A Report on Managed Care Enrollment by Health Plan and County
State of New York
Andrew M. Cuomo, Governor
Department of Health
Nirav R. Shah, M.D., M.P.H., Commissioner
Plan Names Aetna ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Aetna Affinity Health Plan ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Affinity Health Plan Amerigroup New York ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Amerigroup New York Amidacare SNP ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Amidacare Special Needs Plan Arcadian Hlth Plan of NY ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Arcadian Health Plan of New York Catholic Spec. Nds Pln ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Catholic Special Needs Plan CDPHP ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ CDPHP Elderplan, Inc. ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Elderplan Inc. Empire ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Empire Essence Hlthcare of NY ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Essence Healthcare of New York Excellus BC/BS ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Excellus BlueCross BlueShield Fidelis Care NY ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Fidelis Care New York GHI HMO ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ GHI HMO Health Plus ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Health Plus Healthfirst PHSP, Inc. ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Healthfirst PHSP, Inc. HealthNow NY, Inc. ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ HealthNow New York, Inc. HIP of New York ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ HIP of New York Hudson Health Plan ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Hudson Health Plan Independent Health ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Independent Health Managed Health Inc. ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Managed Health Inc. MetroPlus Health Plan ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ MetroPlus Health Plan MetroPlus Hlth Plan SNP ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ MetroPlus Health Plan Special Needs Plan MVP ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ MVP Neighborhood Hlth Prov ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Neighborhood Health Providers NY‐Prsbterian. SSL SNP ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ New York‐Presbyterian System Select Health Special Needs Plan Oxford ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Oxford Quality Health Plan ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Quality Health Plan Senior Whole Health ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Senior Whole Health Total Care ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Total Care Touchstone Health ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Touchstone Health UnitedHlthcr Comm. Plan ‐‐‐‐‐‐‐‐‐‐‐‐‐ UnitedHealthcare Community Plan Univera Community Hlth ‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Univera Community Health Univera Healthcare ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ Univera Healthcare WellCare of New York ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ WellCare of New York TABLE OF CONTENTS
Summary…………………………………………….………………………. I
Enrollment by County Report……………………………….……….. II
Enrollment by Plan Report……………………………..……………. III
Managed Care Penetration Rates ………........................…. IV
I. SUMMARY
About the report
Managed care plans in New York State
provide quality healthcare to millions of
state residents. In 2011, nearly six
million people were enrolled in managed
care plans throughout New York’s sixtytwo counties. The Managed Care Plan
Enrollment Report is an end of the year
summary of member enrollment in
those managed care plans, published
annually by the New York State
Department of Health (NYSDOH). This
report lists membership, by county, for
those managed care plans certified by
New York State to operate under a
managed care (Article 44) license, only.
This license includes two types of health
plan enrollment (1) Health Maintenance
Organizations (HMO) and, (2) Prepaid
Health Service Plans (PHSP), which
primarily enroll Medicaid and Child
Health Plus beneficiaries. Residents
enrolled in Medicare through Medicare
Advantage plans, a managed care
product of Medicare, are also shown in
this report. However, members enrolled
in traditional fee-for-service Medicare
are not included. Again this year,
membership in HIV Special Needs Plans
(HIV SNP) is included in this report.
While the organizations presented in
this report may have additional
membership through products under
other health insurance licenses, those
members are not included in this report.
Partial capitation managed care plans,
and managed long term care plans that
do not provide dual coverage with
Medicare are particular types of
managed care plans that provide
services to meet the healthcare needs of
specific populations. Membership
enrollment data for these types of plans
is not included in this report.
Additionally, membership data in
commercial managed care plans’
Preferred Provider Organization (PPO)
products is not included because the
data is not available as part of the
health plans’ annual data submission.
For more information about these types
of managed care plans, please visit the
NYSDOH website at:
http://nyhealth.gov/health_care/manag
ed_care/mcodefs.htm
About the data
The information included in this report is
collected annually as of December 31st
of each year. The county-specific data
is reported by the managed care plans
based on the addresses of their
enrollees.
The data used to compile this report
comes from three sources. The Annual
Data Requirements for Health
Maintenance Organizations provides
managed care plan membership figures
for the HMO and point of service (POS)
enrollment, as well as enrollment for
direct pay, Healthy New York and
Medicare Advantage. Medicaid and
Family Health Plus enrollment figures
are drawn from the NYSDOH Medicaid
Encounter Data System (MEDS). The
NYSDOH Office of Health Insurance
Programs, Division of Coverage and
Enrollment provides the Child Health
Plus enrollment figures.
About the sections
This report presents plan enrollment
data two different ways: plan enrollment
by county, and county enrollment by
plan. Included in the enrollment totals
of the downstate counties are those
enrollees that are considered
“Unclassified”, enrollees for whom New
York City is the county of fiscal
responsibility, but who have zip codes
that are invalid or cannot be allocated to
any borough.
The penetration rate of managed care
into each county is calculated using the
county’s total managed care plan
enrollment divided by total county
population, which is estimated using the
2010 census data provided by the
United States Census Bureau.
If you would like additional information
regarding this report, please contact:
Office of Quality and Patient Safety
NYS Department of Health
Empire State Plaza
Corning Tower, Room 1938
Albany, NY 12237
(518) 486 - 9012
[email protected]
For additional information regarding
managed care in New York State visit our
website: http://www.health.ny.gov.
Information about enrollment in insurance
products other than managed care is
available at: http://www.dfs.ny.gov
II. Enrollment by County Report
Enrollment by County ‐ December 31, 2011
COMMERCIAL
HMO/
POS
MEDICAID
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child Health Plus
Medicaid Managed Care
Family
Health Plus HIV
SNP
Total
Enrollment
Albany
CDPHP
71,369
92
1,849
9,102
3,787
18,742
1,541
0
106,482
Empire 1,699
97
318
250
357
0
0
0
2,721
Excellus BC/BS
317
0
0
0
0
0
0
0
317
Fidelis Care NY
0
0
0
0
1,154
6,581
1,472
0
9,207
GHI HMO
203
0
3
0
0
0
0
0
206
HealthNow NY, Inc.
709
8
219
1,583
0
0
0
0
2,519
14,668
4
0
0
0
0
0
0
14,672
4,644
7
204
3,272
0
0
0
0
8,127
Oxford
1
6
0
0
0
0
0
0
7
Senior Whole Health
3
0
0
1
0
0
0
0
4
UnitedHlthcr Comm. Plan
0
0
0
80
0
0
0
0
80
Univera Healthcare
0
0
0
1
0
0
0
0
1
WellCare of New York
0
0
0
0
117
1,726
205
0
2,048
214
2,593
5,415
27,049
3,218
0
146,391
HIP of New York
MVP
Totals for Albany
93,613
14,289
Allegany
Excellus BC/BS
0
1
2
4
0
0
0
0
7
Fidelis Care NY
0
0
0
0
38
157
60
0
255
HealthNow NY, Inc.
1,155
4
53
293
620
2,732
281
0
5,138
Independent Health
227
5
63
560
0
0
0
0
855
65
0
2
30
0
0
0
0
97
UnitedHlthcr Comm. Plan
0
0
0
1
0
0
0
0
1
Univera Community Hlth
0
0
0
0
173
1,659
464
0
2,296
Univera Healthcare
7
6
139
165
0
0
0
0
317
805
0
8,966
0
0
6,378
MVP
Totals for Allegany
1,454
16
259
1,053
831
4,548
Bronx
Aetna
5,268
80
103
927
0
0
Enrollment by County ‐ December 31, 2011
COMMERCIAL
HMO/
POS
Direct
Pay
MEDICAID
Healthy
New
York
Medicare
Advantage
Child Health Plus
Medicaid Managed Care
Family
Health Plus HIV
SNP
Total
Enrollment
Affinity Health Plan
0
0
0
0
3,090
70,200
6,952
0
80,242
Amerigroup New York
0
0
0
0
333
5,830
866
0
7,029
Amida Care SNP
0
0
0
0
0
0
0
1,586
1,586
Catholic Spec. Nds Pln
0
0
0
67
0
0
0
0
67
Elderplan, Inc.
0
0
0
595
0
0
0
0
595
2,529
149
652
4,673
923
0
0
0
8,926
Fidelis Care NY
0
0
0
0
3,017
55,697
5,814
0
64,528
Health Plus
0
0
0
0
2,364
31,544
3,182
0
37,090
Healthfirst PHSP, Inc.
0
0
0
0
4,452
131,234
10,275
0
145,961
HealthNow NY, Inc.
1
0
0
0
0
0
0
0
1
4,092
135
50
16,266
884
26,627
2,329
0
50,383
Managed Health Inc.
0
1
34
30,125
0
0
0
0
30,160
MetroPlus Health Plan
0
0
0
0
4,389
111,146
8,419
0
123,954
MetroPlus Hlth Plan SNP
0
0
0
0
0
0
0
2,221
2,221
12
0
1
0
0
0
0
0
13
Neighborhood Hlth Prov
0
0
0
0
846
24,416
2,091
0
27,353
NY‐Prsbterian. SSL SNP
0
0
0
0
0
0
0
2,641
2,641
6,507
174
953
5,841
0
0
0
0
13,475
Touchstone Health
0
0
0
2,048
0
0
0
0
2,048
UnitedHlthcr Comm. Plan
0
0
0
1,099
211
7,027
866
0
9,203
WellCare of New York
0
0
0
0
534
11,192
1,453
0
13,179
539
1,793
61,641
21,043
474,913
42,247
6,448
627,033
Empire HIP of New York
MVP
Oxford
Totals for Bronx
18,409
Brooklyn
Aetna
8,440
255
868
1,510
0
0
0
0
11,073
Affinity Health Plan
0
0
0
0
1,202
27,368
4,129
0
32,699
Amerigroup New York
0
0
0
0
1,973
30,807
4,423
0
37,203
Amida Care SNP
0
0
0
0
0
0
0
1,869
1,869
Elderplan, Inc.
0
0
0
6,371
0
0
0
0
6,371
Enrollment by County ‐ December 31, 2011
COMMERCIAL
MEDICAID
Child Health Plus
HMO/
POS
Direct
Pay
Healthy
New
York
4,910
553
6,597
6,884
11,982
0
0
0
30,926
Fidelis Care NY
0
0
0
0
4,806
73,439
14,168
0
92,413
GHI HMO
7
0
1
0
0
0
0
0
8
Health Plus
0
0
0
0
12,124
121,197
15,423
0
148,744
Healthfirst PHSP, Inc.
0
0
0
0
4,321
126,385
13,252
0
143,958
62,930
412
197
23,145
2,064
57,123
6,210
0
152,081
Managed Health Inc.
0
0
77
27,538
0
0
0
0
27,615
MetroPlus Health Plan
0
0
0
0
5,003
99,240
9,395
0
113,638
MetroPlus Hlth Plan SNP
0
0
0
0
0
0
0
1,878
1,878
MVP
1
0
1
0
0
0
0
0
2
Neighborhood Hlth Prov
0
0
0
0
2,182
46,375
4,658
0
53,215
NY‐Prsbterian. SSL SNP
0
0
0
0
0
0
0
1,531
1,531
15,662
706
5,844
16,107
0
0
0
0
38,319
Touchstone Health
0
0
0
2,604
0
0
0
0
2,604
UnitedHlthcr Comm. Plan
0
0
0
1,136
5,093
128,820
18,437
0
153,486
Univera Healthcare
0
0
2
0
0
0
0
0
2
WellCare of New York
0
0
0
0
661
15,123
2,723
0
18,507
1,926
13,587
85,295
51,411
725,877
92,818
5,278
1,068,142
Empire HIP of New York
Oxford
Totals for Brooklyn
91,950
Medicare
Advantage
Medicaid Managed Care
Family
Health Plus HIV
SNP
Total
Enrollment
Broome
Aetna
32
5
8
292
0
0
0
0
337
CDPHP
56
6
16
7
197
338
48
0
668
Empire 0
0
1
0
0
0
0
0
1
Excellus BC/BS
15
13
224
1
3,035
19,577
2,581
0
25,446
Fidelis Care NY
0
0
0
0
444
3,602
473
0
4,519
29
0
7
0
0
0
0
0
36
1,371
5
247
239
0
0
0
0
1,862
Oxford
0
0
1
0
0
0
0
0
1
Touchstone Health
0
0
0
1,923
0
0
0
0
1,923
GHI HMO
MVP
Enrollment by County ‐ December 31, 2011
COMMERCIAL
HMO/
POS
Direct
Pay
MEDICAID
Healthy
New
York
Medicare
Advantage
Child Health Plus
Medicaid Managed Care
Family
Health Plus HIV
SNP
Total
Enrollment
UnitedHlthcr Comm. Plan
0
0
0
107
0
0
0
0
107
Univera Healthcare
0
0
0
1
0
0
0
0
1
29
504
3,102
0
34,901
Totals for Broome
1,503
2,570
3,676
23,517
Cattaraugus
Excellus BC/BS
0
0
0
3
0
0
0
0
3
Fidelis Care NY
0
0
0
0
583
3,093
480
0
4,156
HealthNow NY, Inc.
2,069
6
176
834
869
3,706
204
0
7,864
Independent Health
1,678
11
173
2,962
0
0
0
0
4,824
19
0
0
1
0
0
0
0
20
UnitedHlthcr Comm. Plan
0
0
0
1
0
0
0
0
1
Univera Community Hlth
0
0
0
0
343
1,993
494
0
2,830
14
1
164
564
0
0
0
0
743
4,365
1,795
1,178
0
20,441
MVP
Univera Healthcare
Totals for Cattaraugus
3,780
18
513
8,792
Cayuga
Aetna
12
3
3
200
0
0
0
0
218
CDPHP
0
0
0
1
0
0
0
0
1
Excellus BC/BS
58
13
108
11
1,276
2,240
258
0
3,964
Fidelis Care NY
0
0
0
0
376
4,406
540
0
5,322
HealthNow NY, Inc.
