387,427 1,736,292 3,499,743 Source: AISʼs Directory of Health Plans: 2012. For simplicity's sake, the term "nonprofit" is used to describe the ownership of these plans. By state law, these plans are either nonprofit because they are owned by the community or non-investor-owned because they are owned by members/subscribers. Rank Fully Insured Ownership Company Fully Insured Enrollment Total Enrollment Total 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 16 31 33 27 25 17 14 37 40 23 20 21 32 42 43 34 30 49 45 50 44 15 52 48 55 36 35 57 29 46 59 62 51 39 41 54 N FP FP N N N N G N N N N FP N FP N N G N N N N N N N N N N N N N N N N N N Blue Cross and Blue Shield of Florida, Inc. Centene Corporation Wellcare Health Plans, Inc. Lifetime Healthcare Companies The Regence Group Blue Cross Blue Shield of Massachusetts Blue Cross and Blue Shield of Alabama LA Care Health Plan CareSource, Inc. Wellmark, Inc. Blue Cross and Blue Shield of North Carolina Blue Cross and Blue Shield of Minnesota Triple-S Management Corporation BlueCross BlueShield of South Carolina Assurant Health Blue Cross and Blue Shield of Louisiana Premera, Inc. North Carolina State Health Plan Arkansas BlueCross BlueShield Blue Cross and Blue Shield of Kansas Group Health Cooperative Medical Mutual of Ohio Fidelis Care, Inc. Priority Health Healthfirst Tufts Associated Health Plans, Inc. Harvard Pilgrim Health Care, Inc. Government Employees Health Association (GEHA) Medica Health Plans Hawaii Medical Service Association Inland Empire Health Plan UAW Retiree Medical Benefit Trust SelectHealth Capital Blue Cross HealthPartners, Inc. BlueCross BlueShield of Western New York and BlueCross BlueShield of Northeastern New York 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 53 65 66 56 61 71 60 64 78 79 67 80 77 47 70 N N G N N G N N FP N N FP N N FP MVP Health Care Preferred Care Affinity CalOPTIMA UPMC Health Plan, Inc. Blue Cross and Blue Shield of Kansas City MetroPlus Health Plan, Inc. Blue Cross Blue Shield of Arizona Health Alliance Plan of Michigan Healthspring USA, LLC Texas Children's Health Plan Sentara Health Plans, Inc. First Medical Health Plan, Inc. Capital District Physicians Health Plan, Inc. Blue Cross and Blue Shield of Nebraska Care1st Health Plan 1,723,073 1,615,700 1,484,160 1,403,513 1,304,272 1,230,000 1,117,646 928,779 892,708 881,140 837,208 807,896 774,711 765,569 722,000 721,394 721,042 663,000 658,023 656,498 640,201 636,591 635,016 627,699 621,933 620,653 564,879 563,050 533,894 530,072 520,224 518,000 507,520 505,092 492,593 490,598 2,801,087 1,626,300 1,484,160 1,829,096 1,986,300 2,750,000 3,043,985 928,779 892,708 2,112,949 2,422,499 2,415,472 1,614,711 765,569 722,000 1,448,708 1,641,268 663,000 699,798 656,498 709,702 2,811,059 635,016 667,699 621,933 940,343 1,160,048 563,050 1,700,894 689,913 524,721 518,000 645,060 905,092 828,354 625,329 469,765 441,432 434,637 431,727 423,470 411,475 381,280 367,170 345,898 336,949 333,406 326,913 322,476 322,114 316,007 630,748 441,432 434,637 589,323 519,680 411,475 521,876 467,641 345,898 336,949 434,063 326,913 355,579 672,374 411,760 2 Rank Fully Insured Ownership Company Fully Insured Enrollment Total Enrollment Total 71 72 73 82 73 72 N N FP 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 83 84 68 76 87 69 63 89 88 85 93 94 81 86 95 97 92 99 100 101 102 75 105 106 107 110 111 114 115 98 116 117 119 120 58 121 122 123 104 124 112 126 127 128 129 118 132 131 N FP N N N N N N FP N N N N FP N N FP N G G N N N FP N N FP N FP FP G FP N N N N N FP FP N N FP N G G N N FP MDWise Blue Cross & Blue Shield of Mississippi Presbyterian