Recent studies include separate universes of health plans, including Blue Cross Blue Shield Plans, Larger health plans, Provider-Sponsored health plans, Medicare-oriented and Medicaid-oriented health plans.
Selected Characteristics |
Blue Cross |
Larger |
Provider- |
Medicaid- |
Medicare |
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|
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Sample Size |
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|
|
|
|
Number of Participants |
23 |
6 |
13 |
8 |
7 |
Participants' Members (000) |
30,742 |
18,150 |
4,010 |
2,137 |
1,248 |
Median Membership (000) |
752 |
2,900 |
253 |
155 |
124 |
Mean Membership(000) |
1,337 |
3,025 |
308 |
267 |
178 |
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|
Market Mix (Prem./Fees) |
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|
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|
Commercial |
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|
|
|
|
Median |
87.1% |
75.5% |
69.4% |
7.7% |
36.6% |
Average |
84.6% |
74.1% |
68.9% |
17.7% |
35.0% |
Medicare Advantage |
|
|
|
|
|
Median |
1.1% |
8.5% |
22.0% |
0.0% |
48.9% |
Average |
6.4% |
13.2% |
23.8% |
16.5% |
56.6% |
Medicaid |
|
|
|
|
|
Median |
0.0% |
0.7% |
0.0% |
74.4% |
0.0% |
Average |
1.5% |
4.3% |
7.3% |
65.1% |
8.4% |
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Product Mix |
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Pct. Mgd Care (Prem./Fees)* |
|
|
|
|
|
Median |
14.9% |
20.7% |
81.4% |
100.0% |
86.4% |
Average |
16.3% |
21.9% |
76.9% |
95.3% |
82.0% |
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Percent ASO (Members) |
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|
|
|
|
Median |
37.3% |
49.6% |
16.4% |
0.0% |
15.9% |
Average |
37.4% |
45.6% |
18.8% |
12.0% |
20.6% |
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States Served |
24 |
7 |
11 |
6 |
10 |
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Information subject to change. |
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* Managed Care is the sum of Medicare Advantage, Medicaid and Commercial HMO. |
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