2
0
4
0
0
0
0
0
6
564
0
170
112
0
0
0
0
846
0
0
0
0
184
1,106
253
0
1,543
16
285
1,051
0
11,900
MVP
UnitedHlthcr Comm. Plan
Totals for Cayuga
636
324
1,836
7,752
Chautauqua
Excellus BC/BS
1
0
5
1
0
0
0
0
7
Fidelis Care NY
0
0
0
0
1,406
14,183
1,447
0
17,036
HealthNow NY, Inc.
1,053
8
283
845
833
4,058
303
0
7,383
Independent Health
1,703
11
362
3,340
0
0
0
0
5,416
Enrollment by County ‐ December 31, 2011
COMMERCIAL
HMO/
POS
Direct
Pay
MEDICAID
Healthy
New
York
Medicare
Advantage
Child Health Plus
Medicaid Managed Care
Family
Health Plus HIV
SNP
Total
Enrollment
MVP
0
0
0
0
0
0
0
0
0
UnitedHlthcr Comm. Plan
0
0
0
317
0
0
0
0
317
Univera Community Hlth
0
0
0
0
128
847
145
0
1,120
76
18
552
2,501
0
0
0
0
3,147
1,895
0
34,426
Univera Healthcare
Totals for Chautauqua
2,833
37
1,202
7,004
2,367
19,088
25
5
68
1
1,040
0
1,087
0
2,226
HealthNow NY, Inc.
0
1
51
0
0
0
0
0
52
MVP
6
0
5
3
0
0
0
0
14
Univera Healthcare
0
0
0
1
0
0
0
0
1
1,087
0
2,293
Chemung
Excellus BC/BS
Totals for Chemung
31
6
124
5
1,040
0
Chenango
CDPHP
44
1
9
1
14
0
0
0
69
Excellus BC/BS
1
3
84
0
853
0
0
0
941
Fidelis Care NY
0
0
0
0
213
812
927
0
1,952
912
2
89
50
0
0
0
0
1,053
Touchstone Health
0
0
0
137
0
0
0
0
137
UnitedHlthcr Comm. Plan
0
0
0
1
0
0
0
0
1
189
1,080
812
927
0
4,153
MVP
Totals for Chenango
957
6
182
Clinton
Empire 23
24
171
0
437
0
0
0
655
Excellus BC/BS
5
4
72
0
758
0
8
0
847
Fidelis Care NY
0
0
0
0
596
3,064
1,198
0
4,858
131
2
122
0
0
0
0
0
255
68
0
4
17
0
0
0
0
89
0
0
1
0
0
0
0
0
1
HealthNow NY, Inc.
MVP
Univera Healthcare
Enrollment by County ‐ December 31, 2011
COMMERCIAL
HMO/
POS
Totals for Clinton
227
Direct
Pay
30
MEDICAID
Healthy
New
York
370
Medicare
Advantage
17
Child Health Plus
1,791
Medicaid Managed Care
3,064
Family
Health Plus HIV
SNP
Total
Enrollment
1,206
0
6,705
Columbia
CDPHP
3,117
18
544
105
1,095
2,902
217
0
7,998
85
58
178
2
114
0
0
0
437
Excellus BC/BS
0
0
1
0
0
0
0
0
1
Fidelis Care NY
0
0
0
0
472
2,398
561
0
3,431
47
0
3
0
0
0
0
0
50
229
1
75
946
0
0
0
0
1,251
0
1
0
0
0
0
0
0
1
944
4
169
197
0
0
0
0
1,314
1
3
1
0
0
0
0
0
5
85
971
778
0
14,488
Empire GHI HMO
HealthNow NY, Inc.
HIP of New York
MVP
Oxford
Totals for Columbia
4,423
1,250
1,681
5,300
Cortland
Excellus BC/BS
5
6
115
1
400
0
0
0
527
Fidelis Care NY
0
0
0
0
711
4,117
653
0
5,481
157
0
73
51
0
0
0
0
281
Total Care
0
0
0
0
105
1,419
140
0
1,664
UnitedHlthcr Comm. Plan
0
0
0
2
0
0
0
0
2
188
54
1,216
793
0
7,955
MVP
Totals for Cortland
162
6
5,536
Delaware
CDPHP
304
1
30
1
261
0
0
0
597
Empire 15
17
125
1
67
0
0
0
225
Excellus BC/BS
11
2
43
0
414
0
0
0
470
Fidelis Care NY
0
0
0
0
222
2,664
725
0
3,611
GHI HMO
0
0
3
0
0
0
0
0
3
HealthNow NY, Inc.
1
0
0
0
0
0
0
0
1
HIP of New York
0
1
0
1
0
0
0
0
2
Enrollment by County ‐ December 31, 2011
COMMERCIAL
MEDICAID
Healthy
New
York
Child Health Plus
Medicaid Managed Care
Family
Health Plus HMO/
POS
Direct
Pay
636
2
180
131
0
0
0
0
949
Oxford
4
5
2
0
0
0
0
0
11
Touchstone Health
0
0
0
82
0
0
0
0
82
28
383
216
964
725
0
5,951
MVP
Totals for Delaware
971
Medicare
Advantage
2,664
HIV
SNP
Total
Enrollment
Dutchess
Aetna
943
24
129
250
0
0
0
0
1,346
0
0
0
153
0
0
0
0
153
1,528
3
61
59
271
0
0
0
1,922
334
164
1,238
383
1,345
0
0
0
3,464
0
0
0
0
1,103
3,313
715
0
5,131
14
0
44
0
0
0
0
0
58
HealthNow NY, Inc.
4
0
0
0
0
0
0
0
4
HIP of New York
0
1
0
2
0
0
0
0
3
Hudson Health Plan
0
0
0
0
1,639
6,293
917
0
8,849
13,198
33
2,050
1,271
1,601
6,458
1,030
0
25,641
511
46
198
4
0
0
0
0
759
UnitedHlthcr Comm. Plan
0
0
0
90
0
0
0
0
90
WellCare of New York
0
0
0
0
788
2,056
281
0
3,125
271
3,720
6,747
18,120
2,943
0
50,545
1
0
1
0
0
0
0
0
2
Excellus BC/BS
548
0
5
16
0
0
0
0
569
Fidelis Care NY
0
0
0
0
3,116
24,060
2,632
0
29,808
14,150
90
1,223
20,433
4,682
17,305
2,091
0
59,974
0
0
0
1
0
0
0
0
1
46,317
242
3,884
41,792
1,318
33,090
3,234
0
129,877
49
0
1
98
0
0
0
0
148
Catholic Spec. Nds Pln
CDPHP
Empire Fidelis Care NY
GHI HMO
MVP
Oxford
Totals for Dutchess
16,532
2,212
Erie
CDPHP
HealthNow NY, Inc.
HIP of New York
Independent Health
MVP
Enrollment by County ‐ December 31, 2011
COMMERCIAL
HMO/
POS
Direct
Pay
MEDICAID
Healthy
New
York
Medicare
Advantage
Child Health Plus
Medicaid Managed Care
Family
Health Plus HIV
SNP
Total
Enrollment
UnitedHlthcr Comm. Plan
0
0
0
200
0
0
0
0
200
Univera Community Hlth
0
0
0
0
6,345
30,334
5,260
0
41,939
318
71
1,816
12,672
0
0
0
0
14,877
0
277,395
Univera Healthcare
Totals for Erie
61,383
403
6,930
75,212
15,461
104,789
13,217
Essex
CDPHP
4
2
4
6
48
0
0
0
64
Empire 5
32
61
3
104
0
0
0
205
Excellus BC/BS
0
1
63
0
408
0
2
0
474
Fidelis Care NY
0
0
0
0
382
2,654
633
0
3,669
HealthNow NY, Inc.
64
2
81
0
0
0
0
0
147
MVP
55
0
7
61
0
0
0
0
123
37
216
70
942
635
0
4,682
Totals for Essex
128
2,654
Franklin
CDPHP
0
0
1
0
0
0
0
0
1
Excellus BC/BS
4
8
166
1
695
0
1
0
875
Fidelis Care NY
0
0
0
0
115
3,185
612
0
3,912
HealthNow NY, Inc.
8
0
2
0
0
0
0
0
10
30
0
84
2
0
0
0
0
116
613
0
4,914
MVP
Totals for Franklin
42
8
253
3
810
3,185
Fulton
CDPHP
369
3
159
33
548
1,264
162
0
2,538
Empire 10
10
52
0
113
0
0
0
185
Excellus BC/BS
0
2
2
0
53
0
0
0
57
Fidelis Care NY
0
0
0
0
963
6,207
886
0
8,056
476
0
65
742
0
0
0
0
1,283
2,654
2
121
653
0
0
0
0
3,430
0
1
0
0
0
0
0
0
1
HealthNow NY, Inc.
MVP
Oxford
Enrollment by County ‐ December 31, 2011
COMMERCIAL
HMO/
POS
Totals for Fulton
3,509
Direct
Pay
18
MEDICAID
Healthy
New
York
399
Medicare
Advantage
Child Health Plus
1,428
1,677
Medicaid Managed Care
7,471
Family
Health Plus HIV
SNP
Total
Enrollment
1,048
0
15,550
Genesee
Excellus BC/BS
50
0
13
51
0
0
0
0
114
Fidelis Care NY
0
0
0
0
139
511
163
0
813
HealthNow NY, Inc.
496
4
66
470
1,011
2,224
415
0
4,686
Independent Health
855
5
135
1,229
0
0
0
0
2,224
1,767
6
98
2,256
0
1,880
203
0
6,210
UnitedHlthcr Comm. Plan
0
0
0
56
0
0
0
0
56
Univera Healthcare
5
3
131
291
0
0
0
0
430
4,353
1,150
781
0
14,533
MVP
Totals for Genesee
3,173
18
443
4,615
Greene
CDPHP
518
16
377
91
669
2,533
142
0
4,346
Empire 32
36
111
2
104
0
0
0
285
0
0
0
0
344
2,561
434
0
3,339
10
0
4
0
0
0
0
0
14
HealthNow NY, Inc.
137
3
81
619
0
0
0
0
840
MVP
638
1
98
81
0
0
0
0
818
0
0
1
1
0
0
0
0
2
56
672
794
1,117
576
0
9,644
Fidelis Care NY
GHI HMO
Oxford
Totals for Greene
1,335
5,094
Hamilton
CDPHP
12
0
0
1
0
0
0
0
13
Empire 0
0
0
1
0
0
0
0
1
Excellus BC/BS
0
1
18
1
63
0
0
0
83
Fidelis Care NY
0
0
0
0
54
281
78
0
413
HealthNow NY, Inc.
8
0
0
0
0
0
0
0
8
124
0
33
159
0
0
0
0
316
0
0
0
1
0
0
0
0
1
MVP
UnitedHlthcr Comm. Plan
Enrollment by County ‐ December 31, 2011
COMMERCIAL
HMO/
POS
Totals for Hamilton
Direct
Pay
144
1
MEDICAID
Healthy
New
York
51
Medicare
Advantage
163
Child Health Plus
117
Medicaid Managed Care
281
Family
Health Plus HIV
SNP
Total
Enrollment
78
0
835
Herkimer
CDPHP
76
0
22
1
44
0
0
0
143
Excellus BC/BS
4
0
175
0
698
1,221
222
0
2,320
Fidelis Care NY
0
0
0
0
1,425
5,979
1,135
0
8,539
HealthNow NY, Inc.
3
0
0
0
0
0
0
0
3
957
0
152
90
0
0
0
0
1,199
0
0
0
4
36
54
24
0
118
349
95
2,203
1,381
0
12,322
MVP
UnitedHlthcr Comm. Plan
Totals for Herkimer
1,040
0
7,254
Jefferson
Excellus BC/BS
4
4
334
2
2,453
38
1,658
0
4,493
HealthNow NY, Inc.
1
0
0
0
0
0
0
0
1
300
0
30
14
0
0
0
0
344
16
2,453
38
1,658
0
4,838
MVP
Totals for Jefferson
305
4
364
Lewis
Excellus BC/BS
1
1
99
0
910
157
208
0
1,376
Fidelis Care NY
0
0
0
0
21
233
184
0
438
174
0
62
15
0
0
0
0
251
390
392
0
2,065
MVP
Totals for Lewis
175
1
161
15
931
Livingston
Excellus BC/BS
343
17
138
2,217
1,098
3,569
502
0
7,884
Fidelis Care NY
0
0
0
0
81
218
63
0
362
37
0
1
0
0
0
0
0
38
1,703
4
90
2,127
0
1,137
92
0
5,153
UnitedHlthcr Comm. Plan
0
0
0
2
0
0
0
0
2
Univera Healthcare
0
0
1
5
0
0
0
0
6
HealthNow NY, Inc.
MVP
Enrollment by County ‐ December 31, 2011
COMMERCIAL
HMO/
POS
Totals for Livingston
2,083
Direct
Pay
MEDICAID
Healthy
New
York
21
230
Medicare
Advantage
Child Health Plus
4,351
1,179
Medicaid Managed Care
4,924
Family
Health Plus HIV
SNP
Total
Enrollment
657
0
13,445
Madison
Arcadian Hlth Plan of NY
0
0
0
114
0
0
0
0
114
CDPHP
0
1
2
3
35
0
0
0
41
Excellus BC/BS
8
5
125
1
1,081
3,120
415
0
4,755
Fidelis Care NY
0
0
0
0
332
1,979
358
0
2,669
HealthNow NY, Inc.
1
0
0
0
0
0
0
0
1
1,126
3
196
62
0
0
0
0
1,387
0
0
0
4
144
673
267
0
1,088
5,772
1,040
0
10,055
MVP
UnitedHlthcr Comm. Plan
Totals for Madison
1,135
9
323
184
1,592
Manhattan
Aetna
7,102
939
833
988
0
0
0
0
9,862
Affinity Health Plan
0
0
0
0
636
21,640
2,491
0
24,767
Amerigroup New York
0
0
0
0
223
7,157
975
0
8,355
Amida Care SNP
0
0
0
0
0
0
0
906
906
Catholic Spec. Nds Pln
0
0
0
522
0
0
0
0
522
111
0
1
0
0
0
0
0
112
0
0
0
1,257
0
0
0
0
1,257
25,366
2,318
4,941
5,296
1,631
0
0
0
39,552
Excellus BC/BS
134
0
1
0
0
0
0
0
135
Fidelis Care NY
0
0
0
0
1,822
40,655
5,597
0
48,074
1,924
0
9
0
0
0
0
0
1,933
Health Plus
0
0
0
0
1,199
16,788
2,154
0
20,141
Healthfirst PHSP, Inc.
