BASIC FACTS & FIGURES: NONPROFIT HEALTH PLANS 1
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- Marsha Atkinson
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1 BASIC FACTS & FIGURES: NONPROFIT HEALTH PLANS 1 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. Fully % % Nonprofit 66,074,819 50% 104,273,365 45% For-Profit 62,377,369 47% 122,407,737 53% Government 3,975,493 3% 4,092,843 2% s 132,427, % 230,773, % The following table ranks these health plans by fully insured enrollment (not including network lives): Fully Fully 1 1 FP UnitedHealthcare 18,420,651 34,675, FP WellPoint, Inc. 13,967,763 29,576, N Kaiser Permanente 8,013,441 8,959, FP Aetna 5,564,193 18,636, N Health Care Service Corporation 4,834,048 12,783, N Blue Cross Blue Shield of Michigan 4,436,836 4,436, FP Humana 4,151,075 6,741, FP Health Net, Inc. 2,574,000 2,574, FP Coventry Health and Life Insurance 2,523,930 3,609, N AmeriHealth Mercy/Independent Blue Cross 2,373,680 3,528, N Blue Shield of California 2,213,761 2,731, N EmblemHealth, Inc. 2,193,706 2,305, FP AMERIGROUP Community Care 1,997,000 1,997, FP Cigna 1,946,913 11,499, N CareFirst Blue Cross Blue Shield 1,896,446 3,496, FP Molina Healthcare, Inc. 1,883,900 1,883, N Highmark, Inc. 1,855,398 4,387, N Horizon Blue Cross Blue Shield 1,736,292 1,736, N BlueCross BlueShield of Tennessee 1,728,594 3,499,743 1 Source: AISʼs Directory of Health Plans: 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.
2 Fully Fully N Blue Cross and Blue Shield of Florida, Inc. 1,723,073 2,801, FP Centene Corporation 1,615,700 1,626, FP Wellcare Health Plans, Inc. 1,484,160 1,484, N Lifetime Healthcare Companies 1,403,513 1,829, N The Regence Group 1,304,272 1,986, N Blue Cross Blue Shield of Massachusetts 1,230,000 2,750, N Blue Cross and Blue Shield of Alabama 1,117,646 3,043, G LA Care Health Plan 928, , N CareSource, Inc. 892, , N Wellmark, Inc. 881,140 2,112, N Blue Cross and Blue Shield of North Carolina 837,208 2,422, N Blue Cross and Blue Shield of Minnesota 807,896 2,415, FP Triple-S Management Corporation 774,711 1,614, N BlueCross BlueShield of South Carolina 765, , FP Assurant Health 722, , N Blue Cross and Blue Shield of Louisiana 721,394 1,448, N Premera, Inc. 721,042 1,641, G North Carolina State Health Plan 663, , N Arkansas BlueCross BlueShield 658, , N Blue Cross and Blue Shield of Kansas 656, , N Group Health Cooperative 640, , N Medical Mutual of Ohio 636,591 2,811, N Fidelis Care, Inc. 635, , N Priority Health 627, , N Healthfirst 621, , N Tufts Associated Health Plans, Inc. 620, , N Harvard Pilgrim Health Care, Inc. 564,879 1,160, N Government Employees Health Association (GEHA) 563, , N Medica Health Plans 533,894 1,700, N Hawaii Medical Service Association 530, , N Inland Empire Health Plan 520, , N UAW Retiree Medical Benefit Trust 518, , N SelectHealth 507, , N Capital Blue Cross 505, , N HealthPartners, Inc. 492, , , , N BlueCross BlueShield of Western New York and BlueCross BlueShield of Northeastern New York N MVP Health Care Preferred Care 469, , N Affinity 441, , G CalOPTIMA 434, , N UPMC Health Plan, Inc. 431, , N Blue Cross and Blue Shield of Kansas City 423, , G MetroPlus Health Plan, Inc. 411, , N Blue Cross Blue Shield of Arizona 381, , N Health Alliance Plan of Michigan 367, , FP Healthspring USA, LLC 345, , N Texas Children's Health Plan 336, , N Sentara Health Plans, Inc. 333, , FP First Medical Health Plan, Inc. 326, , N Capital District Physicians Health Plan, Inc. 322, , N Blue Cross and Blue Shield of Nebraska 322, , FP Care1st Health Plan 316, ,760 2
