2013 Annual Enrollment Report

2013
2013 New York State
Managed Care Plan Enrollment
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 ....................................................................... Affinity Health Plan ................................................. Amidacare SNP ........................................................ Arcadian Hlth Plan of NY ......................................... Catholic Spec Nds Pln .............................................. CDPHP ..................................................................... Elderplan ................................................................. Empire ..................................................................... Excellus BC/BS ......................................................... Fidelis Care NY ......................................................... GHI HMO ................................................................. Healthfirst ................................................................ HealthNow NY ......................................................... HealthPlus ............................................................... HIP (EmblemHealth) ................................................ Hudson Health Plan ................................................. Independent Health ................................................ Managed Health Inc. ............................................... MetroPlus Health Plan ............................................ MetroPlus Hlth Plan SNP ......................................... MVP ......................................................................... Neighborhood Hlth Prov ......................................... Oxford ..................................................................... Quality Health Plan .................................................. Senior Whole Health ............................................... Total Care ................................................................ Touchstone Health .................................................. UnitedHlthcr Comm Plan ......................................... Univera Community Hlth ......................................... Univera Healthcare .................................................. VNSNY CHOICE SNP ................................................. WellCare of New York ............................................. Aetna Affinity Health Plan Amidacare Special Needs Plan Arcadian Health Plan of New York Catholic Special Needs Plan CDPHP Elderplan, Inc. Empire Excellus BlueCross BlueShield Fidelis Care New York GHI HMO Healthfirst PHSP, Inc. HealthNow New York, Inc. HealthPlus (Amerigroup) HIP (EmblemHealth) Hudson Health Plan Independent Health Managed Health Inc. MetroPlus Health Plan MetroPlus Health Plan Special Needs Plan MVP Neighborhood Health Providers Oxford Quality Health Plan Senior Whole Health Total Care Touchstone Health UnitedHealthcare Community Plan Univera Community Health Univera Healthcare VNSNY CHOICE SNP 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 2012, over six million
people were enrolled in managed care
plans throughout New York’s sixty-two
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-forservice 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/managed_
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 2011 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
mailto:[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 Enrollment by County - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Albany
CDPHP
70,686
109
1,642
9,756
3,154
20,477
1,706
0
107,530
Empire
1,248
96
245
246
322
0
0
0
2,157
Excellus BC/BS
279
0
1
0
0
0
0
0
280
Fidelis Care NY
0
0
0
0
891
7,952
1,484
0
10,327
GHI HMO
170
0
4
0
0
0
0
0
174
HealthNow NY
517
11
224
1,470
0
0
0
0
2,222
13,865
2
0
0
0
0
0
0
13,867
3,980
4
173
2,229
0
0
0
0
6,386
Oxford
0
5
2
0
0
0
0
0
7
Senior Whole Health
0
0
0
1
0
0
0
0
1
UnitedHlthcr Comm Plan
0
0
0
145
0
0
0
0
145
Univera Healthcare
0
1
0
1
0
0
0
0
2
WellCare of New York
0
0
0
0
104
1,641
184
0
1,929
90,745
228
2,291
13,848
4,471
30,070
3,374
0
145,027
Excellus BC/BS
0
1
3
5
0
0
0
0
9
Fidelis Care NY
0
0
0
0
44
339
76
0
459
HealthNow NY
1,059
5
55
358
422
2,821
291
0
5,011
178
3
76
615
0
0
0
0
872
79
0
4
158
0
0
0
0
241
Univera Community Hlth
0
0
0
0
148
1,866
382
0
2,396
Univera Healthcare
4
5
144
175
0
0
0
0
328
1,320
14
282
1,311
614
5,026
749
0
9,316
5,087
67
76
961
0
0
0
0
6,191
Affinity Health Plan
0
0
0
0
2,411
69,421
6,620
0
78,452
Amidacare SNP
0
0
0
0
0
0
0
2,135
2,135
Catholic Spec Nds Pln
0
0
0
53
0
0
0
0
53
Elderplan
0
0
0
741
0
0
0
0
741
1,127
127
549
5,145
888
0
0
0
7,836
Fidelis Care NY
0
0
0
0
2,289
63,482
6,543
0
72,314
Healthfirst
0
0
0
0
3,876
151,952
11,777
0
167,605
HIP (EmblemHealth)
MVP
Total for Albany
Allegany
Independent Health
MVP
Total for Allegany
Bronx
Aetna
Empire
Enrollment by County - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
HealthPlus
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
0
0
0
0
1,917
39,345
4,038
0
45,300
HIP (EmblemHealth)
4,300
128
47
16,428
725
26,842
2,233
0
50,703
Managed Health Inc.
0
1
45
32,329
0
0
0
0
32,375
MetroPlus Health Plan
0
0
0
0
3,501
115,921
8,542
0
127,964
MetroPlus Hlth Plan SNP
0
0
0
0
0
0
0
2,302
2,302
67
0
3
8
0
0
0
0
78
0
0
0
0
641
27,282
2,223
0
30,146
8,432
150
955
5,902
0
0
0
0
15,439
Touchstone Health
0
0
0
1,041
0
0
0
0
1,041
UnitedHlthcr Comm Plan
0
0
0
1,423
245
11,028
1,219
0
13,915
VNSNY CHOICE SNP
0
0
0
0
0
0
0
2,399
2,399
WellCare of New York
0
0
0
0
415
12,601
1,755
0
14,771
19,013
473
1,675
64,031
16,908
517,874
44,950
6,836
671,760
Aetna
42
2
6
464
0
0
0
0
514
CDPHP
66
9
17
165
138
288
36
0
719
Excellus BC/BS
12
17
215
0
2,449
20,807
2,590
0
26,090
Fidelis Care NY
0
0
0
0
382
4,019
444
0
4,845
31
0
8
0
0
0
0
0
39
1,117
4
246
357
0
0
0
0
1,724
0
0
0
86
0
277
35
0
398
1,268
32
492
1,072
2,969
25,391
3,105
0
34,329
Excellus BC/BS
0
0
0
3
0
0
0
0
3
Fidelis Care NY
0
0
0
0
452
3,181
435
0
4,068
HealthNow NY
1,806
11
179
966
734
4,121
297
0
8,114
Independent Health
1,505
7
195
3,225
0
0
0
0
4,932
13
0
0
19
0
0
0
0
32
Univera Community Hlth
0
0
0
0
250
1,984
360
0
2,594
Univera Healthcare
2
3
154
514
0
0
0
0
673
Total for Cattaraugus
3,326
21
528
4,727
1,436
9,286
1,092
0
20,416
9
2
2
261
0
0
0
0
274
MVP
Neighborhood Hlth Prov
Oxford
Total for Bronx
Broome
GHI HMO
MVP
UnitedHlthcr Comm Plan
Total for Broome
Cattaraugus
MVP
Cayuga
Aetna
Enrollment by County - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Excellus BC/BS
32
10
108
11
1,036
2,842
315
0
4,354
Fidelis Care NY
0
0
0
0
368
4,827
539
0
5,734
HealthNow NY
3
0
0
0
0
0
0
0
3
367
2
110
207
0
0
0
0
686
0
0
0
0
156
1,085
218
0
1,459
411
14
220
479
1,560
8,754
1,072
0
12,510
Excellus BC/BS
1
0
4
2
0
0
0
0
7
Fidelis Care NY
0
0
0
0
1,155
15,605
1,517
0
18,277
HealthNow NY
902
8
290
930
634
4,095
370
0
7,229
1,516
11
357
3,779
0
0
0
0
5,663
MVP
9
0
0
18
0
0
0
0
27
UnitedHlthcr Comm Plan
0
0
0
355
0
0
0
0
355
Univera Community Hlth
0
0
0
0
101
1,046
138
0
1,285
Univera Healthcare
53
16
431
2,325
0
0
0
0
2,825
Total for Chautauqua
2,481
35
1,082
7,409
1,890
20,746
2,025
0
35,668
Excellus BC/BS
20
5
61
0
766
3,790
774
0
5,416
Fidelis Care NY
0
0
0
0
56
4,804
338
0
5,198
HealthNow NY
0
1
41
0
0
0
0
0
42
64
0
6
65
0
0
0
0
135
0
0
0
3
0
0
0
0
3
84
6
108
68
822
8,594
1,112
0
10,794
CDPHP
34
0
12
0
10
0
0
0
56
Excellus BC/BS
14
3
84
0
694
0
0
0
795
Fidelis Care NY
0
0
0
0
187
5,115
838
0
6,140
670
3
81
80
0
0
0
0
834
0
0
0
0
0
921
85
0
1,006
718
6
177
80
891
6,036
923
0
8,831
13
14
147
0
361
0
0
0
535
4
4
85
0
617
0
3
0
713
MVP
UnitedHlthcr Comm Plan
Total for Cayuga
Chautauqua
Independent Health
Chemung
MVP
Univera Healthcare
Total for Chemung
Chenango
MVP
UnitedHlthcr Comm Plan
Total for Chenango
Clinton
Empire
Excellus BC/BS
Enrollment by County - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Fidelis Care NY
0
0
0
0
556
8,208
1,054
0
9,818
HealthNow NY
102
2
110
0
0
0
0
0
214
MVP
160
0
11
14
0
0
0
0
185
UnitedHlthcr Comm Plan
0
0
0
0
0
978
120
0
1,098
Univera Healthcare
0
0
1
0
0
0
0
0
1
279
20
354
14
1,534
9,186
1,177
0
12,564
CDPHP
3,072
20
482
442
956
3,228
282
0
8,482
Empire
68
50
121
2
89
0
0
0
330
Excellus BC/BS
0
0
0
1
0
0
0
0
1
Fidelis Care NY
0
0
0
0
455
2,718
577
0
3,750
21
0
5
0
0
0
0
0
26
169
1
83
904
0
0
0
0
1,157
0
1
0
0
0
0
0
0
1
1,660
4
134
162
0
0
0
0
1,960
2
2
2
0
0
0
0
0
6
4,992
78
827
1,511
1,500
5,946
859
0
15,713
Empire
0
0
1
0
0
0
0
0
1
Excellus BC/BS
5
5
113
1
315
0
0
0
439
Fidelis Care NY
0
0
0
0
555
4,702
601
0
5,858
212
0
61
91
0
0
0
0
364
0
0
0
0
68
1,558
157
0
1,783
217
5
175
92
938