0
0
0
0
1,464
53,433
5,207
0
60,104
213,014
516
1,569
10,555
600
16,473
2,281
0
245,008
Managed Health Inc.
0
0
50
20,683
0
0
0
0
20,733
MetroPlus Health Plan
0
0
0
0
1,616
42,184
3,358
0
47,158
CDPHP
Elderplan, Inc.
Empire GHI HMO
HIP of New York
Enrollment by County ‐ December 31, 2011
COMMERCIAL
HMO/
POS
Direct
Pay
MEDICAID
Healthy
New
York
Medicare
Advantage
Child Health Plus
Medicaid Managed Care
Family
Health Plus HIV
SNP
Total
Enrollment
MetroPlus Hlth Plan SNP
0
0
0
0
0
0
0
785
785
MVP
6
0
0
3
0
0
0
0
9
Neighborhood Hlth Prov
0
0
0
0
1,192
35,123
3,200
0
39,515
NY‐Prsbterian. SSL SNP
0
0
0
0
0
0
0
1,386
1,386
95,316
2,382
7,518
13,128
0
0
0
0
118,344
Touchstone Health
0
0
0
122
0
0
0
0
122
UnitedHlthcr Comm. Plan
0
0
0
6,048
254
6,677
1,279
0
14,258
WellCare of New York
0
0
0
0
315
7,554
1,299
0
9,168
6,155
14,922
3,077
712,206
Oxford
Totals for Manhattan
342,973
58,602
10,952
247,684
27,841
Monroe
CDPHP
111
0
1
0
0
0
0
0
112
Empire 27
0
0
0
0
0
0
0
27
0
0
0
1,867
0
0
0
0
1,867
Excellus BC/BS
27,281
247
3,065
24,149
13,588
61,634
6,683
0
136,647
Fidelis Care NY
0
0
0
0
994
14,575
1,851
0
17,420
39
8
33
0
0
0
0
0
80
16,518
72
896
65,362
0
14,619
601
0
98,068
Oxford
0
0
1
0
0
0
0
0
1
UnitedHlthcr Comm. Plan
0
0
0
337
0
0
0
0
337
Univera Healthcare
0
0
6
17
0
0
0
0
23
43,976
327
4,002
2,193
2
285
24
7
Excellus BC/BS
0
Fidelis Care NY
GHI HMO
Essence Hlthcare of NY
HealthNow NY, Inc.
MVP
Totals for Monroe
91,732
14,582
90,828
9,135
0
254,582
211
828
3,197
316
0
7,032
74
0
98
0
0
0
203
0
11
0
50
0
0
0
61
0
0
0
0
779
4,647
854
0
6,280
0
0
12
0
0
0
0
0
12
Montgomery
CDPHP
Empire Enrollment by County ‐ December 31, 2011
COMMERCIAL
HealthNow NY, Inc.
MVP
Oxford
Totals for Montgomery
MEDICAID
Healthy
New
York
Child Health Plus
Medicaid Managed Care
Family
Health Plus HMO/
POS
Direct
Pay
223
0
63
279
0
0
0
0
565
1,602
5
87
408
0
0
0
0
2,102
0
1
0
0
0
0
0
0
1
15
532
898
1,755
1,170
0
16,256
4,042
Medicare
Advantage
7,844
HIV
SNP
Total
Enrollment
Nassau
Aetna
6,545
237
751
222
0
0
0
0
7,755
0
0
0
0
2,652
11,865
2,717
0
17,234
51
0
0
0
0
0
0
0
51
9,093
758
8,426
7,279
9,567
0
0
0
35,123
Excellus BC/BS
25
0
0
1
0
0
0
0
26
Fidelis Care NY
0
0
0
0
5,881
16,135
3,900
0
25,916
GHI HMO
0
0
2
0
0
0
0
0
2
Health Plus
0
0
0
0
2,633
7,728
1,351
0
11,712
Healthfirst PHSP, Inc.
0
0
0
0
5,392
16,397
3,428
0
25,217
23,401
640
240
20,474
2,886
15,147
2,499
0
65,287
Managed Health Inc.
0
0
18
2,086
0
0
0
0
2,104
MVP
9
0
0
1
0
0
0
0
10
30,225
1,148
6,138
26
0
0
0
0
37,537
Quality Health Plan
0
0
0
4
0
0
0
0
4
UnitedHlthcr Comm. Plan
0
0
0
282
4,421
17,331
4,057
0
26,091
Univera Healthcare
0
0
0
2
0
0
0
0
2
2,783
15,575
0
254,071
Affinity Health Plan
CDPHP
Empire HIP of New York
Oxford
Totals for Nassau
69,349
30,377
33,432
84,603
17,952
Niagara
Excellus BC/BS
8
0
0
1
0
0
0
0
9
Fidelis Care NY
0
0
0
0
1,782
8,558
1,901
0
12,241
HealthNow NY, Inc.
3,175
18
289
3,469
2,283
7,546
1,239
0
18,019
Independent Health
11,549
32
998
10,675
0
7,232
0
0
30,486
Enrollment by County ‐ December 31, 2011
COMMERCIAL
HMO/
POS
Direct
Pay
MEDICAID
Healthy
New
York
Medicare
Advantage
Child Health Plus
Medicaid Managed Care
Family
Health Plus HIV
SNP
Total
Enrollment
MVP
7
0
4
14
0
0
0
0
25
Oxford
0
0
0
1
0
0
0
0
1
UnitedHlthcr Comm. Plan
0
0
0
41
0
0
0
0
41
16
10
350
1,657
0
0
0
0
2,033
1,641
15,858
4,065
3,140
0
62,855
Univera Healthcare
Totals for Niagara
14,755
60
23,336
Oneida
Arcadian Hlth Plan of NY
0
0
0
224
0
0
0
0
224
107
2
26
4
34
0
0
0
173
Excellus BC/BS
71
18
563
4
2,366
5,891
801
0
9,714
Fidelis Care NY
0
0
0
0
3,014
22,430
2,824
0
28,268
17
0
0
0
0
0
0
0
17
7,364
9
537
279
0
0
0
0
8,189
0
0
0
273
475
3,651
548
0
4,947
5,889
31,972
4,173
0
51,532
CDPHP
HealthNow NY, Inc.
MVP
UnitedHlthcr Comm. Plan
Totals for Oneida
7,559
29
1,126
784
Onondaga
Aetna
130
13
29
868
0
0
0
0
1,040
0
0
0
931
0
0
0
0
931
Excellus BC/BS
1,695
79
647
3
3,545
8,383
1,084
0
15,436
Fidelis Care NY
0
0
0
0
3,452
15,496
2,186
0
21,134
HealthNow NY, Inc.
8
5
80
0
0
0
0
0
93
HIP of New York
5
0
0
0
0
0
0
0
5
5,068
14
801
974
0
0
0
0
6,857
Oxford
0
1
0
0
0
0
0
0
1
Total Care
0
0
0
0
1,631
21,778
1,811
0
25,220
Touchstone Health
0
0
0
724
0
0
0
0
724
UnitedHlthcr Comm. Plan
0
0
0
76
1,033
6,747
872
0
8,728
Univera Healthcare
0
0
0
3
0
0
0
0
3
Arcadian Hlth Plan of NY
MVP
Enrollment by County ‐ December 31, 2011
COMMERCIAL
HMO/
POS
Totals for Onondaga
6,906
Direct
Pay
MEDICAID
Healthy
New
York
112
1,557
Medicare
Advantage
3,579
Child Health Plus
9,661
Medicaid Managed Care
52,404
Family
Health Plus 5,953
HIV
SNP
Total
Enrollment
0
80,172
Ontario
Excellus BC/BS
870
32
347
4,243
2,306
6,793
1,084
0
15,675
Fidelis Care NY
0
0
0
0
21
147
23
0
191
HealthNow NY, Inc.
4
0
0
0
0
0
0
0
4
2,629
8
143
3,358
0
773
56
0
6,967
3,503
40
7,601
2,327
7,713
1,163
0
22,837
MVP
Totals for Ontario
490
Orange
Aetna
3,168
58
157
133
0
0
0
0
3,516
Affinity Health Plan
0
0
0
0
2,841
14,471
1,924
0
19,236
Catholic Spec. Nds Pln
0
0
0
38
0
0
0
0
38
CDPHP
92
0
113
2
123
0
0
0
330
Empire 547
139
1,791
392
2,391
0
0
0
5,260
Excellus BC/BS
7
0
0
1
0
0
0
0
8
Fidelis Care NY
0
0
0
0
1,709
15,863
1,239
0
18,811
380
1
93
0
0
0
0
0
474
4
0
0
0
0
0
0
0
4
26
20
14
2
0
0
0
0
62
0
0
0
0
2,596
10,721
1,463
0
14,780
4,382
6
1,012
107
0
0
0
0
5,507
912
35
375
1,260
0
0
0
0
2,582
Touchstone Health
0
0
0
225
0
0
0
0
225
UnitedHlthcr Comm. Plan
0
0
0
19
0
0
0
0
19
WellCare of New York
0
0
0
0
639
1,728
249
0
2,616
259
3,555
2,179
10,299
42,783
4,875
0
73,468
0
8
50
286
1,765
297
0
2,411
GHI HMO
HealthNow NY, Inc.
HIP of New York
Hudson Health Plan
MVP
Oxford
Totals for Orange
9,518
Orleans
Excellus BC/BS
5
Enrollment by County ‐ December 31, 2011
COMMERCIAL
HMO/
POS
Fidelis Care NY
Direct
Pay
MEDICAID
Healthy
New
York
Medicare
Advantage
Child Health Plus
Medicaid Managed Care
Family
Health Plus HIV
SNP
Total
Enrollment
0
0
0
0
460
1,954
395
0
2,809
HealthNow NY, Inc.
585
3
31
229
212
1,082
107
0
2,249
Independent Health
335
0
36
620
0
0
0
0
991
MVP
916
2
63
1,245
0
0
0
0
2,226
7
0
85
287
0
0
0
0
379
799
0
11,065
Univera Healthcare
Totals for Orleans
1,848
5
223
2,431
958
4,801
Oswego
Aetna
62
1
16
548
0
0
0
0
627
CDPHP
0
0
0
1
0
0
0
0
1
Excellus BC/BS
42
9
148
0
600
249
21
0
1,069
Fidelis Care NY
0
0
0
0
1,043
5,240
731
0
7,014
HealthNow NY, Inc.
0
0
55
0
0
0
0
0
55
1,901
1
150
99
0
0
0
0
2,151
Total Care
0
0
0
0
1,570
8,764
1,316
0
11,650
UnitedHlthcr Comm. Plan
0
0
0
0
400
2,902
441
0
3,743
11
369
648
3,613
17,155
2,509
0
26,310
MVP
Totals for Oswego
2,005
Otsego
CDPHP
314
8
40
10
451
0
0
0
823
0
1
21
0
0
0
0
0
22
Excellus BC/BS
72
8
112
1
639
3,245
349
0
4,426
Fidelis Care NY
0
0
0
0
367
1,808
584
0
2,759
GHI HMO
1
0
1
0
0
0
0
0
2
HealthNow NY, Inc.
3
0
0
0
0
0
0
0
3
711
1
143
161
0
0
0
0
1,016
933
0
9,051
0
0
1,370
Empire MVP
Totals for Otsego
1,101
18
317
172
1,457
78
0
5,053
Putnam
Aetna
1,145
27
120
0
Enrollment by County ‐ December 31, 2011
COMMERCIAL
HMO/
POS
Direct
Pay
MEDICAID
Healthy
New
York
Medicare
Advantage
Child Health Plus
Medicaid Managed Care
Family
Health Plus HIV
SNP
Total
Enrollment
Amerigroup New York
0
0
0
0
0
115
0
0
115
CDPHP
0
0
4
0
0
0
0
0
4
244
66
768
232
1,329
0
0
0
2,639
Excellus BC/BS
0
0
0
1
0
0
0
0
1
Fidelis Care NY
0
0
0
0
740
2,292
519
0
3,551
GHI HMO
5
0
22
0
0
0
0
0
27
HIP of New York
2
7
0
1
0
0
0
0
10
304
2
200
13
0
0
0
0
519
1,169
34
326
2
0
0
0
0
1,531
UnitedHlthcr Comm. Plan
0
0
0
4
0
0
0
0
4
Univera Healthcare
0
0
0
1
0
0
0
0
1
136
1,440
332
2,069
519
0
9,772
Empire MVP
Oxford
Totals for Putnam
2,869
2,407
Queens
Aetna
9,265
196
512
1,838
0
0
0
0
11,811
Affinity Health Plan
0
0
0
0
1,649
28,967
6,712
0
37,328
Amerigroup New York
0
0
0
0
4,977
35,196
10,525
0
50,698
Amida Care SNP
0
0
0
0
0
0
0
272
272
Elderplan, Inc.
0
0
0
4,447
0
0
0
0
4,447
4,381
520
5,228
13,204
8,345
0
0
0
31,678
Excellus BC/BS
14
0
0
0
0
0
0
0
14
Fidelis Care NY
0
0
0
0
6,606
64,967
14,970
0
86,543
GHI HMO
4
0
15
0
0
0
0
0
19
Health Plus
0
0
0
0
7,560
53,492
9,368
0
70,420
Healthfirst PHSP, Inc.
0
0
0
0
5,229
78,900
12,420
0
96,549
HealthNow NY, Inc.
0
0
0
0
0
0
0
0
0
13,176
634
78
24,964
4,215
54,348
9,699
0
107,114
Managed Health Inc.
