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Market Facts for Colorado
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  

 

Colorado State Populations from hmo-info.com
More Info:
Name Population   Source Effective Date
State 4,803,000   Census Report 01-07
Top 3,299,180   Colorado Managed Care 06-07
Employed 2,483,600   Colorado Department of Labor & Employment 10-09
Uninsured 826,000   Census Report 01-07
Medicare 574,263   Centers for Medicare & Medicaid Services 07-08
Medicaid 489,464   Colorado Dept. of Health Care Policy & Financing 11-09
Uninsured Children 176,000   Census Report 01-07
CHP+ 67,856   Colorado Managed Care 09-09
TRICARE 60,847   TriWest 06-09

 

Year-to-Date HMO/BCBS Plan Profits from DOI Back to Top
Effective Date:03-31-10 Source: Colorado Division of Insurance
More Info: Colorado Managed Care Newsletter
Company-HMO Revenue Before Tax
Net Income		 After Tax
Net Income
Aetna Health, Inc. - Colorado $ 30,697,829 $ 1,059,787 $ 905,184
CIGNA of Colorado $ 6,618,634 $ 724,169 $ 403,776
Colorado Access $ 97,924,811 $ 1,780,760 $ 1,780,760
Colorado Choice (fka SLVHMO) / HMO Health Plans $ 4,804,970 $ 209,396 $ 209,396
Denver Health $ 20,955,577 $ 324,633 $ 324,633
HMO Colorado (Anthem BCBS) $ 61,317,525 $ 2,392,157 $ 2,681,831
Kaiser $ 621,494,882 $ 58,911,636 $ 58,911,636
PacifiCare of Colorado $ 185,210,727 $ 26,689,464 $ 17,349,608
Rocky Mountain HealthCare Options $ 29,181,734 $ 328,957 $ 217,112
Rocky Mountain HMO $ 44,782,461 $ 5,736,547 $ 5,736,547
Rocky Mountain Hospital/Medical Svc. (Anthem BCBS) $ 428,687,691 $ 39,815,145 $ 32,079,594
UnitedHealthcare of Colorado $ 528,512 $ 50,070 $ 32,545
 

 

Latest Quarter HMO/BCBS Plan Profits from DOI Back to Top
Effective Date:12-31-09 Source: Colorado Division of Insurance
More Info:
Company-HMO Quarterly Revenue Before Tax
Net Income		 After Tax
Net Income
Aetna Health, Inc. - Colorado $ 43,041,217 $ 1,951,089 $ 1,055,036
CIGNA of Colorado $ 6,726,950 $ -2,451,376 $ -1,505,405
Colorado Access $ 38,296,736 $ -798,364 $ -798,364
Colorado Choice (fka SLVHMO) / HMO Health Plans $ 4,752,314 $ 285,739 $ 285,739
Denver Health $ 20,720,043 $ -45,695 $ -45,695
HMO Colorado (Anthem BCBS) $ 71,209,552 $ -2,966,684 $ -2,069,045
Kaiser $ 578,375,038 $ 12,990,619 $ 12,990,619
PacifiCare of Colorado $ 201,444,985 $ 24,464,571 $ 16,815,344
Rocky Mountain HealthCare Options $ 27,213,888 $ -1,109,401 $ -804,015
Rocky Mountain HMO $ 52,911,483 $ 1,259,390 $ 1,259,390
Rocky Mountain Hospital/Medical Svc. (Anthem BCBS) $ 401,930,385 $ 5,619,866 $ 6,123,440
UnitedHealthcare of Colorado $ 542,585 $ -4,884 $ -55,601
 

Top 10 Health Plans from hmo-info.com Back to Top
Effective Date:06-30-09 Source: Colorado Managed Care newsletter>
Company-HMO Members
Colorado Top Ten Health Plans Total Membership 3,597,777
Anthem Blue Cross Blue Shield 897,764
UnitedHealthcare of Colorado 649,813
Aetna Health, Inc. - Colorado 556,408
Kaiser 487,113
CIGNA of Colorado 461,107
TriWest Healthcare Alliance 218,581
Rocky Mountain Health Plans & CNIC 145,573
Humana, Inc. 88,450
Denver Health 57,698
Colorado Access 35,270

HMO/BCBS Plan Members from DOI Back to Top
Effective Date:09-30-09 Source: Colorado Division of Insurance>
Company-HMO Members
Rocky Mountain Hospital/Medical Svc. (Anthem BCBS) 636,055
Kaiser 486,828
Colorado Access 118,173
PacifiCare of Colorado 88,747
Rocky Mountain HMO 77,450
HMO Colorado (Anthem BCBS) 68,823
Aetna Health, Inc. - Colorado 37,875
Rocky Mountain HealthCare Options 37,744
Denver Health 16,845
CIGNA of Colorado 6,877
Colorado Choice (fka SLVHMO) / HMO Health Plans 4,991
UnitedHealthcare of Colorado 283

