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Market Facts Output by State

Market Facts List of States

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Market Facts for Arizona
HMO Headings on this Page
ALTCS Enrollment  
CoverColorado  
Healthcare Group Enrollment  
HMO/BCBS Plan Members from DOI  
Individual Enrollment from HMOs/BCBS Plans' Filings  
Latest Quarter HMO/BCBS Plan Profits from DOI  
Medicaid Members from hmo-info.com  
Medicaid Mental Health Members from hmo-info.com  
Medicare Advantage from hmo-info.com  
Small Group Members  
Top 10 Health Plans from hmo-info.com  
Year-to-Date HMO/BCBS Plan Profits from DOI  
HMO Profits  
Accreditation  

 

Arizona State Populations from hmo-info.com
More Info: Arizona Managed Care
Name Population   Source Effective Date
State 6,305,210   State of Arizona 04-06
Top 10 Health Plans 4,255,920   Arizona Managed Care Newsletter 06-07
Employed 2,829,276   State of Arizona 07-06
Medicaid 1,341,021   AHCCCS 01-10
Uninsured 1,311,000   US Census Bureau 01-07
Medicare 852,880   CMS 07-08
Uninsured Children 283,000   US Census Bureau 01-07
TRICARE 202,593   TriWest 06-09
KidsCare 36,107   KidsCare 04-10

 

Year-to-Date HMO/BCBS Plan Profits from DOI Back to Top
Effective Date:12-31-09 Source: Arizona Division of Insurance
More Info: Arizona Managed Care Newsletter
Company-HMO Revenue Before Tax
Net Income
After Tax
Net Income
Abrazo Advantage Health Plan, Inc. $ 36,922,859 $ 4,383,783 $ 2,848,630
Aetna Health, Inc. - Arizona $ 325,996,699 $ 30,306,674 $ 24,969,698
Arcadian Health Plan, Inc. $ 30,229,594 $ 3,844,036 $ 3,196,471
BlueCross & Blue Shield of Arizona $ 1,472,468,137 $ 76,938,690 $ 64,624,176
CIGNA of Arizona $ 546,435,747 $ 22,287,584 $ 18,790,789
Humana of Arizona $ 123,317,896 $ -8,445,894 $ -5,489,831
PacifiCare of Arizona $ 1,158,103,314 $ 19,608,489 $ 13,259,878
SCAN $ 29,352,938 $ -6,713,126 $ -6,713,126
Sun Health MediSun $ 203,533,428 $ 4,328,141 $ 2,856,573
United Healthcare of Arizona $ 127,307,645 $ 12,328,598 $ 11,847,134
 

 

Latest Quarter HMO/BCBS Plan Profits from DOI Back to Top
Effective Date:12-31-09 Source: Arizona Department of Insurance
More Info: Arizona Managed Care Newsletter
Company-HMO Quarterly Revenue Before Tax
Net Income
After Tax
Net Income
Abrazo Advantage Health Plan, Inc. $ 9,348,327 $ 126,954 $ 337,101
Aetna Health, Inc. - Arizona $ 78,691,736 $ 5,960,375 $ 3,447,668
Arcadian Health Plan, Inc. $ 7,806,414 $ 1,109,784 $ 857,563
BlueCross & Blue Shield of Arizona $ 371,779,508 $ 11,455,091 $ 10,615,150
CIGNA of Arizona $ 139,505,587 $ 10,059,024 $ 8,858,536
Health Net of Arizona $ 197,378,361 $ 7,354,649 $ 5,420,465
Humana of Arizona $ 30,210,028 $ 401,358 $ 260,883
PacifiCare of Arizona $ 280,692,434 $ 6,819,588 $ 4,695,094
Sun Health MediSun $ 65,191,579 $ 2,516,823 $ 1,649,244
United Healthcare of Arizona $ 33,895,754 $ 3,522,200 $ 2,039,187
 

