NEW YORK STATE DEPARTMENT OF HEALTH
2014 Managed Care Plan Enrollment Report
health.ny.gov
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
health care to millions of state residents. In
2013, 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. Membership in HIV Special Needs
Plans (HIV SNP) is also included in this report.
While the organizations presented in this report
may have additional membership through
products under other health insurance licenses,
only members enrolled in the Article 44 HMO
products are included in this report.
New York State residents enrolled in Medicare
through Medicare Advantage plans, a managed
care product of Medicare, and members
enrolled in traditional fee-for-service Medicare
are not shown in this report. Coverage provided
through the New York State Health Exchange
enrollment is not included in this report. Partial
capitation managed care plans, and managed
long term care are other types of managed care
plans that provide services to meet the
healthcare needs of specific populations.
Membership enrollment data for these 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.
About the data
The information included in this report is
st
collected annually as of December 31 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 HMO
provides managed care plan membership
figures for the HMO and point of service (POS)
enrollment, as well as enrollment for direct pay,
and Healthy New York. 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
2013 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
Mail to: [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.
For information about Marketplace enrollment,
visit our website:
https://nystateofhealth.ny.gov
For information about membership data in
commercial managed care plans’ Preferred
Provider Organization (PPO) products, please
visit our website:
http://www.health.ny.gov/health_care/
managed_care/mcodefs.htm
II.
ENROLLMENT BY COUNTY
Enrollment by County - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Albany
CDPHP
65,737
118
1,316
3,012
21,385
1,881
0
93,449
1,123
75
190
272
0
0
0
1,660
191
3
0
0
0
0
0
194
Fidelis Care NY
0
0
0
854
8,196
1,245
0
10,295
HealthNow NY
2,574
14
171
0
0
0
0
2,759
HIP (EmblemHealth)
13,171
2
2
0
0
0
0
13,175
Independent Health
23,794
0
0
0
0
0
0
23,794
3,033
3
140
0
0
0
0
3,176
United Healthcare
0
0
0
0
69
14
0
83
Univera Healthcare
0
2
0
0
0
0
0
2
WellCare of New York
0
0
0
86
1,769
178
0
2,033
109,623
217
1,819
4,224
31,419
3,318
0
150,620
Excellus BCBS
5
5
154
0
0
0
0
164
Fidelis Care NY
0
0
0
53
489
83
0
625
HealthNow NY
0
5
54
388
3,048
322
0
3,817
117
4
49
0
0
0
0
170
74
0
1
0
0
0
0
75
Univera Community Hlth
0
0
0
120
1,852
281
0
2,253
Univera Healthcare
5
4
150
0
0
0
0
159
Total for Allegany
201
18
408
561
5,389
686
0
7,263
4,957
65
60
0
0
0
0
5,082
Affinity Health Plan
0
0
0
1,843
66,462
6,244
0
74,549
AmidaCare SNP
0
0
0
0
0
0
2,480
2,480
Easy Choice
825
1
135
0
0
0
0
961
Empire HealthChoice
747
113
435
0
0
0
0
1,295
Fidelis Care NY
0
0
0
1,963
66,624
6,653
0
75,240
Healthfirst
0
0
0
3,632
186,723
14,037
0
204,392
HealthPlus
0
0
0
2,027
39,315
3,666
0
45,008
Empire HealthChoice
Excellus BCBS
MVP
Total for Albany
Allegany
Independent Health
MVP
Bronx
Aetna
Enrollment by County - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
HIP (EmblemHealth)
4,226
95
37
700
26,444
1,950
0
33,452
Managed Health Inc
0
1
48
0
0
0
0
49
MetroPlus
0
0
0
2,789
110,938
7,875
0
121,602
MetroPlus SNP
0
0
0
0
0
0
2,217
2,217
MVP
6
0
5
0
0
0
0
11
7,803
152
827
0
0
0
0
8,782
United Healthcare
0
0
0
322
14,121
1,394
0
15,837
VNSNY Choice SNP
0
0
0
0
0
0
2,169
2,169
WellCare of New York
0
0
0
365
15,581
1,937
0
17,883
18,564
427
1,547
13,641
526,208
43,756
6,866
611,009
Aetna
19
2
3
0
0
0
0
24
CDPHP
66
10
15
121
266
39
0
517
Excellus BCBS
7
21
191
2,135
21,833
2,669
0
26,856
Fidelis Care NY
0
0
0
410
4,257
444
0
5,111
HIP (EmblemHealth)
23
0
5
0
0
0
0
28
Independent Health
2
0
0
0
0
0
0
2
1,039
4
192
0
0
0
0
1,235
United Healthcare
0
0
0
6
513
67
0
586
Total for Broome
1,156
37
406
2,672
26,869
3,219
0
34,359
Excellus BCBS
1
1
140
0
0
0
0
142
Fidelis Care NY
0
0
0
411
3,238
430
0
4,079
HealthNow NY
0
8
155
693
4,455
441
0
5,752
541
7
158
0
0
0
0
706
MVP
2
0
0
0
0
0
0
2
Univera Community Hlth
0
0
0
196
1,912
296
0
2,404
Univera Healthcare
1
1
140
0
0
0
0
142
545
17
593
1,300
9,605
1,167
0
13,227
3
1
0
0
0
0
0
4
Oxford
Total for Bronx
Broome
MVP
Cattaraugus
Independent Health
Total for Cattaraugus
Cayuga
Aetna