Medicare Advantage from hmo-info.com Back to Top
Effective Date:04-01-10 Source: Centers for Medicare & Medicaid Services>
Company-HMO Members
Total Colorado Medicare HMO Enrollment 203,968
Secure Horizons (United) 77,446
Kaiser 68,149
Rocky Mountain Health Plans - Medicare Cost 21,941
Humana, Inc. 18,437
Anthem Blue Cross Blue Shield 3,478
Colorado Access 3,175
Denver Health Medical Plan, Inc. 2,861
Aetna Health, Inc. - Colorado 2,516
Other Medicare Advantage Plans 1,533
Total Longterm Care 1,324
Rochester Area 1,199
Pyramid Life 648
CIGNA of Colorado 576
Colorado Choice (fka SLVHMO) - Medicare Cost 561
Sterling (CO) 124

Medicaid Members from hmo-info.com Back to Top
Effective Date:05-31-10 Source: Colorado Dept. of Health Care Policy & Financing>
Company-HMO Members
Total Colorado Medicaid 519,321
Unassigned Medicaid 430,659
Denver Health 43,632
Rocky Mountain HMO 16,770
Colorado Access 1,980
Total Longterm Care 1,308
VOANS (PACE) 159
Rocky Mountain Healthcare Services (PACE) 71

Small Group Members Back to Top
Effective Date:12-31-09 Source: Colorado Division of Insurance>
Company-HMO Members
Total Colorado Small Group Enrollment 287,239
UnitedHealthcare Insurance Co. 75,256
Kaiser 74,822
Anthem Blue Cross Blue Shield 71,763
Rocky Mountain HMO 16,500
Humana Health Plan of Colorado 14,240
Rocky Mountain HealthCare Options 11,568
Aetna Health, Inc. - Colorado 7,897
Humana Health 6,805
PacifiCare Life Assuarance Co. 3,572
Colorado Choice (fka SLVHMO) / HMO Health Plans 2,018
John Alden 601
PacifiCare of Colorado 520
MegaLife 448
Principal Financial 289
MidWest National 266
UnitedHealthcare of Colorado 256
Guardian 180
HMO Colorado (Anthem BCBS) 110
Time Insurance, an Assurant unit (CO) 60
Transamerica Life (CO) 7
First Health, a Coventry Unit (CO) 1
Stonebridge 0
TrustMark 0

CoverColorado Back to Top
Effective Date:02-01-07 Source: CoverColorado>
Company-HMO Members
CoverColorado 5,400

Individual Enrollment from HMOs/BCBS Plans' Filings Back to Top
Effective Date:09-30-09 Source: Colorado Division of Insurance>
Company-HMO Members
Rocky Mountain Hospital/Medical Svc. (Anthem BCBS) 129,702
Colorado Access 30,279
Kaiser 27,540
Rocky Mountain HealthCare Options 13,404
Rocky Mountain HMO 4,057
Colorado Choice (fka SLVHMO) / HMO Health Plans 217
HMO Colorado (Anthem BCBS) 95
Aetna Health, Inc. - Colorado 37

Medicaid Mental Health Members from hmo-info.com Back to Top
Effective Date:05-31-10 Source: Colorado Dept. of Health Care Policy & Financing >
Company-HMO Members
Total Mental Health Enrollment 477,086
Colorado Health Partnerships 165,630
Behavioral Health Care 112,486
Access Behavioral Care 84,684
Northeast Behavioral Health 60,102
Foothills Behavioral Health 54,184

 

 

 

 

Accreditation Back to Top<
Effective Date:12-31-09
Company-HMO Accreditation
Source		 Accreditation
Status
More Info: CO Directory Market Facts
Aetna Health, Inc. - Colorado NCQA Excellent
CIGNA Commercial/HMO/POS NCQA Excellent
CIGNA HealthCare of Colorado NCQA Excellent
HMO Colorado (Anthem BCBS) NCQA Excellent
Kaiser Commercial/HMO/POS NCQA Excellent
Kaiser Medicaid/HMO NCQA Excellent
PacifiCare of CO. Commercial/HMO NCQA Excellent
PacifiCare of CO. Commercial/POS NCQA Excellent
PacifiCare of CO. Medicare/HMO NCQA Excellent

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