6,260
758
0
8,445
CDPHP
319
0
27
0
194
0
0
0
540
Empire
12
19
92
2
48
0
0
0
173
Excellus BC/BS
8
1
41
0
301
0
0
0
351
Fidelis Care NY
0
0
0
0
269
4,612
730
0
5,611
GHI HMO
0
0
3
0
0
0
0
0
3
HealthNow NY
1
0
0
0
0
0
0
0
1
HIP (EmblemHealth)
0
1
0
0
0
0
0
0
1
566
2
152
89
0
0
0
0
809
Total for Clinton
Columbia
GHI HMO
HealthNow NY
HIP (EmblemHealth)
MVP
Oxford
Total for Columbia
Cortland
MVP
Total Care
Total for Cortland
Delaware
MVP
Enrollment by County - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Oxford
0
5
1
0
0
0
0
0
6
WellCare of New York
0
0
0
0
2
0
0
0
2
906
28
316
91
814
4,612
730
0
7,497
749
20
100
290
0
0
0
0
1,159
0
0
0
170
0
0
0
0
170
CDPHP
1,222
7
83
248
219
0
0
0
1,779
Empire
156
161
953
383
1,237
0
0
0
2,890
0
0
0
0
1,119
4,884
865
0
6,868
11
0
40
0
0
0
0
0
51
HealthNow NY
4
0
0
0
0
0
0
0
4
HIP (EmblemHealth)
0
7
0
0
0
0
0
0
7
Hudson Health Plan
0
0
0
0
1,397
7,374
830
0
9,601
10,844
28
2,017
1,076
1,368
6,709
885
0
22,927
695
35
174
3
0
0
0
0
907
UnitedHlthcr Comm Plan
0
0
0
108
0
0
0
0
108
WellCare of New York
0
0
0
0
649
2,026
237
0
2,912
13,681
258
3,367
2,278
5,989
20,993
2,817
0
49,383
Excellus BC/BS
312
0
5
15
0
0
0
0
332
Fidelis Care NY
0
0
0
0
2,513
26,516
2,772
0
31,801
HealthNow NY
13,063
106
1,131
21,511
3,586
21,539
2,637
0
63,573
Independent Health
41,581
207
3,706
46,068
1,405
36,378
3,626
0
132,971
304
0
2
176
0
0
0
0
482
UnitedHlthcr Comm Plan
0
0
0
173
0
0
0
0
173
Univera Community Hlth
0
0
0
0
4,856
33,998
4,900
0
43,754
92
65
1,758
11,408
0
0
0
0
13,323
55,352
378
6,602
79,351
12,360
118,431
13,935
0
286,409
CDPHP
1
3
4
3
26
0
0
0
37
Empire
0
28
59
0
91
0
0
0
178
Excellus BC/BS
0
0
63
0
315
0
1
0
379
Fidelis Care NY
0
0
0
0
308
3,061
592
0
3,961
Total for Delaware
Dutchess
Aetna
Catholic Spec Nds Pln
Fidelis Care NY
GHI HMO
MVP
Oxford
Total for Dutchess
Erie
MVP
Univera Healthcare
Total for Erie
Essex
Enrollment by County - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
HealthNow NY
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
51
2
90
0
0
0
0
0
143
435
0
10
49
0
0
0
0
494
487
33
226
52
740
3,061
593
0
5,192
CDPHP
0
0
2
0
0
0
0
0
2
Excellus BC/BS
2
7
163
0
579
0
1
0
752
Fidelis Care NY
0
0
0
0
148
4,711
646
0
5,505
HealthNow NY
9
0
2
0
0
0
0
0
11
186
0
87
19
0
0
0
0
292
197
7
254
19
727
4,711
647
0
6,562
CDPHP
394
4
134
45
451
1,304
131
0
2,463
Empire
0
6
46
0
93
0
0
0
145
Excellus BC/BS
0
2
3
0
43
0
0
0
48
Fidelis Care NY
0
0
0
0
833
6,712
976
0
8,521
HealthNow NY
373
0
65
687
0
0
0
0
1,125
1,523
0
105
970
0
0
0
0
2,598
2,290
12
353
1,702
1,420
8,016
1,107
0
14,900
1
0
0
0
0
0
0
0
1
Excellus BC/BS
15
0
15
42
0
0
0
0
72
Fidelis Care NY
0
0
0
0
118
733
163
0
1,014
HealthNow NY
478
3
72
502
828
2,442
399
0
4,724
Independent Health
690
2
147
1,368
0
0
0
0
2,207
1,552
5
116
3,504
0
1,972
207
0
7,356
UnitedHlthcr Comm Plan
0
0
0
73
0
0
0
0
73
Univera Healthcare
5
3
104
315
0
0
0
0
427
2,741
13
454
5,804
946
5,147
769
0
15,874
CDPHP
529
16
358
394
556
2,717
236
0
4,806
Empire
23
26
86
1
84
0
0
0
220
0
0
0
0
259
2,802
419
0
3,480
10
0
4
0
0
0
0
0
14
MVP
Total for Essex
Franklin
MVP
Total for Franklin
Fulton
MVP
Total for Fulton
Genesee
CDPHP
MVP
Total for Genesee
Greene
Fidelis Care NY
GHI HMO
Enrollment by County - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
HealthNow NY
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
88
3
81
584
0
0
0
0
756
546
1
120
104
0
0
0
0
771
1
0
1
1
0
0
0
0
3
1,197
46
650
1,084
899
5,519
655
0
10,050
CDPHP
6
0
0
2
0
0
0
0
8
Excellus BC/BS
0
0
18
1
33
0
0
0
52
Fidelis Care NY
0
0
0
0
42
345
79
0
466
HealthNow NY
1
0
0
0
0
0
0
0
1
175
0
22
85
0
0
0
0
282
182
0
40
88
75
345
79
0
809
65
1
18
2
33
0
0
0
119
Excellus BC/BS
2
4
162
0
551
1,471
238
0
2,428
Fidelis Care NY
0
0
0
0
1,155
6,681
1,082
0
8,918
HealthNow NY
2
0
0
0
0
0
0
0
2
918
0
123
197
0
0
0
0
1,238
0
0
0
0
23
59
5
0
87
987
5
303
199
1,762
8,211
1,325
0
12,792
Excellus BC/BS
4
3
322
1
2,017
3,422
1,369
0
7,138
HealthNow NY
5
0
0
0
0
0
0
0
5
516
1
30
125
0
0
0
0
672
0
0
0
0
0
822
173
0
995
525
4
352
126
2,017
4,244
1,542
0
8,810
9,512
251
695
1,603
0
0
0
0
12,061
Affinity Health Plan
0
0
0
0
876
27,074
3,708
0
31,658
Amidacare SNP
0
0
0
0
0
0
0
1,949
1,949
Elderplan
0
0
0
6,539
0
0
0
0
6,539
3,128
527
5,638
7,614
10,886
0
0
0
27,793
Fidelis Care NY
0
0
0
0
4,039
87,345
16,140
0
107,524
GHI HMO
6
0
1
0
0
0
0
0
7
MVP
Oxford
Total for Greene
Hamilton
MVP
Total for Hamilton
Herkimer
CDPHP
MVP
UnitedHlthcr Comm Plan
Total for Herkimer
Jefferson
MVP
UnitedHlthcr Comm Plan
Total for Jefferson
Kings (Brooklyn)
Aetna
Empire
Enrollment by County - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Healthfirst
0
0
0
0
3,729
146,301
14,784
0
164,814
HealthNow NY
1
0
0
0
0
0
0
0
1
HealthPlus
0
0
0
0
10,739
152,391
18,509
0
181,639
HIP (EmblemHealth)
63,160
346
170
22,803
1,586
54,074
5,527
0
147,666
Managed Health Inc.
0
0
135
29,758
0
0
0
0
29,893
MetroPlus Health Plan
0
0
0
0
3,727
106,424
9,351
0
119,502
MetroPlus Hlth Plan SNP
0
0
0
0
0
0
0
1,854
1,854
36
0
1
4
0
0
0
0
41
0
0
0
0
1,578
48,026
4,645
0
54,249
21,578
656
6,015
15,847
0
0
0
0
44,096
Touchstone Health
0
0
0
2,762
0
0
0
0
2,762
UnitedHlthcr Comm Plan
0
0
0
1,324
5,037
136,829
19,415
0
162,605
Univera Healthcare
0
0
1
0
0
0
0
0
1
VNSNY CHOICE SNP
0
0
0
0
0
0
0
1,438
1,438
WellCare of New York
0
0
0
0
600
16,592
2,855
0
20,047
97,421
1,780
12,656
88,254
42,797
775,056
94,934
5,241
1,118,139
Excellus BC/BS
1
1
91
0
792
841
201
0
1,927
Fidelis Care NY
0
0
0
0
40
455
151
0
646
145
0
53
25
0
0
0
0
223
146
1
144
25
832
1,296
352
0
2,796
Excellus BC/BS
298
11
147
2,318
881
3,863
501
0
8,019
Fidelis Care NY
0
0
0
0
92
667
104
0
863
HealthNow NY
26
0
0
0
0
0
0
0
26
1,664
3
71
3,942
0
1,139
64
0
6,883
0
0
0
5
0
0
0
0
5
1,988
14
218
6,265
973
5,669
669
0
15,796
Arcadian Hlth Plan of NY
0
0
0
59
0
0
0
0
59
CDPHP
0
0
1
3
14
0
0
0
18
Excellus BC/BS
4
8
126
0
957
3,603
520
0
5,218
Fidelis Care NY
0
0
0
0
265
2,342
346
0
2,953
MVP
Neighborhood Hlth Prov
Oxford
Total for Kings (Brooklyn)
Lewis
MVP
Total for Lewis
Livingston
MVP
Univera Healthcare
Total for Livingston
Madison
Enrollment by County - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
MVP
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
778
1
156
134
0
0
0
0
1,069
0
0
0
0
113
768
210
0
1,091
782
9
283
196
1,349
6,713
1,076
0
10,408
CDPHP
11
0
0
0
0
0
0
0
11
Empire
19
0
0
0
0
0
0
0
19
Excellus BC/BS
20,986
242
2,789
25,336
10,796
67,414
7,045
0
134,608
Fidelis Care NY
0
0
0
0
746
17,413
1,823
0
19,982
HealthNow NY
40
6
34
1
0
0
0
0
81
0
1
0
0
0
0
0
0
1
20,072
86
801
57,802
0
13,647
595
0
93,003
Oxford
0
0
2
0
0
0
0
0
2
UnitedHlthcr Comm Plan
0
0
0
408
0
0
0
0
408
Univera Healthcare
0
0
5
15
0
0
0
0
20
41,128
335
3,631
83,562
11,542
98,474
9,463
0
248,135
CDPHP
3,462
1
283
326
658
3,234
359
0
8,323
Empire
12
9
64
0
68
0
0
0
153
Excellus BC/BS
0
0
11
0
48
0
0
0
59
Fidelis Care NY
0
0
0
0
656
5,192
850
0
6,698
GHI HMO
0
0
14
0
0
0
0
0
14
155
1
55
248
0
0
0
0
459
1,214
4
76
857
0
0
0
0
2,151
Oxford
0
1
0
0
0
0
0
0
1
UnitedHlthcr Comm Plan
0
0
0
1
0
0
0
0
1
4,843
16
503
1,432
1,430
8,426
1,209
0
17,859
5,701
206
663
225
0
0
0
0
6,795
0
0
0
0
1,942
12,959
2,561
0
17,462
CDPHP
44
0
0
0
0
0
0
0
44
Empire
4,789
667
6,818
7,229
8,523
0
0
0
28,026
Excellus BC/BS
28
0
0
0
0
0
0
0
28
Fidelis Care NY
0
0
0
0
5,213
19,519
3,833
0
28,565
UnitedHlthcr Comm Plan
Total for Madison
Monroe
HIP (EmblemHealth)
MVP
Total for Monroe
Montgomery
HealthNow NY
MVP
Total for Montgomery
Nassau
Aetna
Affinity Health Plan
Enrollment by County - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
GHI HMO
0
1
2
0
0
0
0
0
3
Healthfirst
0
0
0
0
4,325
18,563
3,557
0
26,445
HealthNow NY
2
0
0
0
0
0
0
0
2
HealthPlus
0
0
0
0
2,247
8,665
2,106
0
13,018
HIP (EmblemHealth)
23,864
564
195
19,469
2,333
16,224
2,311
0
64,960
Managed Health Inc.
0
0
56
2,267
0
0
0
0
2,323
27
0
5
28
0
0
0
0
60
38,041
1028
6,168
28
0
0
0
0
45,265
Quality Health Plan
0
0
0
7
0
0
0
0
7
UnitedHlthcr Comm Plan
0
0
0
283
4,729
20,914
4,430
0
30,356
Univera Healthcare
0
0
0
2
0
0
0
0
2
72,496
2,466
13,907
29,538
29,312
96,844
18,798
0
263,361
7,282
824
717
987
0
0
0
0
9,810
Affinity Health Plan
0
0
0
0
492
21,801
2,259
0
24,552
Amidacare SNP
0
0
0
0
0
0
0
996
996
Catholic Spec Nds Pln
0
0
0
533
0
0
0
0
533
104
0
0
0
0
0
0
0
104
0
0
0
1,256
0
0
0
0
1,256
19,328
2176
4,057
5,592
1,557
0
0
0
32,710
Excellus BC/BS
132
0
0
0
0
0
0
0
132
Fidelis Care NY
0
0
0
0
1,425
43,915
5,649
0
50,989
1,919
0
5
0
0
0
0
0
1,924
Healthfirst
0
0
0
0
1,251
60,824
5,477
0
67,552
HealthPlus
0
0
0
0
1,031
24,464
2,794
0
28,289
HIP (EmblemHealth)
198,004
442
1,384
10,316
485
16,339
1,985
0
228,955
Managed Health Inc.
