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Managed Care Information Center  
1913 Atlantic Ave., Suite 200
Manasquan, NJ  08736
(732) 292-1100
fax: (732) 292-1111


MCIC Press Release

April 2, 2009


Big MCOs Dominate The Managed Care Market

MANASQUAN, NJ -- April 2, 2009: The size and shape of the managed care industry, determined by "players" in terms of numbers of covered lives, ranged 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

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 Plan

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, www.themcic.com.