0
0
89
15,822
0
0
0
0
15,911
MetroPlus Health Plan
0
0
0
0
7,697
104,424
14,592
0
126,713
Empire HIP of New York
Enrollment by County ‐ December 31, 2011
COMMERCIAL
HMO/
POS
Direct
Pay
MEDICAID
Healthy
New
York
Medicare
Advantage
Child Health Plus
Medicaid Managed Care
Family
Health Plus HIV
SNP
Total
Enrollment
MetroPlus Hlth Plan SNP
0
0
0
0
0
0
0
733
733
MVP
5
0
0
1
0
1
0
0
7
Neighborhood Hlth Prov
0
0
0
0
4,212
51,051
7,846
0
63,109
NY‐Prsbterian. SSL SNP
0
0
0
0
0
0
0
621
621
15,843
765
5,912
26,019
0
0
0
0
48,539
Quality Health Plan
0
0
0
2
0
0
0
0
2
Touchstone Health
0
0
0
2,027
0
0
0
0
2,027
UnitedHlthcr Comm. Plan
0
0
0
1,360
2,056
26,953
6,102
0
36,471
WellCare of New York
0
0
0
0
983
13,719
3,341
0
18,043
42,688
2,115
11,834
89,684
53,529
512,018
95,575
1,626
809,069
11,949
35
998
4,265
2,197
11,885
718
0
32,047
304
31
159
199
197
0
0
0
890
Excellus BC/BS
9
0
0
0
0
0
0
0
9
Fidelis Care NY
0
0
0
0
807
4,068
817
0
5,692
73
0
1
0
0
0
0
0
74
559
2
145
1,108
0
0
0
0
1,814
2,482
2
169
501
0
0
0
0
3,154
UnitedHlthcr Comm. Plan
0
0
0
5
0
0
0
0
5
WellCare of New York
0
0
0
0
95
891
164
0
1,150
1,699
0
44,835
Oxford
Totals for Queens
Rensselaer
CDPHP
Empire GHI HMO
HealthNow NY, Inc.
MVP
Totals for Rensselaer
15,376
70
1,472
6,078
3,296
16,844
Rockland
Aetna
3,004
78
295
1,194
0
0
0
0
4,571
0
0
0
0
752
4,704
778
0
6,234
CDPHP
10
0
0
0
0
0
0
0
10
Empire 992
117
1,539
1,381
3,295
0
0
0
7,324
0
0
0
0
3,991
32,588
3,338
0
39,917
Affinity Health Plan
Fidelis Care NY
Enrollment by County ‐ December 31, 2011
COMMERCIAL
HMO/
POS
GHI HMO
Direct
Pay
MEDICAID
Healthy
New
York
Medicare
Advantage
Child Health Plus
Medicaid Managed Care
Family
Health Plus HIV
SNP
Total
Enrollment
48
0
20
0
0
0
0
0
68
0
0
0
0
0
0
0
0
0
414
56
0
0
0
0
0
0
470
0
0
0
0
2,139
8,000
1,179
0
11,318
58
1
176
4
0
0
0
0
239
4,547
187
1,262
1,589
0
0
0
0
7,585
UnitedHlthcr Comm. Plan
0
0
0
1
0
0
0
0
1
WellCare of New York
0
0
0
0
383
2,647
205
0
3,235
9,073
439
3,292
10,560
47,939
5,500
0
80,972
6,661
63
1,582
4,718
2,995
7,799
830
0
24,648
Empire 86
74
307
253
332
0
0
0
1,052
Excellus BC/BS
10
0
0
0
0
0
0
0
10
Fidelis Care NY
0
0
0
0
1,103
4,135
1,418
0
6,656
GHI HMO
0
0
8
0
0
0
0
0
8
719
6
315
2,042
0
0
0
0
3,082
8,500
8
416
2,367
0
0
0
0
11,291
542
0
2
0
0
0
0
0
544
0
0
0
102
0
0
0
0
102
151
2,630
9,482
4,430
11,934
2,248
0
47,393
5,008
30
889
3,069
2,239
9,427
665
0
21,327
119
48
170
145
241
0
0
0
723
Excellus BC/BS
53
0
0
0
0
0
0
0
53
Fidelis Care NY
0
0
0
0
1,725
8,275
1,496
0
11,496
GHI HMO
3
0
1
0
0
0
0
0
4
441
5
168
1,546
0
0
0
0
2,160
HealthNow NY, Inc.
HIP of New York
Hudson Health Plan
MVP
Oxford
Totals for Rockland
4,169
Saratoga
CDPHP
HealthNow NY, Inc.
MVP
Oxford
UnitedHlthcr Comm. Plan
Totals for Saratoga
16,518
Schenectady
CDPHP
Empire HealthNow NY, Inc.
Enrollment by County ‐ December 31, 2011
COMMERCIAL
HMO/
POS
MVP
Direct
Pay
MEDICAID
Healthy
New
York
Medicare
Advantage
Child Health Plus
Medicaid Managed Care
Family
Health Plus HIV
SNP
Total
Enrollment
7,334
4
302
2,871
0
0
0
0
10,511
156
0
0
0
0
0
0
0
156
UnitedHlthcr Comm. Plan
0
0
0
35
0
0
0
0
35
Univera Healthcare
0
0
0
1
0
0
0
0
1
Oxford
Totals for Schenectady
13,114
87
1,530
660
4
188
Empire 9
15
Fidelis Care NY
0
7,667
4,205
17,702
2,161
0
46,466
224
706
1,462
188
0
3,432
62
0
82
0
0
0
168
0
0
0
56
1,038
329
0
1,423
12
0
0
0
0
0
0
0
12
798
4
72
190
0
0
0
0
1,064
0
0
0
1
0
0
0
0
1
23
322
517
0
6,100
Schoharie
CDPHP
HealthNow NY, Inc.
MVP
UnitedHlthcr Comm. Plan
Totals for Schoharie
1,479
415
844
2,500
Schuyler
Excellus BC/BS
0
17
24
7
346
0
301
0
695
Fidelis Care NY
0
0
0
0
5
34
39
0
78
HealthNow NY, Inc.
4
0
0
0
0
0
0
0
4
18
0
2
5
0
0
0
0
25
22
17
12
351
34
340
0
802
MVP
Totals for Schuyler
26
Seneca
Excellus BC/BS
MVP
Totals for Seneca
592
6
76
874
734
3,077
404
0
5,763
1,262
1
41
972
0
0
0
0
2,276
404
0
8,039
1,854
7
117
1,846
734
3,077
St. Lawrence
Excellus BC/BS
2
4
119
1
2,151
89
1,475
0
3,841
Fidelis Care NY
0
0
0
0
60
107
51
0
218
Enrollment by County ‐ December 31, 2011
COMMERCIAL
HMO/
POS
MVP
Totals for St. Lawrence
56
Direct
Pay
2
58
MEDICAID
Healthy
New
York
32
6
151
Medicare
Advantage
4
5
Child Health Plus
Medicaid Managed Care
Family
Health Plus HIV
SNP
Total
Enrollment
0
0
0
0
94
2,211
196
1,526
0
4,153
Staten Island
Aetna
2,275
47
142
694
0
0
0
0
3,158
Affinity Health Plan
0
0
0
0
79
2,976
274
0
3,329
Amerigroup New York
0
0
0
0
360
4,076
753
0
5,189
Amida Care SNP
0
0
0
0
0
0
0
186
186
Catholic Spec. Nds Pln
0
0
0
156
0
0
0
0
156
Elderplan, Inc.
0
0
0
1,473
0
0
0
0
1,473
658
95
867
3,675
1,628
0
0
0
6,923
Fidelis Care NY
0
0
0
0
1,065
10,068
1,591
0
12,724
Health Plus
0
0
0
0
3,697
27,471
3,716
0
34,884
Healthfirst PHSP, Inc.
0
0
0
0
303
6,253
738
0
7,294
1,698
159
8
8,246
501
9,251
1,242
0
21,105
Managed Health Inc.
0
0
9
422
0
0
0
0
431
MetroPlus Health Plan
0
0
0
0
0
440
24
0
464
MetroPlus Hlth Plan SNP
0
0
0
0
0
0
0
36
36
MVP
0
0
0
1
0
0
0
0
1
Neighborhood Hlth Prov
0
0
0
0
18
1,055
72
0
1,145
NY‐Prsbterian. SSL SNP
0
0
0
0
0
0
0
57
57
1,837
113
797
3,560
0
0
0
0
6,307
Touchstone Health
0
0
0
3,685
0
0
0
0
3,685
UnitedHlthcr Comm. Plan
0
0
0
794
541
8,053
1,783
0
11,171
WellCare of New York
0
0
0
0
0
66
11
0
77
Totals for Staten Island
6,468
414
1,823
279
119,795
0
1,978
Empire HIP of New York
Oxford
22,706
8,192
69,709
10,204
Steuben
Excellus BC/BS
39
3
155
45
1,736
0
0
Enrollment by County ‐ December 31, 2011
COMMERCIAL
HMO/
POS
Fidelis Care NY
HealthNow NY, Inc.
MVP
Univera Healthcare
Totals for Steuben
Direct
Pay
MEDICAID
Healthy
New
York
Medicare
Advantage
Child Health Plus
Medicaid Managed Care
Family
Health Plus HIV
SNP
Total
Enrollment
0
0
0
0
72
269
1,210
0
1,551
55
0
5
0
0
0
0
0
60
641
1
151
365
0
0
0
0
1,158
0
0
0
4
0
0
0
0
4
414
1,808
269
1,210
0
4,751
735
4
311
Suffolk
Aetna
8,046
139
696
278
0
0
0
0
9,159
0
0
0
0
5,041
14,759
3,378
0
23,178
103
0
0
0
0
0
0
0
103
13,360
618
11,035
11,262
11,070
0
0
0
47,345
Excellus BC/BS
1
1
1
1
0
0
0
0
4
Fidelis Care NY
0
0
0
0
8,976
16,913
4,403
0
30,292
GHI HMO
0
0
1
0
0
0
0
0
1
Healthfirst PHSP, Inc.
0
0
0
0
6,031
15,068
2,780
0
23,879
HealthNow NY, Inc.
0
0
0
0
0
0
0
0
0
24,834
456
714
7,296
3,005
16,157
2,415
0
54,877
Managed Health Inc.
0
0
70
49
0
0
0
0
119
MVP
6
0
0
0
0
0
0
0
6
Neighborhood Hlth Prov
0
0
0
0
4,461
18,818
1,844
0
25,123
23,111
552
9,253
21
0
0
0
0
32,937
Quality Health Plan
0
0
0
4
0
0
0
0
4
UnitedHlthcr Comm. Plan
0
0
0
327
6,995
22,596
5,497
0
35,415
1,766
21,770
19,238
104,311
20,317
0
282,442
165
5
32
13
0
0
0
0
215
91
43
415
102
258
0
0
0
909
0
0
0
0
264
2,019
387
0
2,670
Affinity Health Plan
CDPHP
Empire HIP of New York
Oxford
Totals for Suffolk
69,461
45,579
Sullivan
Aetna
Empire Fidelis Care NY
Enrollment by County ‐ December 31, 2011
COMMERCIAL
HMO/
POS
GHI HMO
Direct
Pay
MEDICAID
Healthy
New
York
Medicare
Advantage
Child Health Plus
Medicaid Managed Care
Family
Health Plus HIV
SNP
Total
Enrollment
61
0
23
0
0
0
0
0
84
HealthNow NY, Inc.
1
0
0
0
0
0
0
0
1
HIP of New York
0
1
0
0
0
0
0
0
1
Hudson Health Plan
0
0
0
0
1,990
7,566
1,113
0
10,669
1,198
1
222
52
0
0
0
0
1,473
44
26
68
2
0
0
0
0
140
1,500
0
16,162
MVP
Oxford
Totals for Sullivan
1,560
76
760
169
2,512
9,585
Tioga
Aetna
13
0
4
93
0
0
0
0
110
CDPHP
8
0
9
0
108
382
322
0
829
Excellus BC/BS
4
3
61
0
681
0
0
0
749
Fidelis Care NY
0
0
0
0
50
243
270
0
563
GHI HMO
0
0
1
0
0
0
0
0
1
HealthNow NY, Inc.
3
0
2
0
0
0
0
0
5
262
0
56
27
0
0
0
0
345
120
839
625
592
0
2,602
MVP
Totals for Tioga
290
3
133
Tompkins
Excellus BC/BS
38
31
403
2
749
0
0
0
1,223
Fidelis Care NY
0
0
0
0
184
1,417
231
0
1,832
HealthNow NY, Inc.
1
0
0
0
0
0
0
0
1
101
1
9
84
0
0
0
0
195
Oxford
0
0
1
0
0
0
0
0
1
Total Care
0
0
0
0
415
5,137
627
0
6,179
32
413
86
1,348
858
0
9,431
MVP
Totals for Tompkins
140
6,554
Ulster
Aetna
CDPHP
233
21
29
81
0
0
0
0
364
3,063
9
323
183
416
0
0
0
3,994
Enrollment by County ‐ December 31, 2011
COMMERCIAL
MEDICAID
Healthy
New
York
Child Health Plus
Medicaid Managed Care
Family
Health Plus HMO/
POS
Direct
Pay
135
90
537
106
501
0
0
0
1,369
0
0
0
0
681
3,054
450
0
4,185
593
3
642
0
0
0
0
0
1,238
HealthNow NY, Inc.
