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/