Enrollment by County - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Excellus BCBS
3
9
88
918
3,184
366
0
4,568
Fidelis Care NY
0
0
0
394
4,838
541
0
5,773
Independent Health
1
0
0
0
0
0
0
1
456
2
87
0
0
0
0
545
0
0
0
151
1,092
176
0
1,419
463
12
175
1,463
9,114
1,083
0
12,310
Excellus BCBS
10
14
388
0
0
0
0
412
Fidelis Care NY
0
0
0
1,159
16,045
1,316
0
18,520
HealthNow NY
0
14
242
522
4,097
364
0
5,239
726
8
301
0
0
0
0
1,035
MVP
2
0
0
0
0
0
0
2
United Healthcare
0
0
0
0
1
1
0
2
Univera Community Hlth
0
0
0
85
1,016
135
0
1,236
10
14
384
0
0
0
0
408
748
50
1,315
1,766
21,159
1,816
0
26,854
Excellus BCBS
19
15
54
619
6,669
691
0
8,067
Fidelis Care NY
0
0
0
131
5,970
480
0
6,581
HealthNow NY
0
0
26
0
0
0
0
26
11
0
6
0
0
0
0
17
United Healthcare
0
0
0
0
91
25
0
116
Total for Chemung
30
15
86
750
12,730
1,196
0
14,807
CDPHP
42
0
11
10
0
0
0
63
Excellus BCBS
11
2
77
549
0
0
0
639
Fidelis Care NY
0
0
0
259
5,412
733
0
6,404
915
2
76
0
0
0
0
993
0
0
0
4
938
75
0
1,017
968
4
164
822
6,350
808
0
9,116
MVP
United Healthcare
Total for Cayuga
Chautauqua
Independent Health
Univera Healthcare
Total for Chautauqua
Chemung
MVP
Chenango
MVP
United Healthcare
Total for Chenango
Enrollment by County - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Clinton
Empire HealthChoice
13
15
90
256
0
0
0
374
Excellus BCBS
4
1
135
528
0
3
0
671
Fidelis Care NY
0
0
0
628
8,704
1,086
0
10,418
HealthNow NY
0
2
103
0
0
0
0
105
Independent Health
1
0
0
0
0
0
0
1
107
0
5
0
0
0
0
112
0
0
0
4
890
161
0
1,055
125
18
333
1,416
9,594
1,250
0
12,736
2,948
25
425
787
3,515
341
0
8,041
58
47
101
72
0
0
0
278
Excellus BCBS
0
0
1
0
0
0
0
1
Fidelis Care NY
0
0
0
418
2,934
480
0
3,832
HealthNow NY
0
0
67
0
0
0
0
67
HIP (EmblemHealth)
6
1
2
0
0
0
0
9
693
2
110
0
0
0
0
805
0
0
0
5
18
3
0
26
3,705
75
706
1,282
6,467
824
0
13,059
Excellus BCBS
3
8
116
283
0
0
0
410
Fidelis Care NY
0
0
0
542
4,825
583
0
5,950
149
0
52
0
0
0
0
201
0
0
0
55
1,570
175
0
1,800
152
8
168
880
6,395
758
0
8,361
297
0
28
147
0
0
0
472
14
14
63
35
0
0
0
126
Excellus BCBS
8
0
33
230
0
0
0
271
Fidelis Care NY
0
0
0
276
4,767
765
0
5,808
HIP (EmblemHealth)
0
1
5
0
0
0
0
6
MVP
United Healthcare
Total for Clinton
Columbia
CDPHP
Empire HealthChoice
MVP
United Healthcare
Total for Columbia
Cortland
MVP
Todays Options
Total for Cortland
Delaware
CDPHP
Empire HealthChoice
Enrollment by County - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Independent Health
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
1
0
0
0
0
0
0
1
MVP
499
2
116
0
0
0
0
617
Total for Delaware
819
17
245
688
4,767
765
0
7,301
526
19
71
0
0
0
0
616
1,577
11
116
183
0
0
0
1,887
88
139
663
1,079
0
0
0
1,969
0
0
0
1,211
5,987
892
0
8,090
HIP (EmblemHealth)
10
7
26
0
0
0
0
43
Hudson Health Plan
0
0
0
1,277
8,197
824
0
10,298
10,959
25
1,683
1,049
6,566
780
0
21,062
589
23
126
0
0
0
0
738
0
0
0
573
2,473
275
0
3,321
13,749
224
2,685
5,372
23,223
2,771
0
48,024
314
93
1,617
0
0
0
0
2,024
Fidelis Care NY
0
0
0
2,225
31,116
3,287
0
36,628
HealthNow NY
17,584
109
963
3,269
23,304
2,623
0
47,852
Independent Health
18,685
182
3,078
1,665
37,490
3,678
0
64,778
107
0
2
0
0
0
0
109
0
0
0
4,074
33,670
4,718
0
42,462
50
92
1,616
0
0
0
0
1,758
36,740
476
7,276
11,233
125,580
14,306
0
195,611
CDPHP
1
4
9
18
0
0
0
32
Empire HealthChoice
0
24
52
77
0
0
0
153
Excellus BCBS
0
1
111
294
0
0
0
406
Fidelis Care NY
0
0
0
322
3,327
638
0
4,287
HealthNow NY
0
2
61
0
0
0
0
63
44
0
7
0
0
0
0
51
0
0
0
0
22
15
0
37
Dutchess
Aetna
CDPHP
Empire HealthChoice
Fidelis Care NY
MVP
Oxford
WellCare of New York
Total for Dutchess
Erie
Excellus BCBS
MVP
Univera Community Hlth
Univera Healthcare
Total for Erie
Essex
MVP
United Healthcare
Enrollment by County - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Total for Essex
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
45
31
240
711
3,349
653
0
5,029
CDPHP
0
0
1
0
0
0
0
1
Excellus BCBS
0
7
166
423
0
1
0
597
Fidelis Care NY
0
0
0
185
5,035
629
0
5,849
HealthNow NY
0
0
1
0
0
0
0
1
MVP
26
0
48
0
0
0
0
74
Total for Franklin
26
7
216
608
5,035
630
0
6,522
378
4
131
369
1,276
138
0
2,296
Empire HealthChoice
0
5
37
65
0
0
0
107
Excellus BCBS
0
2
7
34
0
0
0
43
Fidelis Care NY
0
0
0
735
6,883
867
0
8,485
HealthNow NY
0
0
43
0
0
0
0
43
1,887
0
81
0
0
0
0
1,968
0
0
0
0
17
2
0
19
2,265
11
299
1,203
8,176
1,007
0
12,961
Excellus BCBS
12
1
119
0
0
0
0
132
Fidelis Care NY
0
0
0
828
2,083
363
0
3,274
HealthNow NY
0
3
62
0
0
0
0
65
341
2
110
0
0
0
0
453
1,963
3
107
0
3,246
419
0
5,738
United Healthcare
0