0
0
71
22,044
0
0
0
0
22,115
MetroPlus Health Plan
0
0
0
0
1,245
45,533
3,368
0
50,146
MetroPlus Hlth Plan SNP
0
0
0
0
0
0
0
771
771
53
0
3
7
0
0
0
0
63
0
0
0
0
949
36,322
3,246
0
40,517
94,981
2132
7,067
13,412
0
0
0
0
117,592
0
0
0
92
0
0
0
0
92
MVP
Oxford
Total for Nassau
New York (Manhattan)
Aetna
CDPHP
Elderplan
Empire
GHI HMO
MVP
Neighborhood Hlth Prov
Oxford
Touchstone Health
Enrollment by County - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
UnitedHlthcr Comm Plan
0
0
0
7,215
292
8,676
1,468
0
17,651
Univera Healthcare
0
0
0
1
0
0
0
0
1
VNSNY CHOICE SNP
0
0
0
0
0
0
0
1,280
1,280
WellCare of New York
0
0
0
0
278
8,026
1,339
0
9,643
321,803
5,574
13,304
61,455
9,005
265,900
27,585
3,047
707,673
Excellus BC/BS
6
0
0
0
0
0
0
0
6
Fidelis Care NY
0
0
0
0
1,391
9,426
1,737
0
12,554
HealthNow NY
2,561
22
276
3,723
1,769
8,704
1,356
0
18,411
10,485
26
979
11,492
0
7,605
0
0
30,587
180
0
4
75
0
0
0
0
259
Oxford
0
1
0
0
0
0
0
0
1
UnitedHlthcr Comm Plan
0
0
0
5
0
0
0
0
5
Univera Healthcare
4
6
335
1,488
0
0
0
0
1,833
13,236
55
1,594
16,783
3,160
25,735
3,093
0
63,656
0
0
0
138
0
0
0
0
138
CDPHP
86
4
32
67
28
0
0
0
217
Empire
0
0
1
0
0
0
0
0
1
Excellus BC/BS
57
17
606
2
1,926
6,596
893
0
10,097
Fidelis Care NY
0
0
0
0
2,326
24,490
2,898
0
29,714
HealthNow NY
7
0
0
0
0
0
0
0
7
5,489
6
493
566
0
0
0
0
6,554
0
0
0
330
425
3,951
514
0
5,220
5,639
27
1,132
1,103
4,705
35,037
4,305
0
51,948
125
10
25
1,316
0
0
0
0
1,476
Arcadian Hlth Plan of NY
0
0
0
489
0
0
0
0
489
CDPHP
0
0
0
1
0
0
0
0
1
Excellus BC/BS
1,447
89
638
5
3,195
9,939
1,200
0
16,513
Fidelis Care NY
0
0
0
0
2,788
16,431
2,129
0
21,348
HealthNow NY
9
4
62
0
0
0
0
0
75
1,079
0
0
0
0
0
0
0
1,079
Total for New York (Manhattan)
Niagara
Independent Health
MVP
Total for Niagara
Oneida
Arcadian Hlth Plan of NY
MVP
UnitedHlthcr Comm Plan
Total for Oneida
Onondaga
Aetna
HIP (EmblemHealth)
Enrollment by County - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
MVP
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
3,658
7
707
1,210
0
0
0
0
5,582
Oxford
0
1
2
0
0
0
0
0
3
Total Care
0
0
0
0
1,160
23,766
1,727
0
26,653
UnitedHlthcr Comm Plan
0
0
0
83
870
7,196
966
0
9,115
Univera Healthcare
0
0
0
2
0
0
0
0
2
6,318
111
1,434
3,106
8,013
57,332
6,022
0
82,336
Excellus BC/BS
532
37
324
4,527
1,975
7,876
1,192
0
16,463
Fidelis Care NY
0
0
0
0
41
256
37
0
334
HealthNow NY
1
0
0
0
0
0
0
0
1
2,684
8
124
6,660
0
619
50
0
10,145
0
0
0
1
0
0
0
0
1
3,217
45
448
11,188
2,016
8,751
1,279
0
26,944
2,611
51
140
150
0
0
0
0
2,952
Affinity Health Plan
0
0
0
0
2,198
14,903
1,782
0
18,883
Catholic Spec Nds Pln
0
0
0
29
0
0
0
0
29
CDPHP
88
0
97
3
114
0
0
0
302
Empire
326
135
1,465
389
2,172
0
0
0
4,487
0
0
0
0
1,553
17,897
1,344
0
20,794
321
1
76
0
0
0
0
0
398
8
0
0
0
0
0
0
0
8
HIP (EmblemHealth)
16
16
0
3
0
0
0
0
35
Hudson Health Plan
0
0
0
0
2,315
12,668
1,572
0
16,555
5,244
7
1,006
183
0
0
0
0
6,440
928
32
334
1,429
0
0
0
0
2,723
Touchstone Health
0
0
0
241
0
0
0
0
241
UnitedHlthcr Comm Plan
0
0
0
15
0
158
49
0
222
WellCare of New York
0
0
0
0
481
1,639
238
0
2,358
9,542
242
3,118
2,442
8,833
47,265
4,985
0
76,427
Excellus BC/BS
0
0
5
40
247
1,917
249
0
2,458
Fidelis Care NY
0
0
0
0
350
2,150
425
0
2,925
Total for Onondaga
Ontario
MVP
UnitedHlthcr Comm Plan
Total for Ontario
Orange
Aetna
Fidelis Care NY
GHI HMO
HealthNow NY
MVP
Oxford
Total for Orange
Orleans
Enrollment by County - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
HealthNow NY
236
4
23
238
181
1,113
147
0
1,942
Independent Health
309
0
42
669
0
0
0
0
1,020
MVP
925
1
59
2,600
0
0
0
0
3,585
UnitedHlthcr Comm Plan
0
0
0
1
0
0
0
0
1
Univera Healthcare
6
0
98
278
0
0
0
0
382
1,476
5
227
3,826
778
5,180
821
0
12,313
Aetna
60
0
9
668
0
0
0
0
737
CDPHP
0
0
1
0
0
0
0
0
1
Excellus BC/BS
22
8
174
1
555
3,552
493
0
4,805
Fidelis Care NY
0
0
0
0
985
10,063
1,232
0
12,280
HealthNow NY
4
1
56
0
0
0
0
0
61
1,335
0
111
231
0
0
0
0
1,677
Total Care
0
0
0
0
931
0
0
0
931
UnitedHlthcr Comm Plan
0
0
0
0
316
5,153
592
0
6,061
1,421
9
351
900
2,787
18,768
2,317
0
26,553
CDPHP
205
8
39
11
346
0
0
0
609
Empire
0
2
19
0
0
0
0
0
21
Excellus BC/BS
32
8
101
0
529
3,284
356
0
4,310
Fidelis Care NY
0
0
0
0
333
2,366
542
0
3,241
GHI HMO
1
0
1
0
0
0
0
0
2
779
1
109
109
0
0
0
0
998
1,017
19
269
120
1,208
5,650
898
0
9,181
1,000
22
98
82
0
0
0
0
1,202
184
61
658
237
1,174
0
0
0
2,314
Excellus BC/BS
0
0
0
1
0
0
0
0
1
Fidelis Care NY
0
0
0
0
826
2,514
419
0
3,759
GHI HMO
0
0
32
0
0
0
0
0
32
HealthPlus
0
0
0
0
0
112
0
0
112
HIP (EmblemHealth)
0
6
0
0
0
0
0
0
6
677
1
233
5
0
0
0
0
916
Total for Orleans
Oswego
MVP
Total for Oswego
Otsego
MVP
Total for Otsego
Putnam
Aetna
Empire
MVP
Enrollment by County - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Oxford
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
1,154
31
315
1
0
0
0
0
1,501
0
0
0
7
0
0
0
0
7
3,015
121
1,336
333
2,000
2,626
419
0
9,850
9,764
172
451
1,789
0
0
0
0
12,176
Affinity Health Plan
0
0
0
0
1,271
29,631
5,969
0
36,871
Amidacare SNP
0
0
0
0
0
0
0
344
344
CDPHP
0
0
2
0
0
0
0
0
2
Elderplan
0
0
0
4,708
0
0
0
0
4,708
2,538
470
4,306
14,510
7,314
0
0
0
29,138
Excellus BC/BS
14
0
0
0
0
0
0
0
14
Fidelis Care NY
0
0
0
0
5,878
76,826
16,504
0
99,208
GHI HMO
3
0
18
0
0
0
0
0
21
Healthfirst
0
0
0
0
4,682
90,961
13,651
0
109,294
HealthPlus
0
0
0
0
9,834
88,765
18,663
0
117,262
HIP (EmblemHealth)
17,242
510
80
24,388
3,563
51,248
8,734
0
105,765
Managed Health Inc.
0
0
124
17,375
0
0
0
0
17,499
MetroPlus Health Plan
0
0
0
0
5,985
109,715
14,840
0
130,540
MetroPlus Hlth Plan SNP
0
0
0
0
0
0
0
746
746
49
0
2
12
0
0
0
0
63
0
0
0
0
3,273
54,378
7,983
0
65,634
19,491
666
5,817
26,024
0
0
0
0
51,998
Quality Health Plan
0
0
0
4
0
0
0
0
4
Touchstone Health
0
0
0
1,955
0
0
0
0
1,955
UnitedHlthcr Comm Plan
0
0
0
1,450
2,453
33,462
7,028
0
44,393
Univera Healthcare
0
0
0
1
0
0
0
0
1
VNSNY CHOICE SNP
0
0
0
0
0
0
0
544
544
WellCare of New York
0
0
0
0
852
15,256
3,719
0
19,827
49,101
1,818
10,800
92,216
45,105
550,242
97,091
1,634
848,007
CDPHP
11,038
39
846
4,693
1,990
12,832
934
0
32,372
Empire
97
24
91
176
168
0
0
0
556
6
0
0
1
0
0
0
0
7
UnitedHlthcr Comm Plan
Total for Putnam
Queens
Aetna
Empire
MVP
Neighborhood Hlth Prov
Oxford
Total for Queens
Rensselaer
Excellus BC/BS
Enrollment by County - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Fidelis Care NY
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
0
0
0
0
578
4,407
721
0
5,706
66
0
1
0
0
0
0
0
67
413
3
145
1,029
0
0
0
0
1,590
2,251
2
189
805
0
0
0
0
3,247
UnitedHlthcr Comm Plan
0
0
0
35
0
0
0
0
35
WellCare of New York
0
0
0
0
61
821
104
0
986
13,871
68
1,272
6,739
2,797
18,060
1,759
0
44,566
2,309
41
132
676
0
0
0
0
3,158
Affinity Health Plan
0
0
0
0
63
2,987
258
0
3,308
Amidacare SNP
0
0
0
0
0
0
0
222
222
Catholic Spec Nds Pln
0
0
0
164
0
0
0
0
164
Elderplan
0
0
0
1,573
0
0
0
0
1,573
492
99
672
4,217
1,470
0
0
0
6,950
Fidelis Care NY
0
0
0
0
1,041
12,279
1,894
0
15,214
Healthfirst
0
0
0
0
272
7,017
744
0
8,033
HealthNow NY
1
0
0
0
0
0
0
0
1
HealthPlus
0
0
0
0
3,247
32,793
4,369
0
40,409
HIP (EmblemHealth)
1,531
132
6
8,107
395
9,027
1,142
0
20,340
Managed Health Inc.
