Big Health Plans Dominate The Managed Care Market

April 1, 2009 - PRLog -- MANASQUAN, NJ -- The size and shape of the managed care industry, determined by "players" in terms of numbers of covered lives, ranges from a handful of market dominating behemoths to more than 118 health plans with fewer than 20,000 members, based on a new review by The Managed Care Information Center (MCIC).

The review of health plans, included in The National Directory of Managed Care Organizations Database, covers specialty health plans in the statistics.

There are 264 plans with between 150,000 members to more than one million. Some 158 plans are in the 50,000 to 150,000 segment and 78 with members in the 20,000 to 50,000 range, MCIC found.

Among the largest MCOs across the country are plans such as Aetna, 17.6 million members; Beech Street Corporation, 16 million; CIGNA, 12 million; WellPoint, 35 million; United Healthcare, 22 million; Kaiser Permanente, 8.7 million; and Humana, 11.5 million.

The figures do not represent the entire universe of MCOs. There are some 1,264 MCOs profiled in The National Directory of Managed Care Organizations, 7th Ed. The review does not include utilization review organizations, TPAs or PBMs. Analysis of the Managed Care Industry Based on Health Plan Members

Members or Covered Lives               Number of  MCOs

1 million to more than 10 million                  92

500,000 to 1 million                                         42

300,000 to 500,000                                          37

150,000 to 300,000                                          95

50,000 to 150,000                                           158

20,000 to 50,000                                                78

20,000 and under                                             118

Source: The National Directory of Managed Care Organizations, 7th Ed., The Managed Care Information Center.

Major Managed Care Plans

Health Plan       Headquarters                                 Members

Aetna,                Hartford, Conn.                               17,668,000

Beech Street Corp.  New York, N.Y.                       16,000,000

CIGNA             Philadelphia, Pa.                              12,067,000

Health Care Services Corp.  Chicago, Ill.                4,600,000

Highmark Inc.  Pittsburgh, Pa.                                 11,527,400

Humana             Louisville, Ky.                                   8,700,000

Kaiser Permanente   Oakland, Calif.                      32,675,000

United Healthcare  Minneapolis, Minn.                  35,274,000

WellPoint   Indianapolis, Ind.                                   32,274,000

Source: The National Directory of Managed Care Organizations, 7th Ed., The Managed Care Information Center.

Address: The Managed Care Information Center, 1913 Atlantic Ave., Ste. 200, Manasquan, NJ 08736; (732) 292-1100
http://www.healthresourcesonline.com/managed_care/Directo...

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About The Managed Care Information Center

The Managed Care Information Center (MCIC) gathers, collects, compiles, analyzes, studies, interprets and distributes business news and information on the managed care industry. The MCIC delivers this strategic business information to its clients via executive newsletters, yearbooks, leading industry databases and directories, management reports, webcasts and client research studies. The information is available in print, on CD-ROM and via the Internet at www.themcic.com and www.healthresourcesonline.com/managed_care