0
0
4
9
2
0
15
Univera Healthcare
5
1
116
0
0
0
0
122
Total for Genesee
2,321
10
514
832
5,338
784
0
9,799
399
14
323
483
2,981
229
0
4,429
14
21
65
59
0
0
0
159
0
0
0
212
2,857
341
0
3,410
Franklin
Fulton
CDPHP
MVP
United Healthcare
Total for Fulton
Genesee
Independent Health
MVP
Greene
CDPHP
Empire HealthChoice
Fidelis Care NY
Enrollment by County - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
HealthNow NY
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
0
5
63
0
0
0
0
68
12
0
5
0
0
0
0
17
MVP
467
4
112
0
0
0
0
583
Total for Greene
892
44
568
754
5,838
570
0
8,666
CDPHP
0
0
1
0
0
0
0
1
Excellus BCBS
0
0
25
36
0
0
0
61
Fidelis Care NY
0
0
0
42
373
81
0
496
MVP
239
0
20
0
0
0
0
259
Total for Hamilton
239
0
46
78
373
81
0
817
30
1
13
37
0
0
0
81
Excellus BCBS
2
2
172
491
1,531
247
0
2,445
Fidelis Care NY
0
0
0
1,018
6,782
1,047
0
8,847
740
0
109
0
0
0
0
849
0
0
0
21
58
7
0
86
772
3
294
1,567
8,371
1,301
0
12,308
4
4
331
1,769
9,168
1,227
0
12,503
280
2
37
0
0
0
0
319
0
0
0
7
3,159
352
0
3,518
284
6
368
1,776
12,327
1,579
0
16,340
10,953
212
529
0
0
0
0
11,694
Affinity Health Plan
0
0
0
717
26,377
3,276
0
30,370
AmidaCare SNP
0
0
0
0
0
0
1,895
1,895
Easy Choice
2,201
15
880
0
0
0
0
3,096
Empire HealthChoice
2,497
504
4,506
0
0
0
0
7,507
Fidelis Care NY
0
0
0
4,278
93,932
17,224
0
115,434
Healthfirst
0
0
0
4,572
196,943
18,680
0
220,195
HIP (EmblemHealth)
Hamilton
Herkimer
CDPHP
MVP
United Healthcare
Total for Herkimer
Jefferson
Excellus BCBS
MVP
United Healthcare
Total for Jefferson
Kings (Brooklyn)
Aetna
Enrollment by County - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
HealthPlus
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
0
0
0
16,678
149,009
17,288
0
182,975
HIP (EmblemHealth)
62,271
261
163
1,518
49,840
4,958
0
119,011
Managed Health Inc
0
0
174
0
0
0
0
174
MetroPlus
0
0
0
3,085
102,629
8,692
0
114,406
MetroPlus SNP
0
0
0
0
0
0
1,700
1,700
MVP
5
0
1
0
0
0
0
6
20,849
532
4,974
0
0
0
0
26,355
United Healthcare
0
0
0
6,636
141,464
19,253
0
167,353
VNSNY Choice SNP
0
0
0
0
0
0
1,255
1,255
WellCare of New York
0
0
0
606
18,857
3,044
0
22,507
98,776
1,524
11,227
38,090
779,051
92,415
4,850
1,025,933
Excellus BCBS
1
2
106
719
2,076
252
0
3,156
Fidelis Care NY
0
0
0
51
873
125
0
1,049
Independent Health
1
0
0
0
0
0
0
1
MVP
169
0
45
0
0
0
0
214
Total for Lewis
171
2
151
770
2,949
377
0
4,420
242
12
162
782
4,116
512
0
5,826
Fidelis Care NY
0
0
0
96
759
112
0
967
Independent Health
1
0
0
0
0
0
0
1
MVP
1,672
4
78
0
1,100
88
0
2,942
Total for Livingston
1,915
16
240
878
5,975
712
0
9,736
CDPHP
0
2
1
16
0
0
0
19
Excellus BCBS
4
5
170
817
3,768
560
0
5,324
Fidelis Care NY
0
0
0
284
2,614
391
0
3,289
963
0
117
0
0
0
0
1,080
United Healthcare
0
0
0
88
746
166
0
1,000
Total for Madison
967
7
288
1,205
7,128
1,117
0
10,712
Oxford
Total for Kings (Brooklyn)
Lewis
Livingston
Excellus BCBS
Madison
MVP
Enrollment by County - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Monroe
Empire HealthChoice
15
0
0
0
0
0
0
15
18,118
244
2,577
9,778
72,328
7,180
0
110,225
Fidelis Care NY
0
0
0
731
17,213
1,611
0
19,555
HealthNow NY
0
8
42
0
0
0
0
50
278
0
0
0
0
0
0
278
14,333
72
697
0
13,467
702
0
29,271
United Healthcare
0
0
0
9
623
259
0
891
Univera Healthcare
0
0
7
0
0
0
0
7
32,744
324
3,323
10,518
103,631
9,752
0
160,292
3,462
4
237
556
3,212
361
0
7,832
Empire HealthChoice
1
7
49
73
0
0
0
130
Excellus BCBS
0
0
10
45
0
0
0
55
Fidelis Care NY
0
0
0
583
5,519
764
0
6,866
HealthNow NY
0
1
44
0
0
0
0
45
MVP
1,524
3
70
0
0
0
0
1,597
Total for Montgomery
4,987
15
410
1,257
8,731
1,125
0
16,525
4,535
173
582
0
0
0
0
5,290
0
0
0
1,627
15,916
3,135
0
20,678
41
0
0
0
0
0
0
41
341
1
25
0
0
0
0
367
3,197
602
5,309
1
0
0
0
9,109
Excellus BCBS
28
0
0
0
0
0
0
28
Fidelis Care NY
0
0
0
4,855
25,138
5,115
0
35,108
Healthfirst
0
0
0
3,683
22,595
4,433
0
30,711
HealthPlus
0
0
0
8,414
11,117
2,502
0
22,033
HIP (EmblemHealth)
21,106
496
162
2,255
18,857
2,675
0
45,551
Independent Health
1
0
0
0
0
0
0
1
Managed Health Inc
0
0
97
0
0
0
0
97
Excellus BCBS
Independent Health
MVP
Total for Monroe
Montgomery
CDPHP
Nassau
Aetna
Affinity Health Plan
CDPHP
Easy Choice
Empire HealthChoice
Enrollment by County - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
MVP
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
3
0
3
0
0
0
0
6
39,768
908
5,171
0
0
0
0
45,847
0
0
0
5,342
26,955
5,884
0
38,181
69,020
2,180
11,349
26,177
120,578
23,744
0
253,048
7,672
708
621
0
0
0
0
9,001
Affinity Health Plan
0
0
0
464
21,817
2,170
0
24,451