0
0
18
507
0
0
0
0
525
MetroPlus Health Plan
0
0
0
0
0
474
23
0
497
MetroPlus Hlth Plan SNP
0
0
0
0
0
0
0
41
41
MVP
4
0
0
6
0
0
0
0
10
Neighborhood Hlth Prov
0
0
0
0
10
1,237
73
0
1,320
2,615
94
750
3,637
0
0
0
0
7,096
Touchstone Health
0
0
0
3,415
0
0
0
0
3,415
UnitedHlthcr Comm Plan
0
0
0
782
518
8,814
1,784
0
11,898
VNSNY CHOICE SNP
0
0
0
0
0
0
0
51
51
WellCare of New York
0
0
0
0
0
59
7
0
66
6,952
366
1,578
23,084
7,016
74,687
10,294
314
124,291
2,523
79
238
1,096
0
0
0
0
3,936
0
0
0
0
609
4,915
641
0
6,165
GHI HMO
HealthNow NY
MVP
Total for Rensselaer
Richmond (Staten Island)
Aetna
Empire
Oxford
Total for Richmond (Staten Island)
Rockland
Aetna
Affinity Health Plan
Enrollment by County - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
CDPHP
8
0
0
0
0
0
0
0
8
Empire
490
95
1,265
1,277
2,780
0
0
0
5,907
Excellus BC/BS
0
1
2
0
0
0
0
0
3
Fidelis Care NY
0
0
0
0
3,490
36,689
3,512
0
43,691
52
0
17
0
0
0
0
0
69
HIP (EmblemHealth)
402
43
0
2
0
0
0
0
447
Hudson Health Plan
0
0
0
0
1,678
9,189
1,193
0
12,060
186
1
203
14
0
0
0
0
404
5,633
172
1,232
1,695
0
0
0
0
8,732
UnitedHlthcr Comm Plan
0
0
0
3
0
298
142
0
443
WellCare of New York
0
0
0
0
369
2,627
164
0
3,160
9,294
391
2,957
4,087
8,926
53,718
5,652
0
85,025
CDPHP
6,608
68
1,431
5,276
2,638
8,858
981
0
25,860
Empire
39
63
215
250
291
0
0
0
858
Excellus BC/BS
6
0
0
0
0
0
0
0
6
Fidelis Care NY
0
0
0
0
1,015
4,868
1,301
0
7,184
GHI HMO
0
0
21
0
0
0
0
0
21
528
5
350
1,883
0
0
0
0
2,766
6,957
6
325
2,808
0
0
0
0
10,096
163
0
0
0
0
0
0
0
163
0
0
0
96
0
0
0
0
96
14,301
142
2,342
10,313
3,944
13,726
2,282
0
47,050
CDPHP
4,783
35
765
3,401
1,913
10,551
788
0
22,236
Empire
98
41
131
144
210
0
0
0
624
Excellus BC/BS
33
0
0
0
0
0
0
0
33
Fidelis Care NY
0
0
0
0
1,427
9,649
1,373
0
12,449
GHI HMO
1
0
0
0
0
0
0
0
1
349
5
207
1,387
0
0
0
0
1,948
5,095
2
270
2,874
0
0
0
0
8,241
UnitedHlthcr Comm Plan
0
0
0
83
0
0
0
0
83
Univera Healthcare
0
0
0
1
0
0
0
0
1
GHI HMO
MVP
Oxford
Total for Rockland
Saratoga
HealthNow NY
MVP
Oxford
UnitedHlthcr Comm Plan
Total for Saratoga
Schenectady
HealthNow NY
MVP
Enrollment by County - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
10,359
83
1,373
7,890
3,550
20,200
2,161
0
45,616
CDPHP
506
4
155
280
567
1,700
239
0
3,451
Empire
3
19
56
0
56
0
0
0
134
Fidelis Care NY
0
0
0
0
49
1,335
357
0
1,741
HealthNow NY
1
0
0
0
0
0
0
0
1
481
1
63
299
0
0
0
0
844
991
24
274
579
672
3,035
596
0
6,171
Excellus BC/BS
0
19
23
7
252
984
260
0
1,545
Fidelis Care NY
0
0
0
0
17
709
105
0
831
HealthNow NY
4
0
0
0
0
0
0
0
4
16
0
2
35
0
0
0
0
53
20
19
25
42
269
1,693
365
0
2,433
0
0
0
1
0
0
0
0
1
Excellus BC/BS
370
7
85
903
523
3,401
481
0
5,770
MVP
769
1
33
1,247
0
0
0
0
2,050
1,139
8
118
2,151
523
3,401
481
0
7,821
Excellus BC/BS
1
3
107
4
1,761
2,625
1,336
0
5,837
Fidelis Care NY
0
0
0
0
95
501
117
0
713
71
3
36
45
0
0
0
0
155
Quality Health Plan
0
0
0
22
0
0
0
0
22
Total for St. Lawrence
72
6
143
71
1,856
3,126
1,453
0
6,727
Excellus BC/BS
35
7
147
43
1,317
4,058
259
0
5,866
Fidelis Care NY
0
0
0
0
200
4,157
1,038
0
5,395
HealthNow NY
67
0
1
0
0
0
0
0
68
512
3
151
721
0
0
0
0
1,387
0
0
0
5
0
0
0
0
5
614
10
299
769
1,517
8,215
1,297
0
12,721
Total for Schenectady
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Schoharie
MVP
Total for Schoharie
Schuyler
MVP
Total for Schuyler
Seneca
Empire
Total for Seneca
St. Lawrence
MVP
Steuben
MVP
Univera Healthcare
Total for Steuben
Enrollment by County - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Suffolk
Aetna
6,538
116
595
292
0
0
0
0
7,541
0
0
0
0
4,353
17,356
3,495
0
25,204
CDPHP
96
0
0
0
0
0
0
0
96
Empire
8,702
582
8,795
9,572
9,925
0
0
0
37,576
Fidelis Care NY
0
0
0
0
8,045
22,729
4,942
0
35,716
Healthfirst
0
0
0
0
5,024
18,217
3,012
0
26,253
HIP (EmblemHealth)
25,993
399
443
7,169
2,400
17,408
2,826
0
56,638
Managed Health Inc.
0
0
113
34
0
0
0
0
147
32
0
0
25
0
0
0
0
57
0
0
0
0
3,761
22,116
2,806
0
28,683
31,825
474
9,452
28
0
0
0
0
41,779
UnitedHlthcr Comm Plan
0
0
0
326
6,665
27,718
5,703
0
40,412
Univera Healthcare
0
0
0
1
0
0
0
0
1
73,186
1,571
19,398
17,447
40,173
125,544
22,784
0
300,103
Aetna
145
4
25
16
0
0
0
0
190
Empire
70
44
368
96
212
0
0
0
790
0
0
0
0
223
2,918
432
0
3,573
55
0
20
0
0
0
0
0
75
HealthNow NY
1
0
0
0
0
0
0
0
1
HIP (EmblemHealth)
1
0
0
0
0
0
0
0
1
Hudson Health Plan
0
0
0
0
1,494
8,465
1,115
0
11,074
1,259
1
261
30
0
0
0
0
1,551
39
23
56
3
0
0
0
0
121
1,570
72
730
145
1,929
11,383
1,547
0
17,376
Aetna
10
0
4
114
0
0
0
0
128
CDPHP
4
0
10
0
61
1,172
222
0
1,469
Excellus BC/BS
4
4
65
0
484
0
0
0
557
Fidelis Care NY
0
0
0
0
91
2,177
302
0
2,570
HealthNow NY
0
0
1
0
0
0
0
0
1
182
0
55
97
0
0
0
0
334
Affinity Health Plan
MVP
Neighborhood Hlth Prov
Oxford
Total for Suffolk
Sullivan
Fidelis Care NY
GHI HMO
MVP
Oxford
Total for Sullivan
Tioga
MVP
Enrollment by County - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
UnitedHlthcr Comm Plan
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
0
0
0
0
0
219
59
0
278
200
4
135
211
636
3,568
583
0
5,337
Excellus BC/BS
34
25
412
4
572
347
51
0
1,445
Fidelis Care NY
0
0
0
0
197
2,008
241
0
2,446
HealthNow NY
1
0
0
0
0
0
0
0
1
110
0
6
117
0
0
0
0
233
Oxford
0
0
1
0
0
0
0
0
1
Total Care
0
0
0
0
360
5,144
535
0
6,039
145
25
419
121
1,129
7,499
827
0
10,165
210
15
19
101
0
0
0
0
345
CDPHP
3,131
10
272
626
356
0
0
0
4,395
Empire
83
91
418
113
425
0
0
0
1,130
0
0
0
0
756
4,371
561
0
5,688
426
2
556
0
0
0
0
0
984
HealthNow NY
2
0
0
0
0
0
0
0
2
HIP (EmblemHealth)
0
0
0
1
0
0
0
0
1
Hudson Health Plan
0
0
0
0
845
5,363
768
0
6,976
7,101
20
1,698
1,135
641
5,744
1,002
0
17,341
32
19
68
3
0
0
0
0
122
UnitedHlthcr Comm Plan
0
0
0
40
0
0
0
0
40
WellCare of New York
0
0
0
0
378
2,481
316
0
3,175
10,985
157
3,031
2,019
3,401
17,959
2,647
0
40,199
CDPHP
1,274
11
419
193
527
0
0
0
2,424
Empire
51
36
159
2
246
0
0
0
494
Excellus BC/BS
0
0
0
1
0
0
0
0
1
Fidelis Care NY
0
0
0
0
842
2,943
808
0
4,593
GHI HMO
2
0
0
0
0
0
0
0
2
HealthNow NY
318
2
181
1,223
0
0
0
0
1,724
HIP (EmblemHealth)
100
0
0
0
0
0
0
0
100
1,929
2
158
1,323
0
0
0
0
3,412
Total for Tioga
Tompkins
MVP
Total for Tompkins
Ulster
Aetna
Fidelis Care NY
GHI HMO
MVP
Oxford
Total for Ulster
Warren
MVP
Enrollment by County - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Oxford
0
1
0
0
0
0
0
0
1
UnitedHlthcr Comm Plan
0
0
0
0
0
241
74
0
315
3,674
52
917
2,742
1,615
3,184
882
0
13,066
CDPHP
1,363
2
350
160
602
2,472
242
0
5,191
Empire
31
4
87
2
184
0
0
0
308
Fidelis Care NY
0
0
0
0
849
4,019
701
0
5,569
GHI HMO
0
0
11
0
0
0
0
0
11
111
4
122
829
0
0
0
0
1,066
1,275
0
139
857
0
0
0
0
2,271
3
0
0
0
0
0
0
0
3
2,783
10
709
1,848
1,635
6,491
943
0
14,419
Excellus BC/BS
1,128
8
275
3,814
1,982
7,663
1,022
0
15,892
Fidelis Care NY
0
0
0
0
169
1,333
130
0
1,632
HealthNow NY
2
1
4
0
0
0
0
0
7
2,015
3
130
5,616
0
0
0
0
7,764
0
0
0
1
0
0
0
0
1
3,145
12
409
9,431
2,151
8,996
1,152
0
25,296
4,359
256
669
2,593
0
0
0
0
7,877
Affinity Health Plan
0
0
0
0
1,537
13,998
1,828
0
17,363
Catholic Spec Nds Pln
0
0
0
278
0
0
0
0
278
CDPHP
1,151
0
0
0
0
0
0
0
1,151
Empire
2,863
704
3,407
7,018
3,416
0
0
0
17,408
Excellus BC/BS
174
0
0
0
0
0
0
0
174
Fidelis Care NY
0
0
0
0
2,051
17,841
2,851
0
22,743
24
0
7
0
0
0
0
0
31
1
0
0
0
0
0
0
0
1
HIP (EmblemHealth)
8,217
203
7
1,713
760
7,860
909
0
19,669
Hudson Health Plan
0
0
0
0
9,258
46,423
5,716
0
61,397
1,031
0
20
20
0
0
0
0
1,071
30,753
1049
3,336
5,326
0
0
0
0
40,464
Total for Warren
Washington
HealthNow NY
MVP
Oxford
Total for Washington
Wayne
MVP
Univera Healthcare
Total for Wayne
Westchester
Aetna
GHI HMO
HealthNow NY
MVP
Oxford
Enrollment by County - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Touchstone Health
0
0
0
625
0
0
0
0
625
UnitedHlthcr Comm Plan
0
0
0
179
0
961
544
0
1,684
Univera Healthcare
0
0
0
2
0
0
0
0
2
Total for Westchester
48,573
2,212
7,446
17,754
17,022
87,083
11,848
0
191,938
Excellus BC/BS
1
0
1
17
0
0
0
0
19
Fidelis Care NY
0
0
0
0
146
629
212
0
987
HealthNow NY
605
2
46
610
542
1,108
343
0
3,256
Independent Health
628
1
114
1,284
0
0
0
0
2,027
MVP
609
1
33
1,205
0
0
0
0
1,848
UnitedHlthcr Comm Plan
0
0
0
2
0
0
0
0
2
Univera Healthcare
0
4
92
306
0
0
0
0
402
1,843
8
286
3,424
688
1,737
555
0
8,541
Excellus BC/BS
195
6
68
820
425
2,531
481
0
4,526
HealthNow NY
2
0
0
0
0
0
0
0
2
377
2
27
1,367
0
0
0
0
1,773
574
8
95
2,187
425
2,531
481
0
6,301
701,234 341,001
3,327,259
431,300
17,072
6,010,195
Wyoming
Total for Wyoming
Yates
MVP
Total for Yates
Total NYS Enrollment
1,042,279
19,611 130,439
III.