Health Plan/Presbyterian Insurance Company Health Plus (PHSP), Inc. Meridian Health Plan of Michigan, Inc. Blue Cross of Idaho Health Service, Inc. Independent Health Association, Inc. Community Health Plan of Washington Blue Cross Blue Shield of North Dakota Blue Cross & Blue Shield of Rhode Island Community Health Network of Connecticut, Inc. (CHNCT) Dean Health Insurance, Inc. Geisinger Health Plan Neighborhood Health Plan, Inc. Boston Medical Center HealthNet Plan AvMed, Inc. PacificSource Health Plans UCare HealthPlus of Michigan, Inc. Health Alliance Medical Plans, Inc. Family Health Partners Central California Alliance for Health Community Health Choice, Inc. Partnership Health Plan of California Providence Health Plan Priority Partners Aveta, Inc. Phoenix Health Plan/Abrazo Advantage Parkland Community Health Plan Health Choice AZ, Inc. Security Health Plan of Wisconsin, Inc. Healthmarkets, Inc. Lovelace Health Plan CalViva Health Universal Health Care Fallon Community Health Plan Maryland Physicians Care (MPC) Blue Cross of Northeastern Pennsylvania Health Partners of Philadelphia Virginia Premier Health Plan, Inc. Universal American Corporation- MA Division Arise Health Plan CareOregon Paramount Care, Inc. (ProMedica Health System) South Carolina Solutions Community Health Group Santa Clara Family Health Plan North Carolina Health Choice (NCHC) for Children Scott and White Health Plan SCAN Health Plan Landmark Healthplan of California, Inc. 306,100 303,956 297,090 306,100 403,956 407,994 293,564 290,000 288,223 286,004 267,718 267,576 261,764 257,131 256,968 253,404 244,014 237,691 235,465 227,858 223,734 214,483 214,113 213,336 209,074 207,232 206,637 205,459 204,539 203,354 197,860 193,784 192,770 180,451 171,816 169,506 168,753 164,839 162,579 162,000 160,692 159,436 157,320 156,752 155,252 154,452 151,764 142,960 136,789 135,472 134,625 132,469 131,098 130,994 293,564 290,000 417,673 360,905 267,718 411,982 484,029 257,131 265,800 275,270 244,014 237,691 310,656 272,827 223,734 214,483 250,113 213,336 209,074 207,232 206,637 389,697 204,539 203,354 197,860 193,784 192,770 180,451 171,816 214,000 168,753 164,839 162,579 162,000 531,380 159,436 157,320 156,752 206,272 154,452 190,448 142,960 136,789 135,472 134,625 164,014 131,098 133,555 3 Rank Fully Insured Ownership Company Fully Insured Enrollment Total Enrollment Total 122 133 G Maricopa Integrated Health System/University of Arizona Healthcare 130,415 130,415 123 124 125 126 127 128 129 130 91 109 136 134 141 142 138 143 N N N G FP FP G G Blue Cross and Blue Shield of Montana Rocky Mountain Health Plans Kern Health Systems, Inc. Community First Health Plans, Inc. CommunityCare Managed Healthcare Plans of Oklahoma Physicians Plus Insurance Corporation Health Plan of San Joaquin Oklahoma State and Education Employees Group Insurance Board 127,757 125,406 124,852 117,103 117,040 115,801 114,537 113,285 250,562 197,316 124,852 128,869 117,040 115,801 120,121 113,285 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 144 145 146 103 148 147 113 151 152 153 130 137 135 139 125 90 108 38 96 74 140 149 150 154 N N FP N G FP N G N N FP FP N FP N FP FP N FP N FP N N G Chartered Health Plan Inc., The Hudson Health Plan XLHealth Cooperation/Care Improvement Plus Blue Cross Blue Shield of Delaware CenCal Health American National Insurance Company AultCare Health Plans Contra Costa Health Plan American Postal Workers Union Health Plans Cook Children's Health Plan (CCHP) FirstCare Health New England, Inc. McLaren Health Plan Health Plan of the Upper Ohio Valley, Inc. Blue Cross and Blue Shield of Vermont ODS