AmidaCare SNP
0
0
0
0
0
0
1,011
1,011
115
0
0
0
0
0
0
115
2,520
15
855
0
0
0
0
3,390
18,830
1934
3,283
0
0
0
0
24,047
135
0
0
0
0
0
0
135
Fidelis Care NY
0
0
0
1,233
43,952
5,330
0
50,515
Healthfirst
0
0
0
1,783
94,665
7,967
0
104,415
HealthPlus
0
0
0
1,944
23,949
2,549
0
28,442
HIP (EmblemHealth)
193,255
365
1,109
479
15,915
1,659
0
212,782
Independent Health
352
0
0
0
0
0
0
352
Managed Health Inc
0
0
97
0
0
0
0
97
MetroPlus
0
0
0
960
43,405
3,100
0
47,465
MetroPlus SNP
0
0
0
0
0
0
716
716
MVP
2
0
1
0
0
0
0
3
83,014
1747
5,880
0
0
0
0
90,641
United Healthcare
0
0
0
406
9,570
1,519
0
11,495
VNSNY Choice SNP
0
0
0
0
0
0
1,150
1,150
WellCare of New York
0
0
0
217
8,955
1,240
0
10,412
305,895
4,769
11,846
7,486
262,228
25,534
2,877
620,635
Excellus BCBS
9
12
301
0
0
0
0
322
Fidelis Care NY
0
0
0
2,779
14,279
2,829
0
19,887
HealthNow NY
0
23
232
2
0
0
0
257
HIP (EmblemHealth)
0
1
0
0
0
0
0
1
Oxford
United Healthcare
Total for Nassau
New York (Manhattan)
Aetna
CDPHP
Easy Choice
Empire HealthChoice
Excellus BCBS
Oxford
Total for New York (Manhattan)
Niagara
Enrollment by County - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Independent Health
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
6,562
20
808
0
12,622
0
0
20,012
37
0
4
0
0
0
0
41
United Healthcare
0
0
0
0
36
75
0
111
Univera Healthcare
9
12
301
0
0
0
0
322
6,617
68
1,646
2,781
26,937
2,904
0
40,953
66
4
23
19
0
0
0
112
0
0
1
0
0
0
0
1
Excellus BCBS
36
25
614
1,737
7,446
923
0
10,781
Fidelis Care NY
0
0
0
2,182
25,992
2,871
0
31,045
6,408
7
403
0
0
0
0
6,818
0
0
0
311
4,164
404
0
4,879
6,510
36
1,041
4,249
37,602
4,198
0
53,636
60
10
11
0
0
0
0
81
1,226
78
693
2,883
11,101
1,303
0
17,284
Fidelis Care NY
0
0
0
2,651
17,541
2,117
0
22,309
HealthNow NY
0
5
52
0
0
0
0
57
HIP (EmblemHealth)
1,158
0
0
0
0
0
0
1,158
Independent Health
1
0
0
0
0
0
0
1
3,907
9
615
0
0
0
0
4,531
Todays Options
0
0
0
1,092
24,114
1,752
0
26,958
United Healthcare
0
0
0
753
8,047
971
0
9,771
Univera Healthcare
0
0
2
0
0
0
0
2
6,352
102
1,373
7,379
60,803
6,143
0
82,152
458
29
324
1,807
8,396
1,196
0
12,210
Fidelis Care NY
0
0
0
36
253
37
0
326
Independent Health
4
0
1
0
0
0
0
5
2,707
7
139
0
637
66
0
3,556
MVP
Total for Niagara
Oneida
CDPHP
Empire HealthChoice
MVP
United Healthcare
Total for Oneida
Onondaga
Aetna
Excellus BCBS
MVP
Total for Onondaga
Ontario
Excellus BCBS
MVP
Enrollment by County - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Total for Ontario
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
3,169
36
464
1,843
9,286
1,299
0
16,097
1,820
35
96
0
0
0
0
1,951
0
0
0
1,900
15,642
1,721
0
19,263
CDPHP
102
1
83
93
0
0
0
279
Empire HealthChoice
233
105
1,076
2,019
0
0
0
3,433
0
0
0
1,598
19,919
1,373
0
22,890
HIP (EmblemHealth)
291
15
76
0
0
0
0
382
Hudson Health Plan
0
0
0
2,118
13,989
1,558
0
17,665
Independent Health
1
0
0
0
0
0
0
1
3,984
5
945
0
0
0
0
4,934
666
30
259
0
0
0
0
955
United Healthcare
0
0
0
13
484
101
0
598
WellCare of New York
0
0
0
426
1,773
229
0
2,428
7,097
191
2,535
8,167
51,807
4,982
0
74,779
Excellus BCBS
5
0
72
202
2,124
252
0
2,655
Fidelis Care NY
0
0
0
331
2,289
374
0
2,994
HealthNow NY
0
2
18
150
1,137
134
0
1,441
165
0
28
0
0
0
0
193
1,097
4
47
0
0
0
0
1,148
5
0
71
0
0
0
0
76
1,272
6
236
683
5,550
760
0
8,507
Aetna
29
0
10
0
0
0
0
39
Excellus BCBS
21
12
190
604
4,008
486
0
5,321
Fidelis Care NY
0
0
0
960
10,693
1,129
0
12,782
HealthNow NY
0
1
45
0
0
0
0
46
1,603
1
104
0
0
0
0
1,708
Today's Options
0
0
0
651
0
0
0
651
United Healthcare
0
0
0
268
4,817
506
0
5,591
Orange
Aetna
Affinity Health Plan
Fidelis Care NY
MVP
Oxford
Total for Orange
Orleans
Independent Health
MVP
Univera Healthcare
Total for Orleans
Oswego
MVP
Enrollment by County - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Total for Oswego
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
1,653
14
349
2,483
19,518
2,121
0
26,138
175
9
37
258
0
0
0
479
0
2
8
0
0
0
0
10
Excellus BCBS
36
8
103
537
3,151
385
0
4,220
Fidelis Care NY
0
0
0
348
2,644
465
0
3,457
HIP (EmblemHealth)
1
0
2
0
0
0
0
3
MVP
565
1
92
0
0
0
0
658
Total for Otsego
777
20
242
1,143
5,795
850
0
8,827
Aetna
792
17
77
0
0
0
0
886
Empire HealthChoice
189
55
488
1,090
0
0
0
1,822
Fidelis Care NY
0
0
0
904
3,337
482
0
4,723
HealthPlus
0
0
0
0
125
0
0
125
HIP (EmblemHealth)
0
8
45
0
0
0
0
53
MVP
328
3
223
0
0
0
0
554
Oxford
768
32
237
0
0
0
0
1,037
2,077
115
1,070
1,994
3,462
482
0
9,200
10,961
155
348
0
0
0
0
11,464
Affinity Health Plan
0
0
0
1,086
31,418
5,988
0
38,492
AmidaCare SNP
0
0
0
0
0
0
338
338