3 Fully Fully N MDWise 306, , N Blue Cross & Blue Shield of Mississippi 303, , FP Presbyterian Health Plan/Presbyterian Insurance 297, , N Health Plus (PHSP), Inc. 293, , FP Meridian Health Plan of Michigan, Inc. 290, , N Blue Cross of Idaho Health Service, Inc. 288, , N Independent Health Association, Inc. 286, , N Community Health Plan of Washington 267, , N Blue Cross Blue Shield of North Dakota 267, , N Blue Cross & Blue Shield of Rhode Island 261, , N Community Health Network of Connecticut, Inc. (CHNCT) 257, , FP Dean Health Insurance, Inc. 256, , N Geisinger Health Plan 253, , N Neighborhood Health Plan, Inc. 244, , N Boston Medical Center HealthNet Plan 237, , N AvMed, Inc. 235, , FP PacificSource Health Plans 227, , N UCare 223, , N HealthPlus of Michigan, Inc. 214, , FP Health Alliance Medical Plans, Inc. 214, , N Family Health Partners 213, , G Central California Alliance for Health 209, , G Community Health Choice, Inc. 207, , N Partnership Health Plan of California 206, , N Providence Health Plan 205, , N Priority Partners 204, , FP Aveta, Inc. 203, , N Phoenix Health Plan/Abrazo Advantage 197, , N Parkland Community Health Plan 193, , FP Health Choice AZ, Inc. 192, , N Security Health Plan of Wisconsin, Inc. 180, , FP Healthmarkets, Inc. 171, , FP Lovelace Health Plan 169, , G CalViva Health 168, , FP Universal Health Care 164, , N Fallon Community Health Plan 162, , N Maryland Physicians Care (MPC) 162, , N Blue Cross of Northeastern Pennsylvania 160, , N Health Partners of Philadelphia 159, , N Virginia Premier Health Plan, Inc. 157, , FP Universal American Corporation- MA Division 156, , FP Arise Health Plan 155, , N CareOregon 154, , N Paramount Care, Inc. (ProMedica Health System) 151, , FP South Carolina Solutions 142, , N Community Health Group 136, , G Santa Clara Family Health Plan 135, , G North Carolina Health Choice (NCHC) for Children 134, , N Scott and White Health Plan 132, , N SCAN Health Plan 131, , FP Landmark Healthplan of California, Inc. 130, ,555 3
4 Fully G Maricopa Integrated Health System/University of Arizona Healthcare Fully 130, , N Blue Cross and Blue Shield of Montana 127, , N Rocky Mountain Health Plans 125, , N Kern Health Systems, Inc. 124, , G Community First Health Plans, Inc. 117, , FP CommunityCare Managed Healthcare Plans of Oklahoma 117, , FP Physicians Plus Insurance Corporation 115, , G Health Plan of San Joaquin 114, , G Oklahoma State and Education Employees Group Insurance Board 113, , N Chartered Health Plan Inc., The 110, , N Hudson Health Plan 110, , FP XLHealth Cooperation/Care Improvement Plus 109, , N Blue Cross Blue Shield of Delaware 106, , G CenCal Health 105, , FP American National Insurance 103, , N AultCare Health Plans 103, , G Contra Costa Health Plan 101, , N American Postal Workers Union Health Plans 100, , N Cook Children's Health Plan (CCHP) 100, , FP FirstCare 96, , FP Health New England, Inc. 93, , N McLaren Health Plan 92, , FP Health Plan of the Upper Ohio Valley, Inc. 92, , N Blue Cross and Blue Shield of Vermont 91, , FP ODS Companies, The 80, , FP SummaCare Health Plan, Inc. 70, , N Trustmark Companies 66, , FP Preferred One 64, , N Bluegrass Family Health, Inc. 46, , FP DAKOTACARE 44, , N Hometown Health Plan, Inc. 39, , N University Health Care Health Plans 38, , G US Family Health Plan 0 100, ,427, ,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. Care1st Health Plan = Care 1 st Health Plan and Care 1 st 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 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
5 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 and WellPoint, Inc. 5
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