Never-Event Payment Policies - How Health Plans Are Getting Tough on Preventable Hospital Errors; Implementing 'Medical Homes' to Improve Patient Care and the Bottom Line


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Reprinted from HEALTH PLAN WEEK, the industry's leading source of business, financial and regulatory news of health plans, PPOs, and POS plans.

Charts on this Page:

10 Largest Publicly Traded Managed Care Companies
Ranked by Fourth-Quarter 2007 Premium Revenue
Company 4Q07 Health Premium and Fee Revenue
Enrollment as of Dec. 31, 2007
Total Enrollment*
Self-Funded
Fully Insured
Enrollment % of Total Enrollment Enrollment % of Total Enrollment
UnitedHealth Group $18.2 billion 28.6 million 16.0 million 55.9% 12.6 million 44.1%
WellPoint, Inc. $15.3 billion 34.8 million 17.7 million 50.8% 17.0 million 49.2%
Aetna, Inc. $7.1 billion 16.8 million 10.9 million 64.9% 5.9 million 35.1%
Humana Inc. $6.2 billion 8.0 million 3.0 million 37.5% 5.0 million 62.5%
CIGNA Corp. $3.8 million 10.2 million 8.0 million 78.4% 2.2 million 21.6%
Health Net, Inc. $3.5 billion 6.7 million 68,000 1.0% 6.6 million 99.0%
Coventry Health Care, Inc. $2.8 billion 4.0 million 1.5 million 37.5% 2.5 million 62.5%
AMERIGROUP Corp. $1.1 billion 1.7 million 0 0% 1.7 million 100%
Centene Corp. $777.4 million 1.1 million 0 0% 1.1 million 100%
Molina Healthcare, Inc. $670.6 million 1.1 million 0 0% 1.1 million 100%
* Enrollment sums may not total exactly due to rounding.
NOTE: WellCare Health Plans, Inc. was omitted from this table because it has delayed reporting full financial and operating date for the fourth quarter of 2007 in light of an ongoing investigation by federal and state agencies.
SOURCE: Compiled by Atlantic Information Services, Inc. from company financial statements, March 2008.

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10 Largest Publicly Traded Managed Care Companies
Ranked by Third-Quarter 2007 Premium Revenue

Company

3Q07 Health Premium and Fee Revenue

Enrollment as of Sept. 30, 2007

Total Enrollment

Self-Funded

Fully Insured

Enrollment

 % of Total Enrollment

Enrollment 

% of Total Enrollment

UnitedHealth Group

$18.1 billion

28.6 million

16.0 million

55.9%

12.6 million

44.1%

WellPoint, Inc.

$15.0 billion

34.8 million

17.6 million

50.6%

17.2 million

49.4%

Aetna, Inc.

$6.3 billion

16.6 million

10.9 million

65.7%

5.7 million

34.3%

Humana Inc.

$6.2 billion

7.9 million

2.9 million

36.7%

5.0 million

63.3%

CIGNA Corp.

$3.8 million

10.2 million

8.0 million

78.4%

2.2 million

21.6%

Health Net, Inc.

$3.6 billion

6.7 million

90,000

1.3%

6.6 million

98.7%

Coventry Health Care, Inc.

$2.5 billion

3.9 million

1.5 million

38.5%

2.4 million

61.5%

AMERIGROUP Corp.

$1.0 billion

1.5 million

0

0%

1.5 million

100%

Centene Corp.

$749.9 million

1.1 million

0

0%

1.1 million

100%

Molina Healthcare, Inc.

$628.4 million

1.1 million

0

0%

1.1 million

100%

* Enrollment sums may not total exactly due to rounding.
NOTE: WellCare Health Plans, Inc. reported $1.4 billion in third-quarter 2007 premium revenue, but it was omitted from this table because the company has not yet furnished membership data.
SOURCE: Compiled by Atlantic Information Services, Inc. from company financial statements.

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10 Largest Publicly Traded Managed Care Companies
Ranked by Second-Quarter 2007 Premium Revenue

Company

2Q07 Health Premium and Fee Revenue

Enrollment as of June 30, 2007

Total Enrollment

Self-Funded

Fully Insured

Enrollment

 % of Total Enrollment

Enrollment 

% of Total Enrollment

UnitedHealth Group

$18.4 billion

28.7 million

15.9 million

55.6%

12.7 million

44.4%

WellPoint, Inc.

$15.0 billion

34.8 million

17.4 million

50.1%

17.3 million

49.9%

Aetna, Inc.

$6.5 billion

15.8 million

10.3 million

65.6%

5.4 million

34.4%

Humana Inc.

$6.2 billion

7.8 million

3.5 million

44.3%

4.4 million

55.7%

CIGNA Corp.

$3.8 billion

9.8 million

7.6 million

78.0%

2.2 million

22.3%

Health Net, Inc.

$3.2 billion

6.3 million

96,000

1.5%

6.2 million

98.4%

Coventry Health Care, Inc.

$2.3 billion

3.4 million

1.5 million

44.1%

1.9 million

55.9%

WellCare Health Plans, Inc.

$1.3 billion

1.3 million

0

0%

1.3 million

100%

AMERIGROUP Corp.

$986.0 million

1.5 million

0

0%

1.5 million

100%

Centene Corp.

$727.7 million

1.1 million

0

0%

1.1 million

100%

* Enrollment sums may not total exactly due to rounding.
SOURCE: Compiled by Atlantic Information Services, Inc. from company financial statements.


10 Largest Publicly Traded Managed Care Companies
Ranked by First-Quarter 2007 Premium Revenue

Company

1Q07 Health Premium and Fee Revenue

Enrollment as of March 31, 2007

Total Enrollment*

Self-Funded

Fully Insured

Enrollment

 % of Total Enrollment

 Enrollment

% of Total Enrollment 

UnitedHealth Group

$18.6 billion

28.5 million

15.9 million

56.1%

12.6 million

43.9%

WellPoint, Inc.

$14.8 billion

34.9 million

17.5 million

50.1%

17.4 million

49.9%

Aetna, Inc.

$6.4 billion

15.7 million

10.3 million

65.6%

5.4 million

34.4%

Humana Inc.

$6.1 billion

7.8 million

3.5 million

44.9%

4.4 million

55.1%

CIGNA Corp.

$3.7 billion

9.8 million

7.6 million

77.6%

2.2 million

22.4%

Health Net, Inc.

$3.4 billion

6.3 million

96,000

1.5%

6.2 million

98.5%

Coventry Health Care, Inc.

$2.2 billion

3.4 million

1.4 million

41.2%

2.0 million

58.8%

WellCare Health Plans, Inc.

$1.2 billion

1.3 million

0

0%

1.3 million

100%

AMERIGROUP Corp.

$819.6 million

1.3 million

0

0%

1.3 million

100%

Centene Corp.

$670.8 million

1.1 million

0

0%

1.1 million

100%

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