ENROLLMENT BY PLAN Enrollment by Plan - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Aetna
Bronx
5,087
67
76
961
0
0
0
0
6,191
Broome
42
2
6
464
0
0
0
0
514
Cayuga
9
2
2
261
0
0
0
0
274
749
20
100
290
0
0
0
0
1,159
Kings (Brooklyn)
9,512
251
695
1,603
0
0
0
0
12,061
Nassau
5,701
206
663
225
0
0
0
0
6,795
New York (Manhattan)
7,282
824
717
987
0
0
0
0
9,810
125
10
25
1,316
0
0
0
0
1,476
Orange
2,611
51
140
150
0
0
0
0
2,952
Oswego
60
0
9
668
0
0
0
0
737
Putnam
1,000
22
98
82
0
0
0
0
1,202
Queens
9,764
172
451
1,789
0
0
0
0
12,176
Richmond (Staten Island)
2,309
41
132
676
0
0
0
0
3,158
Rockland
2,523
79
238
1,096
0
0
0
0
3,936
Suffolk
6,538
116
595
292
0
0
0
0
7,541
145
4
25
16
0
0
0
0
190
Tioga
10
0
4
114
0
0
0
0
128
Ulster
210
15
19
101
0
0
0
0
345
Westchester
4,359
256
669
2,593
0
0
0
0
7,877
Total for Aetna
58,036
2,138
4,664
13,684
0
0
0
0
78,522
Bronx
0
0
0
0
2,411
69,421
6,620
0
78,452
Kings (Brooklyn)
0
0
0
0
876
27,074
3,708
0
31,658
Nassau
0
0
0
0
1,942
12,959
2,561
0
17,462
New York (Manhattan)
0
0
0
0
492
21,801
2,259
0
24,552
Orange
0
0
0
0
2,198
14,903
1,782
0
18,883
Queens
0
0
0
0
1,271
29,631
5,969
0
36,871
Richmond (Staten Island)
0
0
0
0
63
2,987
258
0
3,308
Rockland
0
0
0
0
609
4,915
641
0
6,165
Suffolk
0
0
0
0
4,353
17,356
3,495
0
25,204
Westchester
0
0
0
0
1,537
13,998
1,828
0
17,363
0
0
0
0
15,752
215,045
29,121
0
259,918
Dutchess
Onondaga
Sullivan
Affinity Health Plan
Total for Affinity Health Plan
Enrollment by Plan - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Amidacare SNP
Bronx
0
0
0
0
0
0
0
2,135
2,135
Kings (Brooklyn)
0
0
0
0
0
0
0
1,949
1,949
New York (Manhattan)
0
0
0
0
0
0
0
996
996
Queens
0
0
0
0
0
0
0
344
344
Richmond (Staten Island)
0
0
0
0
0
0
0
222
222
0
0
0
0
0
0
0
5,646
5,646
Madison
0
0
0
59
0
0
0
0
59
Oneida
0
0
0
138
0
0
0
0
138
Onondaga
0
0
0
489
0
0
0
0
489
0
0
0
686
0
0
0
0
686
Bronx
0
0
0
53
0
0
0
0
53
Dutchess
0
0
0
170
0
0
0
0
170
New York (Manhattan)
0
0
0
533
0
0
0
0
533
Orange
0
0
0
29
0
0
0
0
29
Richmond (Staten Island)
0
0
0
164
0
0
0
0
164
Westchester
0
0
0
278
0
0
0
0
278
0
0
0
1,227
0
0
0
0
1,227
70,686
109
1,642
9,756
3,154
20,477
1,706
0
107,530
Broome
66
9
17
165
138
288
36
0
719
Chenango
34
0
12
0
10
0
0
0
56
Columbia
3,072
20
482
442
956
3,228
282
0
8,482
Delaware
319
0
27
0
194
0
0
0
540
Dutchess
1,222
7
83
248
219
0
0
0
1,779
Essex
1
3
4
3
26
0
0
0
37
Franklin
0
0
2
0
0
0
0
0
2
394
4
134
45
451
1,304
131
0
2,463
1
0
0
0
0
0
0
0
1
529
16
358
394
556
2,717
236
0
4,806
6
0
0
2
0
0
0
0
8
Total for Amidacare SNP
Arcadian Hlth Plan of NY
Total for Arcadian Hlth Plan of NY
Catholic Spec Nds Pln
Total for Catholic Spec Nds Pln
CDPHP
Albany
Fulton
Genesee
Greene
Hamilton
Enrollment by Plan - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Herkimer
65
1
18
2
33
0
0
0
119
Madison
0
0
1
3
14
0
0
0
18
Monroe
11
0
0
0
0
0
0
0
11
3,462
1
283
326
658
3,234
359
0
8,323
44
0
0
0
0
0
0
0
44
104
0
0
0
0
0
0
0
104
86
4
32
67
28
0
0
0
217
0
0
0
1
0
0
0
0
1
Orange
88
0
97
3
114
0
0
0
302
Oswego
0
0
1
0
0
0
0
0
1
Otsego
205
8
39
11
346
0
0
0
609
Queens
0
0
2
0
0
0
0
0
2
11,038
39
846
4,693
1,990
12,832
934
0
32,372
Rockland
8
0
0
0
0
0
0
0
8
Saratoga
6,608
68
1,431
5,276
2,638
8,858
981
0
25,860
Schenectady
4,783
35
765
3,401
1,913
10,551
788
0
22,236
506
4
155
280
567
1,700
239
0
3,451
96
0
0
0
0
0
0
0
96
Tioga
4
0
10
0
61
1,172
222
0
1,469
Ulster
3,131
10
272
626
356
0
0
0
4,395
Warren
1,274
11
419
193
527
0
0
0
2,424
Washington
1,363
2
350
160
602
2,472
242
0
5,191
Westchester
1,151
0
0
0
0
0
0
0
1,151
110,357
351
7,482
26,097
15,551
68,833
6,156
0
234,827
Bronx
0
0
0
741
0
0
0
0
741
Kings (Brooklyn)
0
0
0
6,539
0
0
0
0
6,539
New York (Manhattan)
0
0
0
1,256
0
0
0
0
1,256
Queens
0
0
0
4,708
0
0
0
0
4,708
Richmond (Staten Island)
0
0
0
1,573
0
0
0
0
1,573
0
0
0
14,817
0
0
0
0
14,817
1,248
96
245
246
322
0
0
0
2,157
Montgomery
Nassau
New York (Manhattan)
Oneida
Onondaga
Rensselaer
Schoharie
Suffolk
Total for CDPHP
Elderplan
Total for Elderplan
Empire
Albany
Enrollment by Plan - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Bronx
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
1,127
127
549
5,145
888
0
0
0
7,836
Clinton
13
14
147
0
361
0
0
0
535
Columbia
68
50
121
2
89
0
0
0
330
Cortland
0
0
1
0
0
0
0
0
1
Delaware
12
19
92
2
48
0
0
0
173
Dutchess
156
161
953
383
1,237
0
0
0
2,890
Essex
0
28
59
0
91
0
0
0
178
Fulton
0
6
46
0
93
0
0
0
145
Greene
23
26
86
1
84
0
0
0
220
3,128
527
5,638
7,614
10,886
0
0
0
27,793
Monroe
19
0
0
0
0
0
0
0
19
Montgomery
12
9
64
0
68
0
0
0
153
4,789
667
6,818
7,229
8,523
0
0
0
28,026
19,328
2176
4,057
5,592
1,557
0
0
0
32,710
Oneida
0
0
1
0
0
0
0
0
1
Orange
326
135
1,465
389
2,172
0
0
0
4,487
Otsego
0
2
19
0
0
0
0
0
21
Putnam
184
61
658
237
1,174
0
0
0
2,314
Queens
2,538
470
4,306
14,510
7,314
0
0
0
29,138
97
24
91
176
168
0
0
0
556
Richmond (Staten Island)
492
99
672
4,217
1,470
0
0
0
6,950
Rockland
490
95
1,265
1,277
2,780
0
0
0
5,907
Saratoga
39
63
215
250
291
0
0
0
858
Schenectady
98
41
131
144
210
0
0
0
624
Schoharie
3
19
56
0
56
0
0
0
134
Seneca
0
0
0
1
0
0
0
0
1
Suffolk
8,702
582
8,795
9,572
9,925
0
0
0
37,576
Sullivan
70
44
368
96
212
0
0
0
790
Ulster
83
91
418
113
425
0
0
0
1,130
Warren
51
36
159
2
246
0
0
0
494
Washington
31
4
87
2
184
0
0
0
308
Westchester
2,863
704
3,407
7,018
3,416
0
0
0
17,408
Total for Empire
45,990
6,376
40,989
64,218
54,290
0
0
0
211,863
Kings (Brooklyn)
Nassau
New York (Manhattan)
Rensselaer
Enrollment by Plan - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Excellus BC/BS
Albany
279
0
1
0
0
0
0
0
280
Allegany
0
1
3
5
0
0
0
0
9
Broome
12
17
215
0
2,449
20,807
2,590
0
26,090
0
0
0
3
0
0
0
0
3
32
10
108
11
1,036
2,842
315
0
4,354
1
0
4
2
0
0
0
0
7
Chemung
20
5
61
0
766
3,790
774
0
5,416
Chenango
14
3
84
0
694
0
0
0
795
Clinton
4
4
85
0
617
0
3
0
713
Columbia
0
0
0
1
0
0
0
0
1
Cortland
5
5
113
1
315
0
0
0
439
Delaware
8
1
41
0
301
0
0
0
351
312
0
5
15
0
0
0
0
332
Essex
0
0
63
0
315
0
1
0
379
Franklin
2
7
163
0
579
0
1
0
752
Fulton
0
2
3
0
43
0
0
0
48
Genesee
15
0
15
42
0
0
0
0
72
Hamilton
0
0
18
1
33
0
0
0
52
Herkimer
2
4
162
0
551
1,471
238
0
2,428
Jefferson
4
3
322
1
2,017
3,422
1,369
0
7,138
Lewis
1
1
91
0
792
841
201
0
1,927
298
11
147
2,318
881
3,863
501
0
8,019
Madison
4
8
126
0
957
3,603
520
0
5,218
Monroe
20,986
242
2,789
25,336
10,796
67,414
7,045
0
134,608
0
0
11
0
48
0
0
0
59
28
0
0
0
0
0
0
0
28
132
0
0
0
0
0
0
0
132
Niagara
6
0
0
0
0
0
0
0
6
Oneida
57
17
606
2
1,926
6,596
893
0
10,097
1,447
89
638
5
3,195
9,939
1,200
0
16,513
Ontario
532
37
324
4,527
1,975
7,876
1,192
0
16,463
Orleans
0
0
5
40
247
1,917
249
0
2,458
Cattaraugus
Cayuga
Chautauqua
Erie
Livingston
Montgomery
Nassau
New York (Manhattan)
Onondaga
Enrollment by Plan - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Oswego
22
8
174
1
555
3,552
493
0
4,805
Otsego
32
8
101
0
529
3,284
356
0
4,310
Putnam
0
0
0
1
0
0
0
0
1
Queens
14
0
0
0
0
0
0
0
14
Rensselaer
6
0
0
1
0
0
0
0
7
Rockland
0
1
2
0
0
0
0
0
3
Saratoga
6
0
0
0
0
0
0