1
0
0
0
0
0
0
0
1
HIP of New York
0
1
0
0
0
0
0
0
1
Hudson Health Plan
0
0
0
0
1,107
4,603
738
0
6,448
7,062
16
1,798
1,306
749
5,475
1,021
0
17,427
19
33
64
1
0
0
0
0
117
Senior Whole Health
0
0
0
1
0
0
0
0
1
UnitedHlthcr Comm. Plan
0
0
0
30
0
0
0
0
30
WellCare of New York
0
0
0
0
502
2,796
358
0
3,656
11,106
173
3,393
3,956
15,928
2,567
0
38,831
1,282
9
478
31
594
0
0
0
2,394
132
48
196
0
293
0
0
0
669
Excellus BC/BS
0
0
0
1
0
0
0
0
1
Fidelis Care NY
0
0
0
0
1,023
1,867
913
0
3,803
GHI HMO
2
0
0
0
0
0
0
0
2
434
1
195
1,309
0
0
0
0
1,939
99
0
0
0
0
0
0
0
99
2,791
1
175
715
0
0
0
0
3,682
0
1
0
0
0
0
0
0
1
913
0
12,590
Empire Fidelis Care NY
GHI HMO
MVP
Oxford
Totals for Ulster
Medicare
Advantage
1,708
HIV
SNP
Total
Enrollment
Warren
CDPHP
Empire HealthNow NY, Inc.
HIP of New York
MVP
Oxford
Totals for Warren
4,740
60
1,044
2,056
1,910
1,867
1,421
3
362
17
698
2,247
171
0
4,919
35
12
119
1
239
0
0
0
406
0
0
0
0
1,034
3,503
723
0
5,260
Washington
CDPHP
Empire Fidelis Care NY
Enrollment by County ‐ December 31, 2011
COMMERCIAL
HMO/
POS
GHI HMO
Direct
Pay
MEDICAID
Healthy
New
York
Medicare
Advantage
Child Health Plus
Medicaid Managed Care
Family
Health Plus HIV
SNP
Total
Enrollment
2
0
8
0
0
0
0
0
10
139
5
118
909
0
0
0
0
1,171
1,992
0
179
609
0
0
0
0
2,780
3,589
20
786
1,536
1,971
894
0
14,546
0
0
0
462
0
0
0
0
462
Excellus BC/BS
1,333
10
305
3,590
2,372
6,728
997
0
15,335
Fidelis Care NY
0
0
0
0
215
1,053
165
0
1,433
HealthNow NY, Inc.
2
0
4
0
0
0
0
0
6
2,317
4
121
3,009
0
0
0
0
5,451
UnitedHlthcr Comm. Plan
0
0
0
1
0
0
0
0
1
Univera Healthcare
0
0
0
2
0
0
0
0
2
14
430
1,162
0
22,690
HealthNow NY, Inc.
MVP
Totals for Washington
5,750
Wayne
Essence Hlthcare of NY
MVP
Totals for Wayne
3,652
7,064
2,587
7,781
Westchester
Aetna
5,347
343
812
2,758
0
0
0
0
9,260
Affinity Health Plan
0
0
0
0
2,108
13,175
2,180
0
17,463
Catholic Spec. Nds Pln
0
0
0
102
0
0
0
0
102
CDPHP
1,024
0
0
0
0
0
0
0
1,024
Empire 6,047
740
4,000
7,641
3,792
0
0
0
22,220
Excellus BC/BS
188
0
0
1
0
0
0
0
189
Fidelis Care NY
0
0
0
0
2,372
14,755
2,795
0
19,922
24
0
14
0
0
0
0
0
38
1
0
0
0
0
0
0
0
1
9,000
255
7
1,728
932
7,241
989
0
20,152
0
0
0
0
12,628
41,500
5,875
0
60,003
194
0
13
1
0
0
0
0
208
26,231
1,229
3,471
4,723
0
0
0
0
35,654
GHI HMO
HealthNow NY, Inc.
HIP of New York
Hudson Health Plan
MVP
Oxford
Enrollment by County ‐ December 31, 2011
COMMERCIAL
HMO/
POS
Direct
Pay
MEDICAID
Healthy
New
York
Medicare
Advantage
Child Health Plus
Medicaid Managed Care
Family
Health Plus HIV
SNP
Total
Enrollment
Touchstone Health
0
0
0
531
0
0
0
0
531
UnitedHlthcr Comm. Plan
0
0
0
122
0
0
0
0
122
Univera Healthcare
0
0
1
3
0
0
0
0
4
2,567
8,318
0
186,893
Totals for Westchester
48,056
17,610
21,832
76,671
11,839
Wyoming
Excellus BC/BS
1
0
1
20
0
0
0
0
22
Fidelis Care NY
0
0
0
0
94
211
159
0
464
HealthNow NY, Inc.
679
3
45
539
687
0
357
0
2,310
Independent Health
704
3
125
1,153
0
0
0
0
1,985
MVP
417
0
26
841
0
0
0
0
1,284
UnitedHlthcr Comm. Plan
0
0
0
4
0
0
0
0
4
Univera Healthcare
0
4
103
328
0
0
0
0
435
211
516
0
6,504
Totals for Wyoming
1,801
10
300
2,885
781
Yates
Excellus BC/BS
238
5
63
797
601
2,233
478
0
4,415
MVP
435
1
20
911
0
0
0
0
1,367
478
0
5,782
Totals for Yates
Total NYS Enrollment
673
1,074,790
6
83
1,708
601
21,813
143,752
679,019
407,660
2,233
3,005,820
420,031
16,708
5,769,593
III. Enrollment by Plan Report
Enrolllment by Health Plan - December, 2011
COMMERCIAL
MEDICAID
Child
Health
Plus
Medicaid
Managed
Care
Family
Health
Plus
HIV
SNP
927
0
0
0
0
6,378
868
1,510
0
0
0
0
11,073
5
8
292
0
0
0
0
337
12
3
3
200
0
0
0
0
218
943
24
129
250
0
0
0
0
1,346
Manhattan
7,102
939
833
988
0
0
0
0
9,862
Nassau
6,545
237
751
222
0
0
0
0
7,755
130
13
29
868
0
0
0
0
1,040
3,168
58
157
133
0
0
0
0
3,516
Oswego
62
1
16
548
0
0
0
0
627
Putnam
1,145
27
120
78
0
0
0
0
1,370
Queens
9,265
196
512
1,838
0
0
0
0
11,811
Rockland
3,004
78
295
1,194
0
0
0
0
4,571
Staten Island
2,275
47
142
694
0
0
0
0
3,158
Suffolk
8,046
139
696
278
0
0
0
0
9,159
165
5
32
13
0
0
0
0
215
Tioga
13
0
4
93
0
0
0
0
110
Ulster
233
21
29
81
0
0
0
0
364
Westchester
5,347
343
812
2,758
0
0
0
0
9,260
Totals for Aetna
61,195
2,471
5,539
12,965
0
0
0
0
82,170
HMO/
POS
Direct
Pay
Healthy
New
York
Bronx
5,268
80
103
Brooklyn
8,440
255
Broome
32
Cayuga
Medicare
Advantage
Total
Enrollment
Aetna
Dutchess
Onondaga
Orange
Sullivan
Affinity Health Plan
Bronx
0
0
0
0
3,090
70,200
6,952
0
80,242
Brooklyn
0
0
0
0
1,202
27,368
4,129
0
32,699
Manhattan
0
0
0
0
636
21,640
2,491
0
24,767
Nassau
0
0
0
0
2,652
11,865
2,717
0
17,234
Orange
0
0
0
0
2,841
14,471
1,924
0
19,236
Queens
0
0
0
0
1,649
28,967
6,712
0
37,328
Rockland
0
0
0
0
752
4,704
778
0
6,234
Staten Island
0
0
0
0
79
2,976
274
0
3,329
Enrolllment by Health Plan - December, 2011
COMMERCIAL
MEDICAID
Child
Health
Plus
Medicaid
Managed
Care
Family
Health
Plus
HIV
SNP
0
5,041
14,759
3,378
0
23,178
0
0
2,108
13,175
2,180
0
17,463
0
0
20,050
210,125
31,535
0
261,710
HMO/
POS
Direct
Pay
Healthy
New
York
Suffolk
0
0
0
Westchester
0
0
Totals for Affinity Health Plan
0
0
Medicare
Advantage
Total
Enrollment
Amerigroup New York
Bronx
0
0
0
0
333
5,830
866
0
7,029
Brooklyn
0
0
0
0
1,973
30,807
4,423
0
37,203
Manhattan
0
0
0
0
223
7,157
975
0
8,355
Putnam
0
0
0
0
0
115
0
0
115
Queens
0
0
0
0
4,977
35,196
10,525
0
50,698
Staten Island
0
0
0
0
360
4,076
753
0
5,189
0
0
7,866
83,181
17,542
0
108,589
Totals for Amerigroup New York
0
0
Amida Care SNP
Bronx
0
0
0
0
0
0
0
1,586
1,586
Brooklyn
0
0
0
0
0
0
0
1,869
1,869
Manhattan
0
0
0
0
0
0
0
906
906
Queens
0
0
0
0
0
0
0
272
272
Staten Island
0
0
0
0
0
0
0
186
186
0
0
0
0
0
4,819
4,819
Totals for Amida Care SNP
0
0
Arcadian Hlth Plan of NY
Madison
0
0
0
114
0
0
0
0
114
Oneida
0
0
0
224
0
0
0
0
224
Onondaga
0
0
0
931
0
0
0
0
931
0
1,269
0
0
0
0
1,269
Totals for Arcadian Hlth Plan of NY
0
0
Catholic Spec. Nds Pln
Bronx
0
0
0
67
0
0
0
0
67
Dutchess
0
0
0
153
0
0
0
0
153
Manhattan
0
0
0
522
0
0
0
0
522
Orange
0
0
0
38
0
0
0
0
38
Enrolllment by Health Plan - December, 2011
COMMERCIAL
MEDICAID
Child
Health
Plus
Medicaid
Managed
Care
Family
Health
Plus
HIV
SNP
156
0
0
0
0
156
0
102
0
0
0
0
102
0
1,038
0
0
0
0
1,038
HMO/
POS
Direct
Pay
Healthy
New
York
Staten Island
0
0
0
Westchester
0
0
Totals for Catholic Spec. Nds Pln
0
0
Medicare
Advantage
Total
Enrollment
CDPHP
Albany
71,369
92
1,849
9,102
3,787
18,742
1,541
0
106,482
Broome
56
6
16
7
197
338
48
0
668
Cayuga
0
0
0
1
0
0
0
0
1
44
1
9
1
14
0
0
0
69
Columbia
3,117
18
544
105
1,095
2,902
217
0
7,998
Delaware
304
1
30
1
261
0
0
0
597
Dutchess
1,528
3
61
59
271
0
0
0
1,922
Erie
1
0
1
0
0
0
0
0
2
Essex
4
2
4
6
48
0
0
0
64
Franklin
0
0
1
0
0
0
0
0
1
Fulton
369
3
159
33
548
1,264
162
0
2,538
Greene
518
16
377
91
669
2,533
142
0
4,346
Hamilton
12
0
0
1
0
0
0
0
13
Herkimer
76
0
22
1
44
0
0
0
143
Madison
0
1
2
3
35
0
0
0
41
Manhattan
111
0
1
0
0
0
0
0
112
Monroe
111
0
1
0
0
0
0
0
112
2,193
2
285
211
828
3,197
316
0
7,032
Nassau
51
0
0
0
0
0
0
0
51
Oneida
107
2
26
4
34
0
0
0
173
Orange
92
0
113
2
123
0
0
0
330
Oswego
0
0
0
1
0
0
0
0
1
Otsego
314
8
40
10
451
0
0
0
823
Putnam
0
0
4
0
0
0
0
0
4
11,949
35
998
4,265
2,197
11,885
718
0
32,047
10
0
0
0
0
0
0
0
10
Chenango
Montgomery
Rensselaer
Rockland
Enrolllment by Health Plan - December, 2011
COMMERCIAL
MEDICAID
Child
Health
Plus
Medicaid
Managed
Care
Family
Health
Plus
HIV
SNP
4,718
2,995
7,799
830
0
24,648
889
3,069
2,239
9,427
665
0
21,327
4
188
224
706
1,462
188
0
3,432
103
0
0
0
0
0
0
0
103
Tioga
8
0
9
0
108
382
322
0
829
Ulster
3,063
9
323
183
416
0
0
0
3,994
Warren
1,282
9
478
31
594
0
0
0
2,394
Washington
1,421
3
362
17
698
2,247
171
0
4,919
Westchester
1,024
0
0
0
0
0
0
0
1,024
8,374
22,146
18,358
62,178
5,320
0
228,250
HMO/
POS
Direct
Pay
Healthy
New
York
Saratoga
6,661
63
1,582
Schenectady
5,008
30
Schoharie
660
Suffolk
Totals for CDPHP
111,566
308
Medicare
Advantage
Total
Enrollment
Elderplan, Inc.
Bronx
0
0
0
595
0
0
0
0
595
Brooklyn
0
0
0
6,371
0
0
0
0
6,371
Manhattan
0
0
0
1,257
0
0
0
0
1,257
Queens
0
0
0
4,447
0
0
0
0
4,447
Staten Island
0
0
0
1,473
0
0
0
0
1,473
0
14,143
0
0
0
0
14,143
Totals for Elderplan, Inc.