Companies, The SummaCare Health Plan, Inc. Trustmark Companies Preferred One Bluegrass Family Health, Inc. DAKOTACARE Hometown Health Plan, Inc. University Health Care Health Plans US Family Health Plan 110,268 110,000 109,391 106,402 105,788 103,335 103,013 101,318 100,915 100,285 96,875 93,929 92,456 92,018 91,678 80,927 70,869 66,574 64,058 46,000 44,040 39,173 38,560 0 110,268 110,000 109,391 206,402 105,788 105,835 187,932 101,318 100,915 100,285 133,986 121,898 127,456 117,958 145,652 255,077 197,539 917,586 216,491 396,340 117,940 103,890 102,560 100,000 132,427,681 230,773,945 Subsidiary/Affiliate Detail: • Aetna, Inc. = Aetna and Mercy Care Plan • Affinity Health System = Affinity Health Plan and Network Health Plan • Arkansas BlueCross BlueShield = Arkansas BlueCross BlueShield and HMO Partners, Inc. • Blue Cross Blue Shield of Florida, Inc. = Blue Cross Blue Shield of Florida, Inc., Capital Health Plan, Inc., and Florida Health Care Plans, Inc. st st • Care1st Health Plan = Care 1 Health Plan and Care 1 Health Plan of Arizona, Inc. • EmblemHealth, Inc. = ConnectiCare of Massachusetts, Inc, ConnectiCare, Inc., GHI, and HIP • Group Health Cooperative = Group Health Cooperative and KPS Health Plans • Health Care Service Corporation = Blue Cross and Blue Shield of Illinois (7,290,656), Blue Cross and Blue Shield of Texas (4,617,520), Blue Cross and Blue Shield of Oklahoma (598,157), and Blue Cross and Blue Shield of New Mexico (276,865). • Highmark, Inc. = Gateway Health Plan, Highmark Blue Cross Blue Shield , and Highmark Blue Cross Blue Shield West Virginia • Independence Blue Cross = AmeriHealth Insurance Company of New Jersey/AmeriHealth HMO, Inc., AmeriHealth Mercy Family of Companies, Independence Blue Cross, Inter-County Health Plans, Inc., and Passport Health Plan/Passport Advantage • Kaiser Permanente = Kaiser Foundation Health Plan of Colorado, Kaiser Foundation Health Plan of Georgia, Kaiser Foundation Health Plan of Hawaii, Kaiser Foundation Health Plan of Ohio, Inc., Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., Kaiser Foundation Health Plan of the Northwest, Inc., and Kaiser Foundation Health Plan, Inc. • Lifetime Healthcare Companies = Excellus BlueCross BlueShield, Univera Community Health, and Univera Healthcare • Medical Mutual of Ohio = Carolina Care Plan, Inc., and Medical Mutual • Premera, Inc. = Lifewise Health Plan of Oregon and Lifewise Health Plan of Washington • Promedica Health System = Paramount Care of Michigan and Paramount Care, Inc. • The Regence Group = Asuris Northwest Health, Regence BlueCross BlueShield of Oregon, Regence BlueCross BlueShield of Utah, Regence 4 Subsidiary/Affiliate Detail: BlueShield, and Regence BlueShield of Idaho • Tufts Associated Health Plans, Inc. = Network Health and Tufts Associated Health Plans, Inc. • University of Arizona Healthcare = Maricopa Health Plan, University Care Advantage, LLC, and University Physicians Health Plans • University of Pittsburg Medical Center = Pittsburgh Care Partnership, Inc. and UPMC Health Plan, Inc. • Wellmark, Inc. = Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Blue Cross and Blue Shield of South Dakota • WellPoint, Inc. = MCS Life Insurance Company and WellPoint, Inc. 5
Source Exif Data:
File Type : PDF File Type Extension : pdf MIME Type : application/pdf Linearized : No Page Count : 5 PDF Version : 1.4 Title : Microsoft Word - 2012_Health Plan Report_031312.docx Author : Brenna Snider Producer : Mac OS X 10.6.8 Quartz PDFContext Creator : Microsoft Word Create Date : 2012:03:13 14:46:50Z Modify Date : 2012:03:13 14:46:50ZEXIF Metadata provided by EXIF.tools