0
6
33
0
0
0
0
0
0
0
33
0
19
23
7
252
984
260
0
1,545
370
7
85
903
523
3,401
481
0
5,770
1
3
107
4
1,761
2,625
1,336
0
5,837
35
7
147
43
1,317
4,058
259
0
5,866
4
4
65
0
484
0
0
0
557
34
25
412
4
572
347
51
0
1,445
Warren
0
0
0
1
0
0
0
0
1
Wayne
1,128
8
275
3,814
1,982
7,663
1,022
0
15,892
174
0
0
0
0
0
0
0
174
1
0
1
17
0
0
0
0
19
195
6
68
820
425
2,531
481
0
4,526
26,256
563
7,663
37,926
38,933
162,826
21,831
0
295,998
Albany
0
0
0
0
891
7,952
1,484
0
10,327
Allegany
0
0
0
0
44
339
76
0
459
Bronx
0
0
0
0
2,289
63,482
6,543
0
72,314
Broome
0
0
0
0
382
4,019
444
0
4,845
Cattaraugus
0
0
0
0
452
3,181
435
0
4,068
Cayuga
0
0
0
0
368
4,827
539
0
5,734
Chautauqua
0
0
0
0
1,155
15,605
1,517
0
18,277
Chemung
0
0
0
0
56
4,804
338
0
5,198
Chenango
0
0
0
0
187
5,115
838
0
6,140
Clinton
0
0
0
0
556
8,208
1,054
0
9,818
Columbia
0
0
0
0
455
2,718
577
0
3,750
Cortland
0
0
0
0
555
4,702
601
0
5,858
Schenectady
Schuyler
Seneca
St. Lawrence
Steuben
Tioga
Tompkins
Westchester
Wyoming
Yates
Total for Excellus BC/BS
Fidelis Care NY
Enrollment by Plan - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Medicaid
Managed
Care
Family
Health
Plus
HIV
SNP
Total
Enrollment
Delaware
0
0
0
0
269
4,612
730
0
5,611
Dutchess
0
0
0
0
1,119
4,884
865
0
6,868
Erie
0
0
0
0
2,513
26,516
2,772
0
31,801
Essex
0
0
0
0
308
3,061
592
0
3,961
Franklin
0
0
0
0
148
4,711
646
0
5,505
Fulton
0
0
0
0
833
6,712
976
0
8,521
Genesee
0
0
0
0
118
733
163
0
1,014
Greene
0
0
0
0
259
2,802
419
0
3,480
Hamilton
0
0
0
0
42
345
79
0
466
Herkimer
0
0
0
0
1,155
6,681
1,082
0
8,918
Kings (Brooklyn)
0
0
0
0
4,039
87,345
16,140
0
107,524
Lewis
0
0
0
0
40
455
151
0
646
Livingston
0
0
0
0
92
667
104
0
863
Madison
0
0
0
0
265
2,342
346
0
2,953
Monroe
0
0
0
0
746
17,413
1,823
0
19,982
Montgomery
0
0
0
0
656
5,192
850
0
6,698
Nassau
0
0
0
0
5,213
19,519
3,833
0
28,565
New York (Manhattan)
0
0
0
0
1,425
43,915
5,649
0
50,989
Niagara
0
0
0
0
1,391
9,426
1,737
0
12,554
Oneida
0
0
0
0
2,326
24,490
2,898
0
29,714
Onondaga
0
0
0
0
2,788
16,431
2,129
0
21,348
Ontario
0
0
0
0
41
256
37
0
334
Orange
0
0
0
0
1,553
17,897
1,344
0
20,794
Orleans
0
0
0
0
350
2,150
425
0
2,925
Oswego
0
0
0
0
985
10,063
1,232
0
12,280
Otsego
0
0
0
0
333
2,366
542
0
3,241
Putnam
0
0
0
0
826
2,514
419
0
3,759
Queens
0
0
0
0
5,878
76,826
16,504
0
99,208
Rensselaer
0
0
0
0
578
4,407
721
0
5,706
Richmond (Staten Island)
0
0
0
0
1,041
12,279
1,894
0
15,214
Rockland
0
0
0
0
3,490
36,689
3,512
0
43,691
Saratoga
0
0
0
0
1,015
4,868
1,301
0
7,184
Schenectady
0
0
0
0
1,427
9,649
1,373
0
12,449
Enrollment by Plan - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Schoharie
0
0
0
0
49
1,335
357
0
1,741
Schuyler
0
0
0
0
17
709
105
0
831
St. Lawrence
0
0
0
0
95
501
117
0
713
Steuben
0
0
0
0
200
4,157
1,038
0
5,395
Suffolk
0
0
0
0
8,045
22,729
4,942
0
35,716
Sullivan
0
0
0
0
223
2,918
432
0
3,573
Tioga
0
0
0
0
91
2,177
302
0
2,570
Tompkins
0
0
0
0
197
2,008
241
0
2,446
Ulster
0
0
0
0
756
4,371
561
0
5,688
Warren
0
0
0
0
842
2,943
808
0
4,593
Washington
0
0
0
0
849
4,019
701
0
5,569
Wayne
0
0
0
0
169
1,333
130
0
1,632
Westchester
0
0
0
0
2,051
17,841
2,851
0
22,743
Wyoming
0
0
0
0
146
629
212
0
987
0
0
0
0
64,382
660,838
100,531
0
825,751
Albany
170
0
4
0
0
0
0
0
174
Broome
31
0
8
0
0
0
0
0
39
Columbia
21
0
5
0
0
0
0
0
26
Delaware
0
0
3
0
0
0
0
0
3
Dutchess
11
0
40
0
0
0
0
0
51
Greene
10
0
4
0
0
0
0
0
14
Kings (Brooklyn)
6
0
1
0
0
0
0
0
7
Montgomery
0
0
14
0
0
0
0
0
14
Nassau
0
1
2
0
0
0
0
0
3
1,919
0
5
0
0
0
0
0
1,924
Orange
321
1
76
0
0
0
0
0
398
Otsego
1
0
1
0
0
0
0
0
2
Putnam
0
0
32
0
0
0
0
0
32
Queens
3
0
18
0
0
0
0
0
21
Rensselaer
66
0
1
0
0
0
0
0
67
Rockland
52
0
17
0
0
0
0
0
69
Saratoga
0
0
21
0
0
0
0
0
21
Total for Fidelis Care NY
GHI HMO
New York (Manhattan)
Enrollment by Plan - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Schenectady
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
1
0
0
0
0
0
0
0
1
55
0
20
0
0
0
0
0
75
426
2
556
0
0
0
0
0
984
Warren
2
0
0
0
0
0
0
0
2
Washington
0
0
11
0
0
0
0
0
11
Westchester
24
0
7
0
0
0
0
0
31
3,119
4
846
0
0
0
0
0
3,969
Bronx
0
0
0
0
3,876
151,952
11,777
0
167,605
Kings (Brooklyn)
0
0
0
0
3,729
146,301
14,784
0
164,814
Nassau
0
0
0
0
4,325
18,563
3,557
0
26,445
New York (Manhattan)
0
0
0
0
1,251
60,824
5,477
0
67,552
Queens
0
0
0
0
4,682
90,961
13,651
0
109,294
Richmond (Staten Island)
0
0
0
0
272
7,017
744
0
8,033
Suffolk
0
0
0
0
5,024
18,217
3,012
0
26,253
0
0
0
0
23,159
493,835
53,002
0
569,996
517
11
224
1,470
0
0
0
0
2,222
Allegany
1,059
5
55
358
422
2,821
291
0
5,011
Cattaraugus
1,806
11
179
966
734
4,121
297
0
8,114
3
0
0
0
0
0
0
0
3
902
8
290
930
634
4,095
370
0
7,229
0
1
41
0
0
0
0
0
42
Clinton
102
2
110
0
0
0
0
0
214
Columbia
169
1
83
904
0
0
0
0
1,157
Delaware
1
0
0
0
0
0
0
0
1
Dutchess
4
0
0
0
0
0
0
0
4
13,063
106
1,131
21,511
3,586
21,539
2,637
0
63,573
51
2
90
0
0
0
0
0
143
9
0
2
0
0
0
0
0
11
Fulton
373
0
65
687
0
0
0
0
1,125
Genesee
478
3
72
502
828
2,442
399
0
4,724
Greene
88
3
81
584
0
0
0
0
756
Sullivan
Ulster
Total for GHI HMO
Healthfirst
Total for Healthfirst
HealthNow NY
Albany
Cayuga
Chautauqua
Chemung
Erie
Essex
Franklin
Enrollment by Plan - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Hamilton
1
0
0
0
0
0
0
0
1
Herkimer
2
0
0
0
0
0
0
0
2
Jefferson
5
0
0
0
0
0
0
0
5
Kings (Brooklyn)
1
0
0
0
0
0
0
0
1
Livingston
26
0
0
0
0
0
0
0
26
Monroe
40
6
34
1
0
0
0
0
81
155
1
55
248
0
0
0
0
459
Nassau
2
0
0
0
0
0
0
0
2
Niagara
2,561
22
276
3,723
1,769
8,704
1,356
0
18,411
Oneida
7
0
0
0
0
0
0
0
7
Onondaga
9
4
62
0
0
0
0
0
75
Ontario
1
0
0
0
0
0
0
0
1
Orange
8
0
0
0
0
0
0
0
8
Orleans
236
4
23
238
181
1,113
147
0
1,942
Oswego
4
1
56
0
0
0
0
0
61
413
3
145
1,029
0
0
0
0
1,590
1
0
0
0
0
0
0
0
1
Saratoga
528
5
350
1,883
0
0
0
0
2,766
Schenectady
349
5
207
1,387
0
0
0
0
1,948
Schoharie
1
0
0
0
0
0
0
0
1
Schuyler
4
0
0
0
0
0
0
0
4
Steuben
67
0
1
0
0
0
0
0
68
Sullivan
1
0
0
0
0
0
0
0
1
Tioga
0
0
1
0
0
0
0
0
1
Tompkins
1
0
0
0
0
0
0
0
1
Ulster
2
0
0
0
0
0
0
0
2
Warren
318
2
181
1,223
0
0
0
0
1,724
Washington
111
4
122
829
0
0
0
0
1,066
Wayne
2
1
4
0
0
0
0
0
7
Westchester
1
0
0
0
0
0
0
0
1
605
2
46
610
542
1,108
343
0
3,256
2
0
0
0
0
0
0
0
2
24,089
213
3,986
39,083
8,696
45,943
5,840
0
127,850
Montgomery
Rensselaer
Richmond (Staten Island)
Wyoming
Yates
Total for HealthNow NY
Enrollment by Plan - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
HealthPlus
Bronx
0
0
0
0
1,917
39,345
4,038
0
45,300
Kings (Brooklyn)
0
0
0
0
10,739
152,391
18,509
0
181,639
Nassau
0
0
0
0
2,247
8,665
2,106
0
13,018
New York (Manhattan)
0
0
0
0
1,031
24,464
2,794
0
28,289
Putnam
0
0
0
0
0
112
0
0
112
Queens
0
0
0
0
9,834
88,765
18,663
0
117,262
Richmond (Staten Island)
0
0
0
0
3,247
32,793
4,369
0
40,409
0
0
0
0
29,015
346,535
50,479
0
426,029
Albany
13,865
2
0
0
0
0
0
0
13,867
Bronx
4,300
128
47
16,428
725
26,842
2,233
0
50,703
Columbia
0
1
0
0
0
0
0
0
1
Delaware
0
1
0
0
0
0
0
0
1
Dutchess
0
7
0
0
0
0
0
0
7
63,160
346
170
22,803
1,586
54,074
5,527
0
147,666
0
1
0
0
0
0
0
0
1
23,864
564