Easy Choice
2,387
12
623
0
0
0
0
3,022
Empire HealthChoice
2,146
429
3,294
0
0
0
0
5,869
Excellus BCBS
18
1
0
0
0
0
0
19
Fidelis Care NY
0
0
0
6,051
82,917
17,305
0
106,273
Healthfirst
0
0
0
6,746
146,198
21,031
0
173,975
HealthPlus
0
0
0
13,376
86,740
17,632
0
117,748
HIP (EmblemHealth)
17,195
436
69
3,408
47,799
7,616
0
76,523
Managed Health Inc
0
0
147
0
0
0
0
147
MetroPlus
0
0
0
5,208
105,820
13,993
0
125,021
Otsego
CDPHP
Empire HealthChoice
Putnam
Total for Putnam
Queens
Aetna
Enrollment by County - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
MetroPlus SNP
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
0
0
0
0
0
0
672
672
106
0
0
0
0
0
0
106
18,718
579
4,547
0
0
0
0
23,844
United Healthcare
0
0
0
3,370
37,188
7,535
0
48,093
VNSNY Choice SNP
0
0
0
0
0
0
494
494
WellCare of New York
0
0
0
988
18,150
4,030
0
23,168
51,531
1,612
9,028
40,233
556,230
95,130
1,504
755,268
9,518
43
743
1,884
13,596
1,110
0
26,894
81
19
69
148
0
0
0
317
Excellus BCBS
5
0
0
0
0
0
0
5
Fidelis Care NY
0
0
0
523
4,425
617
0
5,565
HealthNow NY
0
5
104
0
0
0
0
109
28
0
1
0
0
0
0
29
1,867
6
163
0
0
0
0
2,036
United Healthcare
0
0
0
0
40
5
0
45
WellCare of New York
0
0
0
67
782
88
0
937
11,499
73
1,080
2,622
18,843
1,820
0
35,937
2,485
31
95
0
0
0
0
2,611
Affinity Health Plan
0
0
0
38
2,921
255
0
3,214
AmidaCare SNP
0
0
0
0
0
0
233
233
Easy Choice
768
4
245
0
0
0
0
1,017
Empire HealthChoice
382
83
542
0
0
0
0
1,007
Fidelis Care NY
0
0
0
1,256
13,459
1,914
0
16,629
Healthfirst
0
0
0
278
8,146
780
0
9,204
HealthPlus
0
0
0
3,512
32,966
4,048
0
40,526
HIP (EmblemHealth)
1,065
120
1
392
8,855
1,028
0
11,461
Managed Health Inc
0
0
25
0
0
0
0
25
MetroPlus
0
0
0
0
475
25
0
500
MetroPlus SNP
0
0
0
0
0
0
33
33
MVP
Oxford
Total for Queens
Rensselaer
CDPHP
Empire HealthChoice
HIP (EmblemHealth)
MVP
Total for Rensselaer
Richmond (Staten Island)
Aetna
Enrollment by County - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Oxford
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
2,626
80
571
0
0
0
0
3,277
United Healthcare
0
0
0
575
8,921
1,662
0
11,158
VNSNY Choice SNP
0
0
0
0
0
0
42
42
WellCare of New York
0
0
0
0
59
6
0
65
7,326
318
1,479
6,051
75,802
9,718
308
101,002
1,721
59
192
0
0
0
0
1,972
Affinity Health Plan
0
0
0
536
5,213
702
0
6,451
CDPHP
9
0
0
0
0
0
0
9
386
75
987
2,339
0
0
0
3,787
0
0
0
3,682
40,202
3,869
0
47,753
HIP (EmblemHealth)
510
40
16
0
0
0
0
566
Hudson Health Plan
0
0
0
1,510
10,152
1,262
0
12,924
81
1
194
0
0
0
0
276
5,036
185
942
0
0
0
0
6,163
United Healthcare
0
0
0
13
635
176
0
824
WellCare of New York
0
0
0
371
2,241
157
0
2,769
7,743
360
2,331
8,451
58,443
6,166
0
83,494
6,177
75
1,245
2,612
9,482
1,154
0
20,745
32
57
153
244
0
0
0
486
Excellus BCBS
6
0
0
0
0
0
0
6
Fidelis Care NY
0
0
0
964
4,820
1,051
0
6,835
HealthNow NY
0
4
285
0
0
0
0
289
Independent Health
1
0
0
0
0
0
0
1
6,370
5
282
0
0
0
0
6,657
12,586
141
1,965
3,820
14,302
2,205
0
35,019
3,524
35
662
1,716
11,488
898
0
18,323
Empire HealthChoice
63
33
79
173
0
0
0
348
Excellus BCBS
38
0
0
0
0
0
0
38
Total for Richmond (Staten Island)
Rockland
Aetna
Empire HealthChoice
Fidelis Care NY
MVP
Oxford
Total for Rockland
Saratoga
CDPHP
Empire HealthChoice
MVP
Total for Saratoga
Schenectady
CDPHP
Enrollment by County - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Fidelis Care NY
0
0
0
1,355
11,107
1,550
0
14,012
HealthNow NY
0
6
164
0
0
0
0
170
20
0
0
0
0
0
0
20
MVP
5,085
4
236
0
0
0
0
5,325
Total for Schenectady
8,730
78
1,141
3,244
22,595
2,448
0
38,236
345
5
113
500
1,996
301
0
3,260
Empire HealthChoice
5
12
30
35
0
0
0
82
Fidelis Care NY
0
0
0
50
1,360
252
0
1,662
666
1
63
0
0
0
0
730
1,016
18
206
585
3,356
553
0
5,734
Excellus BCBS
0
3
14
206
1,279
265
0
1,767
Fidelis Care NY
0
0
0
38
810
120
0
968
Independent Health
3
0
0
0
0
0
0
3
MVP
24
0
2
0
0
0
0
26
Total for Schuyler
27
3
16
244
2,089
385
0
2,764
281
6
75
467
3,663
418
0
4,910
MVP
1,140
1
25
0
0
0
0
1,166
Total for Seneca
1,421
7
100
467
3,663
418
0
6,076
Excellus BCBS
1
2
96
1,510
9,974
1,105
0
12,688
Fidelis Care NY
0
0
0
167
2,958
327
0
3,452
32
2
33
0
0
0
0
67
0
0
0
2
239
22
0
263
33
4
129
1,679
13,171
1,454
0
16,470
Excellus BCBS
34
4
162
1,081
5,801
539
0
7,621
Fidelis Care NY
0
0
0
195
5,525
840
0
6,560
Independent Health
Schoharie
CDPHP
MVP
Total for Schoharie
Schuyler
Seneca
Excellus BCBS
St. Lawrence
MVP
United Healthcare
Total for St. Lawrence
Steuben
Enrollment by County - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
MVP
720
2
124
0
0
0
0
846
Total for Steuben
754
6
286