0
0
Empire
Albany
1,699
97
318
250
357
0
0
0
2,721
Bronx
2,529
149
652
4,673
923
0
0
0
8,926
Brooklyn
4,910
553
6,597
6,884
11,982
0
0
0
30,926
Broome
0
0
1
0
0
0
0
0
1
Clinton
23
24
171
0
437
0
0
0
655
Columbia
85
58
178
2
114
0
0
0
437
Delaware
15
17
125
1
67
0
0
0
225
Dutchess
334
164
1,238
383
1,345
0
0
0
3,464
Essex
5
32
61
3
104
0
0
0
205
Fulton
10
10
52
0
113
0
0
0
185
Greene
32
36
111
2
104
0
0
0
285
Enrolllment by Health Plan - December, 2011
COMMERCIAL
MEDICAID
Child
Health
Plus
Medicaid
Managed
Care
Family
Health
Plus
HIV
SNP
1
0
0
0
0
1
4,941
5,296
1,631
0
0
0
39,552
0
0
0
0
0
0
0
27
24
7
74
0
98
0
0
0
203
Nassau
9,093
758
8,426
7,279
9,567
0
0
0
35,123
Orange
547
139
1,791
392
2,391
0
0
0
5,260
Otsego
0
1
21
0
0
0
0
0
22
Putnam
244
66
768
232
1,329
0
0
0
2,639
Queens
4,381
520
5,228
13,204
8,345
0
0
0
31,678
Rensselaer
304
31
159
199
197
0
0
0
890
Rockland
992
117
1,539
1,381
3,295
0
0
0
7,324
Saratoga
86
74
307
253
332
0
0
0
1,052
119
48
170
145
241
0
0
0
723
9
15
62
0
82
0
0
0
168
658
95
867
3,675
1,628
0
0
0
6,923
13,360
618
11,035
11,262
11,070
0
0
0
47,345
91
43
415
102
258
0
0
0
909
Ulster
135
90
537
106
501
0
0
0
1,369
Warren
132
48
196
0
293
0
0
0
669
Washington
35
12
119
1
239
0
0
0
406
Westchester
6,047
740
4,000
7,641
3,792
0
0
0
22,220
71,292
6,880
50,159
63,367
60,835
0
0
0
252,533
HMO/
POS
Direct
Pay
Healthy
New
York
0
0
0
25,366
2,318
Monroe
27
Montgomery
Hamilton
Manhattan
Schenectady
Schoharie
Staten Island
Suffolk
Sullivan
Totals for Empire
Medicare
Advantage
Total
Enrollment
Essence Hlthcare of NY
Monroe
0
0
0
1,867
0
0
0
0
1,867
Wayne
0
0
0
462
0
0
0
0
462
0
2,329
0
0
0
0
2,329
Totals for Essence Hlthcare of NY
0
0
Excellus BC/BS
Albany
Allegany
317
0
0
0
0
0
0
0
317
0
1
2
4
0
0
0
0
7
Enrolllment by Health Plan - December, 2011
COMMERCIAL
MEDICAID
Child
Health
Plus
Medicaid
Managed
Care
Family
Health
Plus
HIV
SNP
1
3,035
19,577
2,581
0
25,446
0
3
0
0
0
0
3
13
108
11
1,276
2,240
258
0
3,964
1
0
5
1
0
0
0
0
7
Chemung
25
5
68
1
1,040
0
1,087
0
2,226
Chenango
1
3
84
0
853
0
0
0
941
Clinton
5
4
72
0
758
0
8
0
847
Columbia
0
0
1
0
0
0
0
0
1
Cortland
5
6
115
1
400
0
0
0
527
Delaware
11
2
43
0
414
0
0
0
470
548
0
5
16
0
0
0
0
569
Essex
0
1
63
0
408
0
2
0
474
Franklin
4
8
166
1
695
0
1
0
875
Fulton
0
2
2
0
53
0
0
0
57
Genesee
50
0
13
51
0
0
0
0
114
Hamilton
0
1
18
1
63
0
0
0
83
Herkimer
4
0
175
0
698
1,221
222
0
2,320
Jefferson
4
4
334
2
2,453
38
1,658
0
4,493
Lewis
1
1
99
0
910
157
208
0
1,376
343
17
138
2,217
1,098
3,569
502
0
7,884
8
5
125
1
1,081
3,120
415
0
4,755
134
0
1
0
0
0
0
0
135
27,281
247
3,065
24,149
13,588
61,634
6,683
0
136,647
0
0
11
0
50
0
0
0
61
Nassau
25
0
0
1
0
0
0
0
26
Niagara
8
0
0
1
0
0
0
0
9
Oneida
71
18
563
4
2,366
5,891
801
0
9,714
1,695
79
647
3
3,545
8,383
1,084
0
15,436
Ontario
870
32
347
4,243
2,306
6,793
1,084
0
15,675
Orange
7
0
0
1
0
0
0
0
8
Orleans
5
0
8
50
286
1,765
297
0
2,411
Broome
Cattaraugus
Cayuga
Chautauqua
Erie
Livingston
Madison
Manhattan
Monroe
Montgomery
Onondaga
HMO/
POS
Direct
Pay
Healthy
New
York
15
13
224
0
0
58
Medicare
Advantage
Total
Enrollment
Enrolllment by Health Plan - December, 2011
COMMERCIAL
MEDICAID
Child
Health
Plus
Medicaid
Managed
Care
Family
Health
Plus
HIV
SNP
0
600
249
21
0
1,069
112
1
639
3,245
349
0
4,426
0
0
1
0
0
0
0
1
14
0
0
0
0
0
0
0
14
9
0
0
0
0
0
0
0
9
Saratoga
10
0
0
0
0
0
0
0
10
Schenectady
53
0
0
0
0
0
0
0
53
0
17
24
7
346
0
301
0
695
592
6
76
874
734
3,077
404
0
5,763
2
4
119
1
2,151
89
1,475
0
3,841
39
3
155
45
1,736
0
0
0
1,978
Suffolk
1
1
1
1
0
0
0
0
4
Tioga
4
3
61
0
681
0
0
0
749
38
31
403
2
749
0
0
0
1,223
Warren
0
0
0
1
0
0
0
0
1
Wayne
1,333
10
305
3,590
2,372
6,728
997
0
15,335
188
0
0
1
0
0
0
0
189
1
0
1
20
0
0
0
0
22
238
5
63
797
601
2,233
478
0
4,415
7,970
36,104
47,985
130,009
20,916
0
277,675
HMO/
POS
Direct
Pay
Healthy
New
York
Oswego
42
9
148
Otsego
72
8
Putnam
0
Queens
Rensselaer
Schuyler
Seneca
St. Lawrence
Steuben
Tompkins
Westchester
Wyoming
Yates
Totals for Excellus BC/BS
34,132
559
Medicare
Advantage
Total
Enrollment
Fidelis Care NY
Albany
0
0
0
0
1,154
6,581
1,472
0
9,207
Allegany
0
0
0
0
38
157
60
0
255
Bronx
0
0
0
0
3,017
55,697
5,814
0
64,528
Brooklyn
0
0
0
0
4,806
73,439
14,168
0
92,413
Broome
0
0
0
0
444
3,602
473
0
4,519
Cattaraugus
0
0
0
0
583
3,093
480
0
4,156
Cayuga
0
0
0
0
376
4,406
540
0
5,322
Chautauqua
0
0
0
0
1,406
14,183
1,447
0
17,036
Chenango
0
0
0
0
213
812
927
0
1,952
Enrolllment by Health Plan - December, 2011
COMMERCIAL
MEDICAID
Child
Health
Plus
Medicaid
Managed
Care
Family
Health
Plus
HIV
SNP
0
596
3,064
1,198
0
4,858
0
0
472
2,398
561
0
3,431
0
0
0
711
4,117
653
0
5,481
0
0
0
0
222
2,664
725
0
3,611
Dutchess
0
0
0
0
1,103
3,313
715
0
5,131
Erie
0
0
0
0
3,116
24,060
2,632
0
29,808
Essex
0
0
0
0
382
2,654
633
0
3,669
Franklin
0
0
0
0
115
3,185
612
0
3,912
Fulton
0
0
0
0
963
6,207
886
0
8,056
Genesee
0
0
0
0
139
511
163
0
813
Greene
0
0
0
0
344
2,561
434
0
3,339
Hamilton
0
0
0
0
54
281
78
0
413
Herkimer
0
0
0
0
1,425
5,979
1,135
0
8,539
Lewis
0
0
0
0
21
233
184
0
438
Livingston
0
0
0
0
81
218
63
0
362
Madison
0
0
0
0
332
1,979
358
0
2,669
Manhattan
0
0
0
0
1,822
40,655
5,597
0
48,074
Monroe
0
0
0
0
994
14,575
1,851
0
17,420
Montgomery
0
0
0
0
779
4,647
854
0
6,280
Nassau
0
0
0
0
5,881
16,135
3,900
0
25,916
Niagara
0
0
0
0
1,782
8,558
1,901
0
12,241
Oneida
0
0
0
0
3,014
22,430
2,824
0
28,268
Onondaga
0
0
0
0
3,452
15,496
2,186
0
21,134
Ontario
0
0
0
0
21
147
23
0
191
Orange
0
0
0
0
1,709
15,863
1,239
0
18,811
Orleans
0
0
0
0
460
1,954
395
0
2,809
Oswego
0
0
0
0
1,043
5,240
731
0
7,014
Otsego
0
0
0
0
367
1,808
584
0
2,759
Putnam
0
0
0
0
740
2,292
519
0
3,551
Queens
0
0
0
0
6,606
64,967
14,970
0
86,543
Rensselaer
0
0
0
0
807
4,068
817
0
5,692
HMO/
POS
Direct
Pay
Healthy
New
York
Clinton
0
0
0
Columbia
0
0
Cortland
0
Delaware
Medicare
Advantage
Total
Enrollment
Enrolllment by Health Plan - December, 2011
COMMERCIAL
MEDICAID
Child
Health
Plus
Medicaid
Managed
Care
Family
Health
Plus
HIV
SNP
0
3,991
32,588
3,338
0
39,917
0
0
1,103
4,135
1,418
0
6,656
0
0
0
1,725
8,275
1,496
0
11,496
0
0
0
0
56
1,038
329
0
1,423
Schuyler
0
0
0
0
5
34
39
0
78
St. Lawrence
0
0
0
0
60
107
51
0
218
Staten Island
0
0
0
0
1,065
10,068
1,591
0
12,724
Steuben
0
0
0
0
72
269
1,210
0
1,551
Suffolk
0
0
0
0
8,976
16,913
4,403
0
30,292
Sullivan
0
0
0
0
264
2,019
387
0
2,670
Tioga
0
0
0
0
50
243
270
0
563
Tompkins
0
0
0
0
184
1,417
231
0
1,832
Ulster
0
0
0
0
681
3,054
450
0
4,185
Warren
0
0
0
0
1,023
1,867
913
0
3,803
Washington
0
0
0
0
1,034
3,503
723
0
5,260
Wayne
0
0
0
0
215
1,053
165
0
1,433
Westchester
0
0
0
0
2,372
14,755
2,795
0
19,922
Wyoming
0
0
0
0
94
211
159
0
464
0
0
74,560
545,778
94,770
0
715,108
HMO/
POS
Direct
Pay
Healthy
New
York
Rockland
0
0
0
Saratoga
0
0
Schenectady
0
Schoharie
Totals for Fidelis Care NY
0
0
Medicare
Advantage
Total
Enrollment
GHI HMO
Albany
203
0
3
0
0
0
0
0
206
Brooklyn
7
0
1
0
0
0
0
0
8
Broome
29
0
7
0
0
0
0
0
36
Columbia
47
0
3
0
0
0
0
0
50
Delaware
0
0
3
0
0
0
0
0
3
Dutchess
14
0
44
0
0
0
0
0
58
Greene
10
0
4
0
0
0
0
0
14
1,924
0
9
0
0
0
0
0
1,933
Montgomery
0
0
12
0
0
0
0
0
12
Nassau
0
0
2
0
0
0
0
0
2
Manhattan
Enrolllment by Health Plan - December, 2011
COMMERCIAL
MEDICAID
Child
Health
Plus
Medicaid
Managed
Care
Family
Health
Plus
HIV
SNP
0
0
0
0
0
474
1
0
0
0
0
0
2
0
22
0
0
0
0
0
27
4
0
15
0
0
0
0
0
19
Rensselaer
73
0
1
0
0
0
0
0
74
Rockland
48
0
20
0
0
0
0
0
68
Saratoga
0
0
8
0
0
0
0
0
8
Schenectady
3
0
1
0
0
0
0
0
4
Suffolk
0
0
1
0
0
0
0
0
1
Sullivan
61
0
23
0
0
0
0
0
84
Tioga
0
0
1
0
0
0
0
0
1
Ulster
593
3
642
0
0
0
0
0
1,238
Warren
2
0
0
0
0
0
0
0
2
Washington
2
0
8
0
0
0
0
0
10
Westchester
24
0
14
0
0
0
0
0
38
938
0
0
0
0
0
4,372
HMO/
POS
Direct
Pay
Healthy
New
York
Orange
380
1
93
Otsego
1
0
Putnam
5
Queens
Totals for GHI HMO
3,430
4
Medicare
Advantage
Total
Enrollment
Health Plus
Bronx
0
0
0
0
2,364
31,544
3,182
0
37,090
Brooklyn
0
0
0
0
12,124
121,197
15,423
0
148,744
Manhattan
0
0
0
0
1,199
16,788
2,154
0
20,141
Nassau
0
0
0
0
2,633
7,728
1,351
0
11,712
Queens
0
0
0
0
7,560
53,492
9,368
0
70,420
Staten Island
0
0
0
0
3,697
27,471
3,716
0
34,884
Totals for Health Plus
0
0
0
29,577
258,220
35,194
0
322,991
0
Healthfirst PHSP, Inc.
Bronx
0
0
0
0
4,452
131,234
10,275
0
145,961
Brooklyn
0
0
0
0
4,321
126,385
13,252
0
143,958
Manhattan
0
0
0
0
1,464
53,433
5,207
0
60,104
Nassau
0
0
0
0
5,392
16,397
3,428
0
25,217
Enrolllment by Health Plan - December, 2011
COMMERCIAL
MEDICAID
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Medicaid
Managed
Care
Family
Health
Plus
HIV
SNP
Queens
0
0
0
0
5,229
78,900
12,420
0
96,549
Staten Island
0
0
0
0
303
6,253
738
0
7,294
Suffolk
0
0
0
0
6,031
15,068
2,780
0
23,879
0
0
27,192
427,670
48,100
0
502,962
Totals for Healthfirst PHSP, Inc.
0
0
Total
Enrollment
HealthNow NY, Inc.