195
19,469
2,333
16,224
2,311
0
64,960
198,004
442
1,384
10,316
485
16,339
1,985
0
228,955
1,079
0
0
0
0
0
0
0
1,079
Orange
16
16
0
3
0
0
0
0
35
Putnam
0
6
0
0
0
0
0
0
6
Queens
17,242
510
80
24,388
3,563
51,248
8,734
0
105,765
1,531
132
6
8,107
395
9,027
1,142
0
20,340
402
43
0
2
0
0
0
0
447
25,993
399
443
7,169
2,400
17,408
2,826
0
56,638
Sullivan
1
0
0
0
0
0
0
0
1
Ulster
0
0
0
1
0
0
0
0
1
100
0
0
0
0
0
0
0
100
8,217
203
7
1,713
760
7,860
909
0
19,669
357,774
2,801
2,332
110,399
12,247
199,022
25,667
0
710,242
0
0
0
0
1,397
7,374
830
0
9,601
Total for HealthPlus
HIP (EmblemHealth)
Kings (Brooklyn)
Monroe
Nassau
New York (Manhattan)
Onondaga
Richmond (Staten Island)
Rockland
Suffolk
Warren
Westchester
Total for HIP (EmblemHealth)
Hudson Health Plan
Dutchess
Enrollment by Plan - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Orange
0
0
0
0
2,315
12,668
1,572
0
16,555
Rockland
0
0
0
0
1,678
9,189
1,193
0
12,060
Sullivan
0
0
0
0
1,494
8,465
1,115
0
11,074
Ulster
0
0
0
0
845
5,363
768
0
6,976
Westchester
0
0
0
0
9,258
46,423
5,716
0
61,397
0
0
0
0
16,987
89,482
11,194
0
117,663
178
3
76
615
0
0
0
0
872
Cattaraugus
1,505
7
195
3,225
0
0
0
0
4,932
Chautauqua
1,516
11
357
3,779
0
0
0
0
5,663
41,581
207
3,706
46,068
1,405
36,378
3,626
0
132,971
690
2
147
1,368
0
0
0
0
2,207
Niagara
10,485
26
979
11,492
0
7,605
0
0
30,587
Orleans
309
0
42
669
0
0
0
0
1,020
Wyoming
628
1
114
1,284
0
0
0
0
2,027
56,892
257
5,616
68,500
1,405
43,983
3,626
0
180,279
Bronx
0
1
45
32,329
0
0
0
0
32,375
Kings (Brooklyn)
0
0
135
29,758
0
0
0
0
29,893
Nassau
0
0
56
2,267
0
0
0
0
2,323
New York (Manhattan)
0
0
71
22,044
0
0
0
0
22,115
Queens
0
0
124
17,375
0
0
0
0
17,499
Richmond (Staten Island)
0
0
18
507
0
0
0
0
525
Suffolk
0
0
113
34
0
0
0
0
147
0
1
562
104,314
0
0
0
0
104,877
Bronx
0
0
0
0
3,501
115,921
8,542
0
127,964
Kings (Brooklyn)
0
0
0
0
3,727
106,424
9,351
0
119,502
New York (Manhattan)
0
0
0
0
1,245
45,533
3,368
0
50,146
Queens
0
0
0
0
5,985
109,715
14,840
0
130,540
Richmond (Staten Island)
0
0
0
0
0
474
23
0
497
0
0
0
0
14,458
378,067
36,124
0
428,649
Total for Hudson Health Plan
Independent Health
Allegany
Erie
Genesee
Total for Independent Health
Managed Health Inc.
Total for Managed Health Inc.
MetroPlus Health Plan
Total for MetroPlus Health Plan
MetroPlus Hlth Plan SNP
Enrollment by Plan - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Bronx
0
0
0
0
0
0
0
2,302
2,302
Kings (Brooklyn)
0
0
0
0
0
0
0
1,854
1,854
New York (Manhattan)
0
0
0
0
0
0
0
771
771
Queens
0
0
0
0
0
0
0
746
746
Richmond (Staten Island)
0
0
0
0
0
0
0
41
41
0
0
0
0
0
0
0
5,714
5,714
3,980
4
173
2,229
0
0
0
0
6,386
Allegany
79
0
4
158
0
0
0
0
241
Bronx
67
0
3
8
0
0
0
0
78
1,117
4
246
357
0
0
0
0
1,724
13
0
0
19
0
0
0
0
32
367
2
110
207
0
0
0
0
686
9
0
0
18
0
0
0
0
27
Chemung
64
0
6
65
0
0
0
0
135
Chenango
670
3
81
80
0
0
0
0
834
Clinton
160
0
11
14
0
0
0
0
185
1,660
4
134
162
0
0
0
0
1,960
Cortland
212
0
61
91
0
0
0
0
364
Delaware
566
2
152
89
0
0
0
0
809
Dutchess
10,844
28
2,017
1,076
1,368
6,709
885
0
22,927
Erie
304
0
2
176
0
0
0
0
482
Essex
435
0
10
49
0
0
0
0
494
Franklin
186
0
87
19
0
0
0
0
292
Fulton
1,523
0
105
970
0
0
0
0
2,598
Genesee
1,552
5
116
3,504
0
1,972
207
0
7,356
Greene
546
1
120
104
0
0
0
0
771
Hamilton
175
0
22
85
0
0
0
0
282
Herkimer
918
0
123
197
0
0
0
0
1,238
Jefferson
516
1
30
125
0
0
0
0
672
36
0
1
4
0
0
0
0
41
145
0
53
25
0
0
0
0
223
1,664
3
71
3,942
0
1,139
64
0
6,883
Total for MetroPlus Hlth Plan SNP
MVP
Albany
Broome
Cattaraugus
Cayuga
Chautauqua
Columbia
Kings (Brooklyn)
Lewis
Livingston
Enrollment by Plan - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Madison
778
1
156
134
0
0
0
0
1,069
Monroe
20,072
86
801
57,802
0
13,647
595
0
93,003
1,214
4
76
857
0
0
0
0
2,151
Nassau
27
0
5
28
0
0
0
0
60
New York (Manhattan)
53
0
3
7
0
0
0
0
63
Niagara
180
0
4
75
0
0
0
0
259
Oneida
5,489
6
493
566
0
0
0
0
6,554
Onondaga
3,658
7
707
1,210
0
0
0
0
5,582
Ontario
2,684
8
124
6,660
0
619
50
0
10,145
Orange
5,244
7
1,006
183
0
0
0
0
6,440
Orleans
925
1
59
2,600
0
0
0
0
3,585
Oswego
1,335
0
111
231
0
0
0
0
1,677
Otsego
779
1
109
109
0
0
0
0
998
Putnam
677
1
233
5
0
0
0
0
916
Queens
49
0
2
12
0
0
0
0
63
2,251
2
189
805
0
0
0
0
3,247
4
0
0
6
0
0
0
0
10
Rockland
186
1
203
14
0
0
0
0
404
Saratoga
6,957
6
325
2,808
0
0
0
0
10,096
Schenectady
5,095
2
270
2,874
0
0
0
0
8,241
Schoharie
481
1
63
299
0
0
0
0
844
Schuyler
16
0
2
35
0
0
0
0
53
Seneca
769
1
33
1,247
0
0
0
0
2,050
71
3
36
45
0
0
0
0
155
Steuben
512
3
151
721
0
0
0
0
1,387
Suffolk
32
0
0
25
0
0
0
0
57
1,259
1
261
30
0
0
0
0
1,551
Tioga
182
0
55
97
0
0
0
0
334
Tompkins
110
0
6
117
0
0
0
0
233
Ulster
7,101
20
1,698
1,135
641
5,744
1,002
0
17,341
Warren
1,929
2
158
1,323
0
0
0
0
3,412
Washington
1,275
0
139
857
0
0
0
0
2,271
Wayne
2,015
3
130
5,616
0
0
0
0
7,764
Montgomery
Rensselaer
Richmond (Staten Island)
St. Lawrence
Sullivan
Enrollment by Plan - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Westchester
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
1,031
0
20
20
0
0
0
0
1,071
Wyoming
609
1
33
1,205
0
0
0
0
1,848
Yates
377
2
27
1,367
0
0
0
0
1,773
103,234
227
11,426
104,898
2,009
29,830
2,803
0
254,427
Bronx
0
0
0
0
641
27,282
2,223
0
30,146
Kings (Brooklyn)
0
0
0
0
1,578
48,026
4,645
0
54,249
New York (Manhattan)
0
0
0
0
949
36,322
3,246
0
40,517
Queens
0
0
0
0
3,273
54,378
7,983
0
65,634
Richmond (Staten Island)
0
0
0
0
10
1,237
73
0
1,320
Suffolk
0
0
0
0
3,761
22,116
2,806
0
28,683
0
0
0
0
10,212
189,361
20,976
0
220,549
0
5
2
0
0
0
0
0
7
8,432
150
955
5,902
0
0
0
0
15,439
Columbia
2
2
2
0
0
0
0
0
6
Delaware
0
5
1
0
0
0
0
0
6
Dutchess
695
35
174
3
0
0
0
0
907
1
0
1
1
0
0
0
0
3
21,578
656
6,015
15,847
0
0
0
0
44,096
Monroe
0
0
2
0
0
0
0
0
2
Montgomery
0
1
0
0
0
0
0
0
1
Nassau
38,041
1028
6,168
28
0
0
0
0
45,265
New York (Manhattan)
94,981
2132
7,067
13,412
0
0
0
0
117,592
Niagara
0
1
0
0
0
0
0
0
1
Onondaga
0
1
2
0
0
0
0
0
3
Orange
928
32
334
1,429
0
0
0
0
2,723
Putnam
1,154
31
315
1
0
0
0
0
1,501
Queens
19,491
666
5,817
26,024
0
0
0
0
51,998
Richmond (Staten Island)
2,615
94
750
3,637
0
0
0
0
7,096
Rockland
5,633
172
1,232
1,695
0
0
0
0
8,732
Saratoga
163
0
0
0
0
0
0
0
163
31,825
474
9,452
28
0
0
0
0
41,779
Total for MVP
Neighborhood Hlth Prov
Total for Neighborhood Hlth Prov
Oxford
Albany
Bronx
Greene
Kings (Brooklyn)
Suffolk
Enrollment by Plan - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Sullivan
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
39
23
56
3
0
0
0
0
121
0
0
1
0
0
0
0
0
1
32
19
68
3
0
0
0
0
122
Warren
0
1
0
0
0
0
0
0
1
Washington
3
0
0
0
0
0
0
0
3
Westchester
30,753
1049
3,336
5,326
0
0
0
0
40,464
Total for Oxford
256,366
6,577
41,750
73,339
0
0
0
0
378,032
Nassau
0
0
0
7
0
0
0
0
7
Queens
0
0
0
4
0
0
0
0
4
St. Lawrence
0
0
0
22
0
0
0
0
22
0
0
0
33
0
0
0
0
33
0
0
0
1
0
0
0
0
1
0
0
0
1
0
0
0
0
1
Cortland
0
0
0
0
68
1,558
157
0
1,783
Onondaga
0
0
0
0
1,160
23,766
1,727
0
26,653
Oswego
0
0
0
0
931
0
0
0
931
Tompkins
0
0
0
0
360
5,144
535
0
6,039
0
0
0
0
2,519