1,276
11,326
1,379
0
15,027
4,509
92
501
0
0
0
0
5,102
0
0
0
3,954
20,178
3,790
0
27,922
95
0
0
0
0
0
0
95
6,411
483
6,756
0
0
0
0
13,650
Fidelis Care NY
0
0
0
7,781
27,140
5,961
0
40,882
Healthfirst
0
0
0
6,993
40,447
5,847
0
53,287
HealthPlus
0
0
0
7,395
0
0
0
7,395
HIP (EmblemHealth)
24,997
313
372
2,271
18,449
2,959
0
49,361
Independent Health
4
0
0
0
0
0
0
4
Managed Health Inc
0
0
132
0
0
0
0
132
MVP
4
0
0
0
0
0
0
4
32,699
413
7,125
0
0
0
0
40,237
0
0
0
7,365
32,127
6,328
0
45,820
68,719
1,301
14,886
35,759
138,341
24,885
0
283,891
107
4
15
0
0
0
0
126
56
42
266
153
0
0
0
517
0
0
0
251
3,288
446
0
3,985
HIP (EmblemHealth)
22
0
11
0
0
0
0
33
Hudson Health Plan
0
0
0
1,286
8,987
1,068
0
11,341
860
1
250
0
0
0
0
1,111
29
18
48
0
0
0
0
95
1,074
65
590
1,690
12,275
1,514
0
17,208
Aetna
4
0
3
0
0
0
0
7
CDPHP
4
0
11
53
1,634
230
0
1,932
Excellus BCBS
4
5
67
378
0
0
0
454
Fidelis Care NY
0
0
0
147
3,253
365
0
3,765
Suffolk
Aetna
Affinity Health Plan
CDPHP
Empire HealthChoice
Oxford
United Healthcare
Total for Suffolk
Sullivan
Aetna
Empire HealthChoice
Fidelis Care NY
MVP
Oxford
Total for Sullivan
Tioga
Enrollment by County - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
MVP
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
182
0
51
0
0
0
0
233
0
0
0
0
296
47
0
343
194
5
132
578
5,183
642
0
6,734
Excellus BCBS
15
24
377
514
592
93
0
1,615
Fidelis Care NY
0
0
0
290
2,041
257
0
2,588
126
0
19
0
0
0
0
145
0
0
0
351
4,975
519
0
5,845
141
24
396
1,155
7,608
869
0
10,193
158
12
16
0
0
0
0
186
3,169
11
229
312
0
0
0
3,721
65
83
320
323
0
0
0
791
0
0
0
808
5,306
586
0
6,700
HIP (EmblemHealth)
518
1
425
0
0
0
0
944
Hudson Health Plan
0
0
0
768
5,829
782
0
7,379
5,687
14
1,512
568
5,493
916
0
14,190
29
17
54
0
0
0
0
100
United Healthcare
0
0
0
1
198
39
0
238
WellCare of New York
0
0
0
339
2,582
304
0
3,225
9,626
138
2,556
3,119
19,408
2,627
0
37,474
1,126
16
357
481
0
0
0
1,980
46
27
118
219
0
0
0
410
Fidelis Care NY
0
0
0
826
4,863
822
0
6,511
HealthNow NY
0
1
140
0
0
0
0
141
89
0
0
0
0
0
0
89
2,504
2
119
0
0
0
0
2,625
United Healthcare
0
0
0
2
592
95
0
689
Total for Warren
3,765
46
734
1,528
5,455
917
0
12,445
United Healthcare
Total for Tioga
Tompkins
MVP
Todays Options
Total for Tompkins
Ulster
Aetna
CDPHP
Empire HealthChoice
Fidelis Care NY
MVP
Oxford
Total for Ulster
Warren
CDPHP
Empire HealthChoice
HIP (EmblemHealth)
MVP
Enrollment by County - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Washington
CDPHP
523
2
328
520
2,694
298
0
4,365
25
4
58
164
0
0
0
251
Fidelis Care NY
0
0
0
775
4,115
614
0
5,504
HealthNow NY
0
5
117
0
0
0
0
122
MVP
1,870
0
108
0
0
0
0
1,978
Total for Washington
2,418
11
611
1,459
6,809
912
0
12,220
1,041
16
246
1,867
8,270
933
0
12,373
Fidelis Care NY
0
0
0
172
1,353
126
0
1,651
HealthNow NY
0
1
3
0
0
0
0
4
MVP
2,150
4
113
0
0
0
0
2,267
Total for Wayne
3,191
21
362
2,039
9,623
1,059
0
16,295
3,611
221
555
0
0
0
0
4,387
0
0
0
1,310
15,797
2,078
0
19,185
CDPHP
1,377
0
0
0
0
0
0
1,377
Empire HealthChoice
2,228
631
2,719
0
0
0
0
5,578
177
0
0
0
0
0
0
177
Fidelis Care NY
0
0
0
1,971
20,736
3,533
0
26,240
HealthPlus
0
0
0
2,733
0
0
0
2,733
HIP (EmblemHealth)
7,840
174
19
763
8,415
937
0
18,148
Hudson Health Plan
0
0
0
7,938
50,839
6,185
0
64,962
Independent Health
845
0
0
0
0
0
0
845
MVP
192
0
12
0
0
0
0
204
26,248
864
2,670
0
0
0
0
29,782
0
0
0
32
1,805
481
0
2,318
42,518
1,890
5,975
14,747
97,592
13,214
0
175,936
Excellus BCBS
1
3
87
0
0
0
0
91
Fidelis Care NY
0
0
0
152
957
173
0
1,282
Empire HealthChoice
Wayne
Excellus BCBS
Westchester
Aetna
Affinity Health Plan
Excellus BCBS
Oxford
United Healthcare
Total for Westchester
Wyoming
Enrollment by County - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
HealthNow NY
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
0
2
45
503
1,921
395
0
2,866
Independent Health
199
0
70
0
0
0
0
269
MVP
610
1
25
0
0
0
0
636
Univera Healthcare
0
3
86
0
0
0
0
89
Total for Wyoming
810
9
313
655
2,878
568
0
5,233
Excellus BCBS
203
5
59
463
2,495
465
0
3,690
MVP
541
2
27
0
0
0
0
570
Total for Yates
744
7
86
463
2,495
465
0
4,260
Yates
1
2013 Total NYS Enrollment
980,297
17,289
112,663 304,566
3,472,194
432,191
16,405
% of Total Enrollment
18.4%
0.3%
2.1%
5.7%
65.1%
8.1%
0.3%
2012 Total NYS Enrollment
1 1,042,279
19,611
130,439
341,001
3,327,259
431,300
17,072
% Change from 2012
-1.3%
0.0%
-0.3%
-0.7%
2.4%
0.0%
0.0%
5,335,605
5,308,961
Total enrollment for 2012 was recalculated to exclude Medicare enrollment, which was excluded from this year's report.