Albany
709
8
219
1,583
0
0
0
0
2,519
1,155
4
53
293
620
2,732
281
0
5,138
1
0
0
0
0
0
0
0
1
2,069
6
176
834
869
3,706
204
0
7,864
2
0
4
0
0
0
0
0
6
1,053
8
283
845
833
4,058
303
0
7,383
0
1
51
0
0
0
0
0
52
Clinton
131
2
122
0
0
0
0
0
255
Columbia
229
1
75
946
0
0
0
0
1,251
Delaware
1
0
0
0
0
0
0
0
1
Dutchess
4
0
0
0
0
0
0
0
4
14,150
90
1,223
20,433
4,682
17,305
2,091
0
59,974
64
2
81
0
0
0
0
0
147
8
0
2
0
0
0
0
0
10
Fulton
476
0
65
742
0
0
0
0
1,283
Genesee
496
4
66
470
1,011
2,224
415
0
4,686
Greene
137
3
81
619
0
0
0
0
840
Hamilton
8
0
0
0
0
0
0
0
8
Herkimer
3
0
0
0
0
0
0
0
3
Jefferson
1
0
0
0
0
0
0
0
1
Livingston
37
0
1
0
0
0
0
0
38
Madison
1
0
0
0
0
0
0
0
1
Monroe
39
8
33
0
0
0
0
0
80
223
0
63
279
0
0
0
0
565
3,175
18
289
3,469
2,283
7,546
1,239
0
18,019
Allegany
Bronx
Cattaraugus
Cayuga
Chautauqua
Chemung
Erie
Essex
Franklin
Montgomery
Niagara
Enrolllment by Health Plan - December, 2011
COMMERCIAL
MEDICAID
Child
Health
Plus
Medicaid
Managed
Care
Family
Health
Plus
HIV
SNP
0
0
0
0
0
17
80
0
0
0
0
0
93
0
0
0
0
0
0
0
4
4
0
0
0
0
0
0
0
4
Orleans
585
3
31
229
212
1,082
107
0
2,249
Oswego
0
0
55
0
0
0
0
0
55
Otsego
3
0
0
0
0
0
0
0
3
Queens
0
0
0
0
0
0
0
0
0
559
2
145
1,108
0
0
0
0
1,814
Rockland
0
0
0
0
0
0
0
0
0
Saratoga
719
6
315
2,042
0
0
0
0
3,082
Schenectady
441
5
168
1,546
0
0
0
0
2,160
12
0
0
0
0
0
0
0
12
Schuyler
4
0
0
0
0
0
0
0
4
Steuben
55
0
5
0
0
0
0
0
60
Suffolk
0
0
0
0
0
0
0
0
0
Sullivan
1
0
0
0
0
0
0
0
1
Tioga
3
0
2
0
0
0
0
0
5
Tompkins
1
0
0
0
0
0
0
0
1
Ulster
1
0
0
0
0
0
0
0
1
Warren
434
1
195
1,309
0
0
0
0
1,939
Washington
139
5
118
909
0
0
0
0
1,171
Wayne
2
0
4
0
0
0
0
0
6
Westchester
1
0
0
0
0
0
0
0
1
679
3
45
539
687
0
357
0
2,310
4,050
38,195
11,197
38,653
4,997
0
125,121
HMO/
POS
Direct
Pay
Healthy
New
York
17
0
0
Onondaga
8
5
Ontario
4
Orange
Oneida
Rensselaer
Schoharie
Wyoming
Totals for HealthNow NY, Inc.
Medicare
Advantage
Total
Enrollment
27,844
185
Albany
14,668
4
0
0
0
0
0
0
14,672
Bronx
4,092
135
50
16,266
884
26,627
2,329
0
50,383
62,930
412
197
23,145
2,064
57,123
6,210
0
152,081
HIP of New York
Brooklyn
Enrolllment by Health Plan - December, 2011
COMMERCIAL
MEDICAID
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Medicaid
Managed
Care
Family
Health
Plus
HIV
SNP
Columbia
0
1
0
0
0
0
0
0
1
Delaware
0
1
0
1
0
0
0
0
2
Dutchess
0
1
0
2
0
0
0
0
3
Erie
0
0
0
1
0
0
0
0
1
213,014
516
1,569
10,555
600
16,473
2,281
0
245,008
23,401
640
240
20,474
2,886
15,147
2,499
0
65,287
5
0
0
0
0
0
0
0
5
Orange
26
20
14
2
0
0
0
0
62
Putnam
2
7
0
1
0
0
0
0
10
Queens
13,176
634
78
24,964
4,215
54,348
9,699
0
107,114
414
56
0
0
0
0
0
0
470
1,698
159
8
8,246
501
9,251
1,242
0
21,105
24,834
456
714
7,296
3,005
16,157
2,415
0
54,877
Sullivan
0
1
0
0
0
0
0
0
1
Ulster
0
1
0
0
0
0
0
0
1
99
0
0
0
0
0
0
0
99
9,000
255
7
1,728
932
7,241
989
0
20,152
2,877
112,681
15,087
202,367
27,664
0
731,334
Manhattan
Nassau
Onondaga
Rockland
Staten Island
Suffolk
Warren
Westchester
Totals for HIP of New York
367,359
3,299
Total
Enrollment
Hudson Health Plan
Dutchess
0
0
0
0
1,639
6,293
917
0
8,849
Orange
0
0
0
0
2,596
10,721
1,463
0
14,780
Rockland
0
0
0
0
2,139
8,000
1,179
0
11,318
Sullivan
0
0
0
0
1,990
7,566
1,113
0
10,669
Ulster
0
0
0
0
1,107
4,603
738
0
6,448
Westchester
0
0
0
0
12,628
41,500
5,875
0
60,003
0
0
22,099
78,683
11,285
0
112,067
Totals for Hudson Health Plan
0
0
Independent Health
Allegany
Cattaraugus
227
5
63
560
0
0
0
0
855
1,678
11
173
2,962
0
0
0
0
4,824
Enrolllment by Health Plan - December, 2011
COMMERCIAL
MEDICAID
Child
Health
Plus
Medicaid
Managed
Care
Family
Health
Plus
HIV
SNP
3,340
0
0
0
0
5,416
3,884
41,792
1,318
33,090
3,234
0
129,877
5
135
1,229
0
0
0
0
2,224
11,549
32
998
10,675
0
7,232
0
0
30,486
Orleans
335
0
36
620
0
0
0
0
991
Wyoming
704
3
125
1,153
0
0
0
0
1,985
5,776
62,331
1,318
40,322
3,234
0
176,658
HMO/
POS
Direct
Pay
Healthy
New
York
1,703
11
362
46,317
242
855
Niagara
Chautauqua
Erie
Genesee
Totals for Independent Health
63,368
309
Medicare
Advantage
Total
Enrollment
Managed Health Inc.
Bronx
0
1
34
30,125
0
0
0
0
30,160
Brooklyn
0
0
77
27,538
0
0
0
0
27,615
Manhattan
0
0
50
20,683
0
0
0
0
20,733
Nassau
0
0
18
2,086
0
0
0
0
2,104
Queens
0
0
89
15,822
0
0
0
0
15,911
Staten Island
0
0
9
422
0
0
0
0
431
Suffolk
0
0
70
49
0
0
0
0
119
347
96,725
0
0
0
0
97,073
Totals for Managed Health Inc.
0
1
MetroPlus Health Plan
Bronx
0
0
0
0
4,389
111,146
8,419
0
123,954
Brooklyn
0
0
0
0
5,003
99,240
9,395
0
113,638
Manhattan
0
0
0
0
1,616
42,184
3,358
0
47,158
Queens
0
0
0
0
7,697
104,424
14,592
0
126,713
Staten Island
0
0
0
0
0
440
24
0
464
0
0
18,705
357,434
35,788
0
411,927
Totals for MetroPlus Health Plan
0
0
MetroPlus Hlth Plan SNP
Bronx
0
0
0
0
0
0
0
2,221
2,221
Brooklyn
0
0
0
0
0
0
0
1,878
1,878
Manhattan
0
0
0
0
0
0
0
785
785
Queens
0
0
0
0
0
0
0
733
733
Staten Island
0
0
0
0
0
0
0
36
36
Enrolllment by Health Plan - December, 2011
COMMERCIAL
HMO/
POS
Totals for MetroPlus Hlth Plan SNP
0
Direct
Pay
0
MEDICAID
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Medicaid
Managed
Care
Family
Health
Plus
HIV
SNP
Total
Enrollment
0
0
0
0
0
5,653
5,653
MVP
Albany
4,644
7
204
3,272
0
0
0
0
8,127
Allegany
65
0
2
30
0
0
0
0
97
Bronx
12
0
1
0
0
0
0
0
13
1
0
1
0
0
0
0
0
2
1,371
5
247
239
0
0
0
0
1,862
19
0
0
1
0
0
0
0
20
564
0
170
112
0
0
0
0
846
Chautauqua
0
0
0
0
0
0
0
0
0
Chemung
6
0
5
3
0
0
0
0
14
Chenango
912
2
89
50
0
0
0
0
1,053
68
0
4
17
0
0
0
0
89
Columbia
944
4
169
197
0
0
0
0
1,314
Cortland
157
0
73
51
0
0
0
0
281
Delaware
636
2
180
131
0
0
0
0
949
Dutchess
13,198
33
2,050
1,271
1,601
6,458
1,030
0
25,641
Erie
49
0
1
98
0
0
0
0
148
Essex
55
0
7
61
0
0
0
0
123
Franklin
30
0
84
2
0
0
0
0
116
Fulton
2,654
2
121
653
0
0
0
0
3,430
Genesee
1,767
6
98
2,256
0
1,880
203
0
6,210
Greene
638
1
98
81
0
0
0
0
818
Hamilton
124
0
33
159
0
0
0
0
316
Herkimer
957
0
152
90
0
0
0
0
1,199
Jefferson
300
0
30
14
0
0
0
0
344
Lewis
174
0
62
15
0
0
0
0
251
Livingston
1,703
4
90
2,127
0
1,137
92
0
5,153
Madison
1,126
3
196
62
0
0
0
0
1,387
6
0
0
3
0
0
0
0
9
Brooklyn
Broome
Cattaraugus
Cayuga
Clinton
Manhattan
Enrolllment by Health Plan - December, 2011
COMMERCIAL
MEDICAID
Child
Health
Plus
Medicaid
Managed
Care
Family
Health
Plus
HIV
SNP
65,362
0
14,619
601
0
98,068
87
408
0
0
0
0
2,102
0
0
1
0
0
0
0
10
7
0
4
14
0
0
0
0
25
Oneida
7,364
9
537
279
0
0
0
0
8,189
Onondaga
5,068
14
801
974
0
0
0
0
6,857
Ontario
2,629
8
143
3,358
0
773
56
0
6,967
Orange
4,382
6
1,012
107
0
0
0
0
5,507
Orleans
916
2
63
1,245
0
0
0
0
2,226
Oswego
1,901
1
150
99
0
0
0
0
2,151
Otsego
711
1
143
161
0
0
0
0
1,016
Putnam
304
2
200
13
0
0
0
0
519
Queens
5
0
0
1
0
1
0
0
7
2,482
2
169
501
0
0
0
0
3,154
Rockland
58
1
176
4
0
0
0
0
239
Saratoga
8,500
8
416
2,367
0
0
0
0
11,291
Schenectady
7,334
4
302
2,871
0
0
0
0
10,511
798
4
72
190
0
0
0
0
1,064
18
0
2
5
0
0
0
0
25
1,262
1
41
972
0
0
0
0
2,276
St. Lawrence
56
2
32
4
0
0
0
0
94
Staten Island
0
0
0
1
0
0
0
0
1
641
1
151
365
0
0
0
0
1,158
6
0
0
0
0
0
0
0
6
1,198
1
222
52
0
0
0
0
1,473
Tioga
262
0
56
27
0
0
0
0
345
Tompkins
101
1
9
84
0
0
0
0
195
Ulster
7,062
16
1,798
1,306
749
5,475
1,021
0
17,427
Warren
2,791
1
175
715
0
0
0
0
3,682
Washington
1,992
0
179
609
0
0
0
0
2,780
Wayne
2,317
4
121
3,009
0
0
0
0
5,451
HMO/
POS
Direct
Pay
Healthy
New
York
16,518
72
896
1,602
5
Nassau
9
Niagara
Monroe
Montgomery
Rensselaer
Schoharie
Schuyler
Seneca
Steuben
Suffolk
Sullivan
Medicare
Advantage
Total
Enrollment
Enrolllment by Health Plan - December, 2011
COMMERCIAL
MEDICAID
Child
Health
Plus
Medicaid
Managed
Care
Family
Health
Plus
HIV
SNP
1
0
0
0
0
208
26
841
0
0
0
0
1,284
20
911
0
0
0
0
1,367
12,183
97,852
2,350
30,343
3,003
0
257,487
HMO/
POS
Direct
Pay
Healthy
New
York
Westchester
194
0
13
Wyoming
417
0
Yates
435
1
Totals for MVP
111,520
236
Medicare
Advantage
Total
Enrollment
Neighborhood Hlth Prov
Bronx
0
0
0
0
846
24,416
2,091
0
27,353
Brooklyn
0
0
0
0
2,182
46,375
4,658
0
53,215
Manhattan
0
0
0
0
1,192
35,123
3,200
0
39,515
Queens
0
0
0
0
4,212
51,051
7,846
0
63,109
Staten Island
0
0
0
0
18
1,055
72
0
1,145
Suffolk
0
0
0
0
4,461
18,818
1,844
0
25,123
0
0
12,911
176,838
19,711
0
209,460
Totals for Neighborhood Hlth Prov
0
0
NY-Prsbterian. SSL SNP
Bronx
0
0
0
0
0
0
0
2,641
2,641
Brooklyn
0
0
0
0
0
0
0
1,531
1,531
Manhattan
0
0
0
0
0
0
0
1,386
1,386
Queens
0
0
0
0
0
0
0
621
621
Staten Island
0
0
0
0
0
0
0
57
57
0
0
0
0
0
6,236
6,236
Totals for NY-Prsbterian. SSL SNP
0
0
Oxford
Albany
1
6
0
0
0
0
0
0
7
6,507
174
953
5,841
0
0
0
0
13,475
15,662
706
5,844
16,107
0
0
0
0
38,319
Broome
0
0
1
0
0
0
0
0
1