30,468
2,419
0
35,406
Bronx
0
0
0
1,041
0
0
0
0
1,041
Kings (Brooklyn)
0
0
0
2,762
0
0
0
0
2,762
New York (Manhattan)
0
0
0
92
0
0
0
0
92
Orange
0
0
0
241
0
0
0
0
241
Queens
0
0
0
1,955
0
0
0
0
1,955
Richmond (Staten Island)
0
0
0
3,415
0
0
0
0
3,415
Westchester
0
0
0
625
0
0
0
0
625
0
0
0
10,131
0
0
0
0
10,131
0
0
0
145
0
0
0
0
145
Tompkins
Ulster
Quality Health Plan
Total for Quality Health Plan
Senior Whole Health
Albany
Total for Senior Whole Health
Total Care
Total for Total Care
Touchstone Health
Total for Touchstone Health
UnitedHlthcr Comm Plan
Albany
Enrollment by Plan - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Bronx
0
0
0
1,423
245
11,028
1,219
0
13,915
Broome
0
0
0
86
0
277
35
0
398
Cayuga
0
0
0
0
156
1,085
218
0
1,459
Chautauqua
0
0
0
355
0
0
0
0
355
Chenango
0
0
0
0
0
921
85
0
1,006
Clinton
0
0
0
0
0
978
120
0
1,098
Dutchess
0
0
0
108
0
0
0
0
108
Erie
0
0
0
173
0
0
0
0
173
Genesee
0
0
0
73
0
0
0
0
73
Herkimer
0
0
0
0
23
59
5
0
87
Jefferson
0
0
0
0
0
822
173
0
995
Kings (Brooklyn)
0
0
0
1,324
5,037
136,829
19,415
0
162,605
Madison
0
0
0
0
113
768
210
0
1,091
Monroe
0
0
0
408
0
0
0
0
408
Montgomery
0
0
0
1
0
0
0
0
1
Nassau
0
0
0
283
4,729
20,914
4,430
0
30,356
New York (Manhattan)
0
0
0
7,215
292
8,676
1,468
0
17,651
Niagara
0
0
0
5
0
0
0
0
5
Oneida
0
0
0
330
425
3,951
514
0
5,220
Onondaga
0
0
0
83
870
7,196
966
0
9,115
Ontario
0
0
0
1
0
0
0
0
1
Orange
0
0
0
15
0
158
49
0
222
Orleans
0
0
0
1
0
0
0
0
1
Oswego
0
0
0
0
316
5,153
592
0
6,061
Putnam
0
0
0
7
0
0
0
0
7
Queens
0
0
0
1,450
2,453
33,462
7,028
0
44,393
Rensselaer
0
0
0
35
0
0
0
0
35
Richmond (Staten Island)
0
0
0
782
518
8,814
1,784
0
11,898
Rockland
0
0
0
3
0
298
142
0
443
Saratoga
0
0
0
96
0
0
0
0
96
Schenectady
0
0
0
83
0
0
0
0
83
Suffolk
0
0
0
326
6,665
27,718
5,703
0
40,412
Tioga
0
0
0
0
0
219
59
0
278
Enrollment by Plan - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Ulster
0
0
0
40
0
0
0
0
40
Warren
0
0
0
0
0
241
74
0
315
Westchester
0
0
0
179
0
961
544
0
1,684
Wyoming
0
0
0
2
0
0
0
0
2
0
0
0
15,032
21,842
270,528
44,833
0
352,235
Allegany
0
0
0
0
148
1,866
382
0
2,396
Cattaraugus
0
0
0
0
250
1,984
360
0
2,594
Chautauqua
0
0
0
0
101
1,046
138
0
1,285
Erie
0
0
0
0
4,856
33,998
4,900
0
43,754
0
0
0
0
5,355
38,894
5,780
0
50,029
Albany
0
1
0
1
0
0
0
0
2
Allegany
4
5
144
175
0
0
0
0
328
Cattaraugus
2
3
154
514
0
0
0
0
673
Chautauqua
53
16
431
2,325
0
0
0
0
2,825
Chemung
0
0
0
3
0
0
0
0
3
Clinton
0
0
1
0
0
0
0
0
1
92
65
1,758
11,408
0
0
0
0
13,323
Genesee
5
3
104
315
0
0
0
0
427
Kings (Brooklyn)
0
0
1
0
0
0
0
0
1
Livingston
0
0
0
5
0
0
0
0
5
Monroe
0
0
5
15
0
0
0
0
20
Nassau
0
0
0
2
0
0
0
0
2
New York (Manhattan)
0
0
0
1
0
0
0
0
1
Niagara
4
6
335
1,488
0
0
0
0
1,833
Onondaga
0
0
0
2
0
0
0
0
2
Orleans
6
0
98
278
0
0
0
0
382
Queens
0
0
0
1
0
0
0
0
1
Schenectady
0
0
0
1
0
0
0
0
1
Steuben
0
0
0
5
0
0
0
0
5
Suffolk
0
0
0
1
0
0
0
0
1
Wayne
0
0
0
1
0
0
0
0
1
Total for UnitedHlthcr Comm Plan
Univera Community Hlth
Total for Univera Community Hlth
Univera Healthcare
Erie
Enrollment by Plan - December 31, 2012
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Medicare
Advantage
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Westchester
0
0
0
2
0
0
0
0
2
Wyoming
0
4
92
306
0
0
0
0
402
166
103
3,123
16,849
0
0
0
0
20,241
Bronx
0
0
0
0
0
0
0
2,399
2,399
Kings (Brooklyn)
0
0
0
0
0
0
0
1,438
1,438
New York (Manhattan)
0
0
0
0
0
0
0
1,280
1,280
Queens
0
0
0
0
0
0
0
544
544
Richmond (Staten Island)
0
0
0
0
0
0
0
51
51
Total for VNSNY CHOICE SNP
0
0
0
0
0
0
0
5,712
5,712
Albany
0
0
0
0
104
1,641
184
0
1,929
Bronx
0
0
0
0
415
12,601
1,755
0
14,771
Delaware
0
0
0
0
2
0
0
0
2
Dutchess
0
0
0
0
649
2,026
237
0
2,912
Kings (Brooklyn)
0
0
0
0
600
16,592
2,855
0
20,047
New York (Manhattan)
0
0
0
0
278
8,026
1,339
0
9,643
Orange
0
0
0
0
481
1,639
238
0
2,358
Queens
0
0
0
0
852
15,256
3,719
0
19,827
Rensselaer
0
0
0
0
61
821
104
0
986
Richmond (Staten Island)
0
0
0
0
0
59
7
0
66
Rockland
0
0
0
0
369
2,627
164
0
3,160
Ulster
0
0
0
0
378
2,481
316
0
3,175
0
0
0
0
4,189
63,769
10,918
0
78,876
Total for Univera Healthcare
VNSNY CHOICE SNP
WellCare of New York
Total for WellCare of New York
Total NYS Enrollment
1,042,279
19,611 130,439
701,234
341,001
3,327,259
431,300
17,072
6,010,195
IV.
MANAGED CARE PENETRATION RATES Managed Care Penetration Rates by County
New York State County
Total Population,
July 1, 2011**
Managed Care
Enrollment
Penetration
Rate
% Change from
2011
303,565
145,027
47.8%
-0.4%
48,778
9,316
19.1%
0.7%
1,392,002
671,760
48.3%
3.2%
199,031
34,329
17.2%
-0.3%
Cattaraugus
79,832
20,416
25.6%
0.0%
Cayuga
79,738
12,510
15.7%
0.8%
134,368
35,668
26.5%
0.9%
Chemung
88,840
10,794
12.1%
9.6%
Chenango
50,118
8,831
17.6%
9.3%
Clinton
81,945
12,564
15.3%
7.1%
Columbia
62,550
15,713
25.1%
2.0%
Cortland
49,363
8,445
17.1%
1.0%
Delaware
47,559
7,497
15.8%
3.3%
Dutchess
297,999
49,383
16.6%
-0.4%
Erie
918,028
286,409
31.2%
1.0%
Essex
39,181
5,192
13.3%
1.3%
Franklin
51,551
6,562
12.7%
3.2%
Fulton
55,180
14,900
27.0%
-1.2%
Genesee
59,993
15,874
26.5%
2.2%
Greene
48,954
10,050
20.5%
0.8%
Hamilton
4,793
809
16.9%
-0.5%
Herkimer
64,160
12,792
19.9%
0.7%
Jefferson
117,910
8,810
7.5%
3.4%
2,532,645
1,118,139
44.1%
2.0%
Lewis
27,072
2,796
10.3%
2.7%
Livingston
65,070
15,796
24.3%
3.6%
Madison
73,365
10,408
14.2%
0.5%
Monroe
745,625
248,135
33.3%
-0.9%
49,916
17,859
35.8%
3.2%
Nassau
1,344,436
263,361
19.6%
0.7%
New York (Manhattan)
1,601,948
707,673
44.2%
-0.3%
Niagara
216,011
63,656
29.5%
0.4%
Oneida
234,287
51,948
22.2%
0.2%
Onondaga
466,960
82,336
17.6%
0.5%
Ontario
108,525
26,944
24.8%
3.8%
Orange
374,872
76,427
20.4%
0.8%
Orleans
42,622
12,313
28.9%
2.9%
Oswego
122,228
26,553
21.7%
0.2%
Albany
Allegany
Bronx
Broome
Chautauqua
Kings (Brooklyn)
Montgomery
New York State County
Total Population,
July 1, 2011**
Managed Care
Enrollment
Penetration
Rate
% Change from
2011
Otsego
61,917
9,181
14.8%
0.2%
Putnam
99,933
9,850
9.9%
0.1%
Queens
2,247,848
848,007
37.7%
1.7%
Rensselaer
159,395
44,566
28.0%
-0.2%
Richmond (Staten Island)
470,467
124,291
26.4%
1.0%
Rockland
315,158
85,025
27.0%
1.3%
St. Lawrence
111,690
6,727
6.0%
2.3%
Saratoga
220,882
47,050
21.3%
-0.2%
Schenectady
155,058
45,616
29.4%
-0.5%
Schoharie
32,578
6,171
18.9%
0.2%
Schuyler
18,361
2,433
13.3%
8.9%
Seneca
35,198
7,821
22.2%
-0.6%
Steuben
99,033
12,721
12.8%
8.0%
1,498,816
300,103
20.0%
1.2%
Sullivan
76,900
17,376
22.6%
1.6%
Tioga
51,043
5,337
10.5%
5.4%
Tompkins
101,723
10,165
10.0%
0.7%
Ulster
182,448
40,199
22.0%
0.7%
Warren
65,831
13,066
19.8%
0.7%
Washington
63,165
14,419
22.8%
-0.2%
Wayne
93,436
25,296
27.1%
2.8%
955,899
191,938
20.1%
0.5%
Wyoming
41,944
8,541
20.4%
4.9%
Yates
25,454
6,301
24.8%
2.0%
New York City
8,244,910
3,469,870
42.1%
1.6%
Rest of State
11,220,287
2,540,325
22.6%
1.0%
New York State
19,465,197
6,010,195
30.9%
1.2%
Suffolk
Westchester
** Estimated county populations as of July 1, 2011. From US Census data at:
http://esd.ny.gov/nysdatacenter/population_housingestimates.html