Top 10 Health Plans from hmo-info.com Back to Top
Effective Date:06-30-09 Source: Arizona Managed Care Newsletter>
Company-HMO Members
Arizona Top Ten Health Plans Total Members 4,877,806
BlueCross & Blue Shield of Arizona 1,362,922
United Healthcare of Arizona 1,284,395
Aetna Health, Inc. - Arizona 818,241
CIGNA of Arizona 424,788
TriWest Healthcare Alliance (AZ) 202,593
Health Choice Arizona 196,762
Phoenix Health Plan/Abrazo 185,625
Health Net of Arizona 166,695
University Physicians MIHS 121,972
Humana of Arizona 113,813

HMO/BCBS Plan Members from DOI Back to Top
Effective Date:12-31-09 Source: Arizona Department of Insurance>
Company-HMO Members
BlueCross & Blue Shield of Arizona 1,533,824
Aetna Health, Inc. - Arizona 132,109
PacifiCare of Arizona 123,179
Health Net of Arizona 106,456
CIGNA of Arizona 67,637
Humana of Arizona 36,876
United Healthcare of Arizona 25,345
Sun Health MediSun 18,914
Arcadian Health Plan, Inc. 3,066
Abrazo Advantage Health Plan, Inc. 2,768
SCAN 1,598

Medicare Advantage from hmo-info.com Back to Top
Effective Date:04-01-10 Source: CMS>
Company-HMO Members
Total Arizona Medicare HMO Enrollment 330,633
Secure Horizons/APIPA (United) 135,229
Health Net of Arizona 49,838
Humana of Arizona 36,520
CIGNA of Arizona 36,210
Banner 19,366
Arizona Physicians IPA (United) 15,991
Mercy Care Plan 15,161
SCAN 7,050
Arcadian Health Plan, Inc. 5,069
Health Choice Arizona 4,129
Aetna Health, Inc. - Arizona 3,847
Other Medicare 2,920
Abrazo Advantage Health Plan, Inc. 2,669
Universal Health 2,420
Pyramid 2,021
University Physicians MIHS 1,568
Care1st Health Plan of Arizona 1,441
Bridgeway 1,435
Rochester 453
Anthem 283
Sterling 99

Medicaid Members from hmo-info.com Back to Top
Effective Date:06-01-10 Source: AHCCCS>
Company-HMO Members
Total AHCCCS Acute Membership 1,312,534
Mercy Care Plan 308,689
Arizona Physicians IPA (United) 248,043
Health Choice Arizona 196,380
Phoenix Health Plan/Abrazo 196,181
Other AHCCCS Acute 162,274
University Family Care 69,939
Maricopa Managed Care 54,277
Care1st Health Plan of Arizona 51,544
Bridgeway 17,733
DES/CMDP 9,563
Pima Health Plan 1,878

Individual Enrollment from HMOs/BCBS Plans' Filings Back to Top
Effective Date:12-31-09 Source: Arizona Division of Insurance>
Company-HMO Members
BlueCross & Blue Shield of Arizona 124,349
CIGNA of Arizona 4,171
Health Net of Arizona 2,308
United Healthcare of Arizona 15
Aetna Health, Inc. - Arizona 0

Healthcare Group Enrollment Back to Top
Effective Date:05-13-10 Source: HealthCare Group>
Company-HMO Members
Total HealthCare Group Membership 10,977
University Physicians 5,556
Mercy Care Plan 5,018
AHCCCS PPO HealthCare Group 403

ALTCS Enrollment Back to Top
Effective Date:04-01-10 Source: AHCCS>
Company-HMO Members
Total AHCCCS ALTCS Members 47,247
DES/DDD 22,630
Mercy Care Plan 8,467
Pima Health Plan 4,293
EverCare-Arizona (UnitedHealthcare) 3,195
SCAN 3,162
Bridgeway 2,691
Pinal/Gila 1,465
Yavapai 1,011
Cochise 904

 

 

 

 

Accreditation Back to Top<
Effective Date:12-31-09
Company-HMO Accreditation
Source
Accreditation
Status
More Info: NCQA
Aetna-Arizona-Commercial/HMO/POS NCQA Excellent
CIGNA of AZ. Commercial/HMO/POS NCQA Excellent
PacifiCare of AZ. Commercial/HMO NCQA Excellent
PacifiCare of AZ. Medicare/HMO NCQA Excellent
United Healthcare of Arizona NCQA Excellent

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