III.
ENROLLMENT BY PLAN
Enrollment by Plan - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Aetna
Bronx
4,957
65
60
0
0
0
0
5,082
Broome
19
2
3
0
0
0
0
24
Cayuga
3
1
0
0
0
0
0
4
526
19
71
0
0
0
0
616
10,953
212
529
0
0
0
0
11,694
Nassau
4,535
173
582
0
0
0
0
5,290
New York (Manhattan)
7,672
708
621
0
0
0
0
9,001
60
10
11
0
0
0
0
81
Orange
1,820
35
96
0
0
0
0
1,951
Oswego
29
0
10
0
0
0
0
39
Putnam
792
17
77
0
0
0
0
886
Queens
10,961
155
348
0
0
0
0
11,464
Richmond (Staten Island)
2,485
31
95
0
0
0
0
2,611
Rockland
1,721
59
192
0
0
0
0
1,972
Suffolk
4,509
92
501
0
0
0
0
5,102
107
4
15
0
0
0
0
126
Tioga
4
0
3
0
0
0
0
7
Ulster
158
12
16
0
0
0
0
186
3,611
221
555
0
0
0
0
4,387
54,922
1,816
3,785
0
0
0
0
60,523
Bronx
0
0
0
1,843
66,462
6,244
0
74,549
Kings (Brooklyn)
0
0
0
717
26,377
3,276
0
30,370
Nassau
0
0
0
1,627
15,916
3,135
0
20,678
New York (Manhattan)
0
0
0
464
21,817
2,170
0
24,451
Orange
0
0
0
1,900
15,642
1,721
0
19,263
Queens
0
0
0
1,086
31,418
5,988
0
38,492
Richmond (Staten Island)
0
0
0
38
2,921
255
0
3,214
Rockland
0
0
0
536
5,213
702
0
6,451
Suffolk
0
0
0
3,954
20,178
3,790
0
27,922
Dutchess
Kings (Brooklyn)
Onondaga
Sullivan
Westchester
Total for Aetna
Affinity Health Plan
Enrollment by Plan - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Westchester
0
0
0
1,310
15,797
2,078
0
19,185
Total for Affinity Health Plan
0
0
0
13,475
221,741
29,359
0
264,575
Bronx
0
0
0
0
0
0
2,480
2,480
Kings (Brooklyn)
0
0
0
0
0
0
1,895
1,895
New York (Manhattan)
0
0
0
0
0
0
1,011
1,011
Queens
0
0
0
0
0
0
338
338
Richmond (Staten Island)
0
0
0
0
0
0
233
233
Total for AmidaCare SNP
0
0
0
0
0
0
5,957
5,957
65,737
118
1,316
3,012
21,385
1,881
0
93,449
Broome
66
10
15
121
266
39
0
517
Chenango
42
0
11
10
0
0
0
63
Columbia
2,948
25
425
787
3,515
341
0
8,041
Delaware
297
0
28
147
0
0
0
472
Dutchess
1,577
11
116
183
0
0
0
1,887
Essex
1
4
9
18
0
0
0
32
Franklin
0
0
1
0
0
0
0
1
Fulton
378
4
131
369
1,276
138
0
2,296
Greene
399
14
323
483
2,981
229
0
4,429
Hamilton
0
0
1
0
0
0
0
1
Herkimer
30
1
13
37
0
0
0
81
Madison
0
2
1
16
0
0
0
19
3,462
4
237
556
3,212
361
0
7,832
41
0
0
0
0
0
0
41
115
0
0
0
0
0
0
115
Oneida
66
4
23
19
0
0
0
112
Orange
102
1
83
93
0
0
0
279
Otsego
175
9
37
258
0
0
0
479
9,518
43
743
1,884
13,596
1,110
0
26,894
9
0
0
0
0
0
0
9
AmidaCare SNP
CDPHP
Albany
Montgomery
Nassau
New York (Manhattan)
Rensselaer
Rockland
Enrollment by Plan - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Saratoga
6,177
75
1,245
2,612
9,482
1,154
0
20,745
Schenectady
3,524
35
662
1,716
11,488
898
0
18,323
345
5
113
500
1,996
301
0
3,260
Suffolk
95
0
0
0
0
0
0
95
Tioga
4
0
11
53
1,634
230
0
1,932
Ulster
3,169
11
229
312
0
0
0
3,721
Warren
1,126
16
357
481
0
0
0
1,980
Washington
523
2
328
520
2,694
298
0
4,365
Westchester
1,377
0
0
0
0
0
0
1,377
101,303
394
6,458
14,187
73,525
6,980
0
202,847
825
1
135
0
0
0
0
961
2,201
15
880
0
0
0
0
3,096
341
1
25
0
0
0
0
367
New York (Manhattan)
2,520
15
855
0
0
0
0
3,390
Queens
2,387
12
623
0
0
0
0
3,022
768
4
245
0
0
0
0
1,017
9,042
48
2,763
0
0
0
0
11,853
1,123
75
190
272
0
0
0
1,660
Bronx
747
113
435
0
0
0
0
1,295
Clinton
13
15
90
256
0
0
0
374
Columbia
58
47
101
72
0
0
0
278
Delaware
14
14
63
35
0
0
0
126
Dutchess
88
139
663
1,079
0
0
0
1,969
Essex
0
24
52
77
0
0
0
153
Fulton
0
5
37
65
0
0
0
107
Greene
14
21
65
59
0
0
0
159
2,497
504
4,506
0
0
0
0
7,507
15
0
0
0
0
0
0
15
1
7
49
73
0
0
0
130
Schoharie
Total for CDPHP
Easy Choice
Bronx
Kings (Brooklyn)
Nassau
Richmond (Staten Island)
Total for Easy Choice
Empire HealthChoice
Albany
Kings (Brooklyn)
Monroe
Montgomery
Enrollment by Plan - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Nassau
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
3,197
602
5,309
1
0
0
0
9,109
18,830
1934
3,283
0
0
0
0
24,047
Oneida
0
0
1
0
0
0
0
1
Orange
233
105
1,076
2,019
0
0
0
3,433
Otsego
0
2
8
0
0
0
0
10
Putnam
189
55
488
1,090
0
0
0
1,822
Queens
2,146
429
3,294
0
0
0
0
5,869
81
19
69
148
0
0
0
317