Columbia
1
3
1
0
0
0
0
0
5
Delaware
4
5
2
0
0
0
0
0
11
Dutchess
511
46
198
4
0
0
0
0
759
Fulton
0
1
0
0
0
0
0
0
1
Greene
0
0
1
1
0
0
0
0
2
Bronx
Brooklyn
Enrolllment by Health Plan - December, 2011
COMMERCIAL
MEDICAID
Child
Health
Plus
Medicaid
Managed
Care
Family
Health
Plus
HIV
SNP
13,128
0
0
0
0
118,344
1
0
0
0
0
0
1
1
0
0
0
0
0
0
1
30,225
1,148
6,138
26
0
0
0
0
37,537
Niagara
0
0
0
1
0
0
0
0
1
Onondaga
0
1
0
0
0
0
0
0
1
Orange
912
35
375
1,260
0
0
0
0
2,582
Putnam
1,169
34
326
2
0
0
0
0
1,531
Queens
15,843
765
5,912
26,019
0
0
0
0
48,539
Rockland
4,547
187
1,262
1,589
0
0
0
0
7,585
Saratoga
542
0
2
0
0
0
0
0
544
Schenectady
156
0
0
0
0
0
0
0
156
Staten Island
1,837
113
797
3,560
0
0
0
0
6,307
23,111
552
9,253
21
0
0
0
0
32,937
44
26
68
2
0
0
0
0
140
0
0
1
0
0
0
0
0
1
19
33
64
1
0
0
0
0
117
0
1
0
0
0
0
0
0
1
26,231
1,229
3,471
4,723
0
0
0
0
35,654
42,188
72,285
0
0
0
0
344,559
HMO/
POS
Direct
Pay
Healthy
New
York
95,316
2,382
7,518
Monroe
0
0
Montgomery
0
Nassau
Manhattan
Suffolk
Sullivan
Tompkins
Ulster
Warren
Westchester
Totals for Oxford
222,638
7,448
Medicare
Advantage
Total
Enrollment
Quality Health Plan
Nassau
0
0
0
4
0
0
0
0
4
Queens
0
0
0
2
0
0
0
0
2
Suffolk
0
0
0
4
0
0
0
0
4
0
10
0
0
0
0
10
Totals for Quality Health Plan
0
0
Senior Whole Health
Albany
3
0
0
1
0
0
0
0
4
Ulster
0
0
0
1
0
0
0
0
1
0
2
0
0
0
0
5
Totals for Senior Whole Health
3
0
Enrolllment by Health Plan - December, 2011
COMMERCIAL
MEDICAID
Child
Health
Plus
Medicaid
Managed
Care
Family
Health
Plus
HIV
SNP
0
105
1,419
140
0
1,664
0
0
1,631
21,778
1,811
0
25,220
0
0
0
1,570
8,764
1,316
0
11,650
0
0
0
415
5,137
627
0
6,179
0
0
3,721
37,098
3,894
0
44,713
HMO/
POS
Direct
Pay
Healthy
New
York
Cortland
0
0
0
Onondaga
0
0
Oswego
0
Tompkins
0
Medicare
Advantage
Total
Enrollment
Total Care
Totals for Total Care
0
0
Touchstone Health
Bronx
0
0
0
2,048
0
0
0
0
2,048
Brooklyn
0
0
0
2,604
0
0
0
0
2,604
Broome
0
0
0
1,923
0
0
0
0
1,923
Chenango
0
0
0
137
0
0
0
0
137
Delaware
0
0
0
82
0
0
0
0
82
Manhattan
0
0
0
122
0
0
0
0
122
Onondaga
0
0
0
724
0
0
0
0
724
Orange
0
0
0
225
0
0
0
0
225
Queens
0
0
0
2,027
0
0
0
0
2,027
Staten Island
0
0
0
3,685
0
0
0
0
3,685
Westchester
0
0
0
531
0
0
0
0
531
0
14,108
0
0
0
0
14,108
Totals for Touchstone Health
0
0
UnitedHlthcr Comm. Plan
Albany
0
0
0
80
0
0
0
0
80
Allegany
0
0
0
1
0
0
0
0
1
Bronx
0
0
0
1,099
211
7,027
866
0
9,203
Brooklyn
0
0
0
1,136
5,093
128,820
18,437
0
153,486
Broome
0
0
0
107
0
0
0
0
107
Cattaraugus
0
0
0
1
0
0
0
0
1
Cayuga
0
0
0
0
184
1,106
253
0
1,543
Chautauqua
0
0
0
317
0
0
0
0
317
Chenango
0
0
0
1
0
0
0
0
1
Enrolllment by Health Plan - December, 2011
COMMERCIAL
MEDICAID
Child
Health
Plus
Medicaid
Managed
Care
Family
Health
Plus
HIV
SNP
2
0
0
0
0
2
0
90
0
0
0
0
90
0
0
200
0
0
0
0
200
0
0
0
56
0
0
0
0
56
Hamilton
0
0
0
1
0
0
0
0
1
Herkimer
0
0
0
4
36
54
24
0
118
Livingston
0
0
0
2
0
0
0
0
2
Madison
0
0
0
4
144
673
267
0
1,088
Manhattan
0
0
0
6,048
254
6,677
1,279
0
14,258
Monroe
0
0
0
337
0
0
0
0
337
Nassau
0
0
0
282
4,421
17,331
4,057
0
26,091
Niagara
0
0
0
41
0
0
0
0
41
Oneida
0
0
0
273
475
3,651
548
0
4,947
Onondaga
0
0
0
76
1,033
6,747
872
0
8,728
Orange
0
0
0
19
0
0
0
0
19
Oswego
0
0
0
0
400
2,902
441
0
3,743
Putnam
0
0
0
4
0
0
0
0
4
Queens
0
0
0
1,360
2,056
26,953
6,102
0
36,471
Rensselaer
0
0
0
5
0
0
0
0
5
Rockland
0
0
0
1
0
0
0
0
1
Saratoga
0
0
0
102
0
0
0
0
102
Schenectady
0
0
0
35
0
0
0
0
35
Schoharie
0
0
0
1
0
0
0
0
1
Staten Island
0
0
0
794
541
8,053
1,783
0
11,171
Suffolk
0
0
0
327
6,995
22,596
5,497
0
35,415
Ulster
0
0
0
30
0
0
0
0
30
Wayne
0
0
0
1
0
0
0
0
1
Westchester
0
0
0
122
0
0
0
0
122
Wyoming
0
0
0
4
0
0
0
0
4
0
12,963
21,843
232,590
40,426
0
307,822
HMO/
POS
Direct
Pay
Healthy
New
York
Cortland
0
0
0
Dutchess
0
0
Erie
0
Genesee
Totals for UnitedHlthcr Comm. Plan
0
0
Medicare
Advantage
Total
Enrollment
Enrolllment by Health Plan - December, 2011
COMMERCIAL
MEDICAID
Child
Health
Plus
Medicaid
Managed
Care
Family
Health
Plus
HIV
SNP
0
173
1,659
464
0
2,296
0
0
343
1,993
494
0
2,830
0
0
0
128
847
145
0
1,120
0
0
0
6,345
30,334
5,260
0
41,939
0
0
6,989
34,833
6,363
0
48,185
HMO/
POS
Direct
Pay
Healthy
New
York
Allegany
0
0
0
Cattaraugus
0
0
Chautauqua
0
Erie
0
Medicare
Advantage
Total
Enrollment
Univera Community Hlth
Totals for Univera Community Hlth
0
0
Univera Healthcare
Albany
0
0
0
1
0
0
0
0
1
Allegany
7
6
139
165
0
0
0
0
317
Brooklyn
0
0
2
0
0
0
0
0
2
Broome
0
0
0
1
0
0
0
0
1
Cattaraugus
14
1
164
564
0
0
0
0
743
Chautauqua
76
18
552
2,501
0
0
0
0
3,147
Chemung
0
0
0
1
0
0
0
0
1
Clinton
0
0
1
0
0
0
0
0
1
318
71
1,816
12,672
0
0
0
0
14,877
Genesee
5
3
131
291
0
0
0
0
430
Livingston
0
0
1
5
0
0
0
0
6
Monroe
0
0
6
17
0
0
0
0
23
Nassau
0
0
0
2
0
0
0
0
2
Niagara
16
10
350
1,657
0
0
0
0
2,033
Onondaga
0
0
0
3
0
0
0
0
3
Orleans
7
0
85
287
0
0
0
0
379
Putnam
0
0
0
1
0
0
0
0
1
Schenectady
0
0
0
1
0
0
0
0
1
Steuben
0
0
0
4
0
0
0
0
4
Wayne
0
0
0
2
0
0
0
0
2
Westchester
0
0
1
3
0
0
0
0
4
Wyoming
0
4
103
328
0
0
0
0
435
Erie
Enrolllment by Health Plan - December, 2011
COMMERCIAL
HMO/
POS
Totals for Univera Healthcare
443
Direct
Pay
113
MEDICAID
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Medicaid
Managed
Care
Family
Health
Plus
HIV
SNP
Total
Enrollment
3,351
18,506
0
0
0
0
22,413
WellCare of New York
Albany
0
0
0
0
117
1,726
205
0
2,048
Bronx
0
0
0
0
534
11,192
1,453
0
13,179
Brooklyn
0
0
0
0
661
15,123
2,723
0
18,507
Dutchess
0
0
0
0
788
2,056
281
0
3,125
Manhattan
0
0
0
0
315
7,554
1,299
0
9,168
Orange
0
0
0
0
639
1,728
249
0
2,616
Queens
0
0
0
0
983
13,719
3,341
0
18,043
Rensselaer
0
0
0
0
95
891
164
0
1,150
Rockland
0
0
0
0
383
2,647
205
0
3,235
Staten Island
0
0
0
0
0
66
11
0
77
Ulster
0
0
0
0
502
2,796
358
0
3,656
Totals for WellCare of New York
2011 NYS Enrollment
0
0
0
0
5,017
59,498
10,289
0
74,804
1,074,790
21,813
143,752
679,019
407,660
3,005,820
420,031
16,708
5,769,593
IV. Managed Care Penetration Rates
Managed Care Penetration Rates by County
New York State County
Albany
Allegany
Bronx
Broome
Cattaraugus
Cayuga
Chautauqua
Chemung*
Chenango
Clinton
Columbia
Cortland
Delaware
Dutchess
Erie
Essex
Franklin
Fulton
Genesee
Greene Hamilton
Herkimer
Jefferson*
Kings (Brooklyn)
Lewis*
Livingston
Madison
Monroe
Montgomery
Nassau
New York (Manhattan)
Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Queens Rensselaer Total Population, April 1, 2011** 303,565
48,778
1,392,002
199,031
79,832
79,738
134,368
88,840
50,118
81,945
62,550
49,363
47,559
297,999
918,028
39,181
51,551
55,180
59,993
48,954
4,793
64,160
117,910
2,532,645
27,072
65,070
73,365
745,625
49,916
1,344,436
1,601,948
216,011
234,287
466,960
108,525
374,872
42,622
122,228
61,917
99,933
2,247,848
159,395
Managed Care Enrollment 146,391
8,966
627,033
34,901
20,441
11,900
34,426
2,293
4,153
6,705
14,488
7,955
5,951
50,545
277,395
4,682
4,914
15,550
14,533
9,644
835
12,322
4,838
1,068,142
2,065
13,445
10,055
254,582
16,256
254,071
712,206
62,855
51,532
80,172
22,837
73,468
11,065
26,310
9,051
9,772
809,069
44,835
Penetration Rate
48.2%
18.4%
45.0%
17.5%
25.6%
14.9%
25.6%
2.6%
8.3%
8.2%
23.2%
16.1%
12.5%
17.0%
30.2%
11.9%
9.5%
28.2%
24.2%
19.7%
17.4%
19.2%
4.1%
42.2%
7.6%
20.7%
13.7%
34.1%
32.6%
18.9%
44.5%
29.1%
22.0%
17.2%
21.0%
19.6%
26.0%
21.5%
14.6%
9.8%
36.0%
28.1%
% Change from 2010
‐1.2%
‐0.1%
0.9%
0.2%
0.9%
7.6%
0.6%
‐0.2%
0.3%
1.3%
‐1.5%
‐0.8%
4.4%
‐0.6%
0.4%
3.9%
6.1%
‐1.1%
‐0.5%
‐0.2%
‐3.3%
0.4%
‐0.1%
‐1.4%
1.6%
2.1%
5.6%
‐1.6%
‐1.1%
0.3%
‐2.5%
‐0.2%
1.4%
0.7%
‐0.5%
0.1%
0.8%
0.6%
0.0%
0.7%
0.2%
‐0.5%
Richmond (Staten Island)
Rockland St. Lawrence*
Saratoga Schenectady Schoharie
Schuyler
Seneca Steuben
Suffolk Sullivan Tioga
Tompkins Ulster Warren*
Washington Wayne Westchester Wyoming
Yates 470,467
315,158
111,690
220,882
155,058
32,578
18,361
35,198
99,033
1,498,816
76,900
51,043
101,723
182,448
65,831
63,165
93,436
955,899
41,944
25,454
119,795
80,972
4,153
47,393
46,466
6,100
802
8,039
4,751
282,442
16,162
2,602
9,431
38,831
12,590
14,546
22,690
186,893
6,504
5,782
25.5%
25.7%
3.7%
21.5%
30.0%
18.7%
4.4%
22.8%
4.8%
18.8%
21.0%
5.1%
9.3%
21.3%
19.1%
23.0%
24.3%
19.6%
15.5%
22.7%
‐0.5%
1.1%
0.2%
‐0.6%
0.2%
3.7%
0.2%
2.1%
0.2%
0.8%
1.3%
0.1%
3.0%
‐0.6%
‐1.1%
‐0.3%
19.6%
1.2%
‐0.5%
0.3%
New York City
Rest of State
8,244,910
11,133,192
3,336,245
2,433,348
40.5%
21.9%
‐0.7%
0.7%
New York State
19,378,102
5,769,593
29.8%
0.1%
* Voluntary Medicaid managed care
** Estimated county populations as of July 1, 2011. From US Census data at: http://www.census.gov/popest/data/counties/totals/2011/CO‐EST2011‐01.html