Richmond (Staten Island)
382
83
542
0
0
0
0
1,007
Rockland
386
75
987
2,339
0
0
0
3,787
Saratoga
32
57
153
244
0
0
0
486
Schenectady
63
33
79
173
0
0
0
348
5
12
30
35
0
0
0
82
6,411
483
6,756
0
0
0
0
13,650
Sullivan
56
42
266
153
0
0
0
517
Ulster
65
83
320
323
0
0
0
791
Warren
46
27
118
219
0
0
0
410
Washington
25
4
58
164
0
0
0
251
Westchester
2,228
631
2,719
0
0
0
0
5,578
38,945
5,640
31,807
8,896
0
0
0
85,288
191
3
0
0
0
0
0
194
Allegany
5
5
154
0
0
0
0
164
Broome
7
21
191
2,135
21,833
2,669
0
26,856
Cattaraugus
1
1
140
0
0
0
0
142
Cayuga
3
9
88
918
3,184
366
0
4,568
Chautauqua
10
14
388
0
0
0
0
412
Chemung
19
15
54
619
6,669
691
0
8,067
Chenango
11
2
77
549
0
0
0
639
Clinton
4
1
135
528
0
3
0
671
Columbia
0
0
1
0
0
0
0
1
New York (Manhattan)
Rensselaer
Schoharie
Suffolk
Total for Empire HealthChoice
Excellus BCBS
Albany
Enrollment by Plan - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Cortland
3
8
116
283
0
0
0
410
Delaware
8
0
33
230
0
0
0
271
314
93
1,617
0
0
0
0
2,024
Essex
0
1
111
294
0
0
0
406
Franklin
0
7
166
423
0
1
0
597
Fulton
0
2
7
34
0
0
0
43
Genesee
12
1
119
0
0
0
0
132
Hamilton
0
0
25
36
0
0
0
61
Herkimer
2
2
172
491
1,531
247
0
2,445
Jefferson
4
4
331
1,769
9,168
1,227
0
12,503
Lewis
1
2
106
719
2,076
252
0
3,156
242
12
162
782
4,116
512
0
5,826
Madison
4
5
170
817
3,768
560
0
5,324
Monroe
18,118
244
2,577
9,778
72,328
7,180
0
110,225
0
0
10
45
0
0
0
55
28
0
0
0
0
0
0
28
135
0
0
0
0
0
0
135
Niagara
9
12
301
0
0
0
0
322
Oneida
36
25
614
1,737
7,446
923
0
10,781
1,226
78
693
2,883
11,101
1,303
0
17,284
Ontario
458
29
324
1,807
8,396
1,196
0
12,210
Orleans
5
0
72
202
2,124
252
0
2,655
Oswego
21
12
190
604
4,008
486
0
5,321
Otsego
36
8
103
537
3,151
385
0
4,220
Queens
18
1
0
0
0
0
0
19
Rensselaer
5
0
0
0
0
0
0
5
St. Lawrence
1
2
96
1,510
9,974
1,105
0
12,688
Saratoga
6
0
0
0
0
0
0
6
38
0
0
0
0
0
0
38
0
3
14
206
1,279
265
0
1,767
281
6
75
467
3,663
418
0
4,910
Erie
Livingston
Montgomery
Nassau
New York (Manhattan)
Onondaga
Schenectady
Schuyler
Seneca
Enrollment by Plan - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Steuben
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
34
4
162
1,081
5,801
539
0
7,621
4
5
67
378
0
0
0
454
15
24
377
514
592
93
0
1,615
1,041
16
246
1,867
8,270
933
0
12,373
177
0
0
0
0
0
0
177
1
3
87
0
0
0
0
91
203
5
59
463
2,495
465
0
3,690
22,737
685
10,430
34,706
192,973
22,071
0
283,602
Albany
0
0
0
854
8,196
1,245
0
10,295
Allegany
0
0
0
53
489
83
0
625
Bronx
0
0
0
1,963
66,624
6,653
0
75,240
Broome
0
0
0
410
4,257
444
0
5,111
Cattaraugus
0
0
0
411
3,238
430
0
4,079
Cayuga
0
0
0
394
4,838
541
0
5,773
Chautauqua
0
0
0
1,159
16,045
1,316
0
18,520
Chemung
0
0
0
131
5,970
480
0
6,581
Chenango
0
0
0
259
5,412
733
0
6,404
Clinton
0
0
0
628
8,704
1,086
0
10,418
Columbia
0
0
0
418
2,934
480
0
3,832
Cortland
0
0
0
542
4,825
583
0
5,950
Delaware
0
0
0
276
4,767
765
0
5,808
Dutchess
0
0
0
1,211
5,987
892
0
8,090
Erie
0
0
0
2,225
31,116
3,287
0
36,628
Essex
0
0
0
322
3,327
638
0
4,287
Franklin
0
0
0
185
5,035
629
0
5,849
Fulton
0
0
0
735
6,883
867
0
8,485
Genesee
0
0
0
828
2,083
363
0
3,274
Greene
0
0
0
212
2,857
341
0
3,410
Hamilton
0
0
0
42
373
81
0
496
Herkimer
0
0
0
1,018
6,782
1,047
0
8,847
Tioga
Tompkins
Wayne
Westchester
Wyoming
Yates
Total for Excellus BCBS
Fidelis Care NY
Enrollment by Plan - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Child
Health
Plus
Medicaid
Managed
Care
Family
Health
Plus
HIV
SNP
Total
Enrollment
Kings (Brooklyn)
0
0
0
4,278
93,932
17,224
0
115,434
Lewis
0
0
0
51
873
125
0
1,049
Livingston
0
0
0
96
759
112
0
967
Madison
0
0
0
284
2,614
391
0
3,289
Monroe
0
0
0
731
17,213
1,611
0
19,555
Montgomery
0
0
0
583
5,519
764
0
6,866
Nassau
0
0
0
4,855
25,138
5,115
0
35,108
New York (Manhattan)
0
0
0
1,233
43,952
5,330
0
50,515
Niagara
0
0
0
2,779
14,279
2,829
0
19,887
Oneida
0
0
0
2,182
25,992
2,871
0
31,045
Onondaga
0
0
0
2,651
17,541
2,117
0
22,309
Ontario
0
0
0
36
253
37
0
326
Orange
0
0
0
1,598
19,919
1,373
0
22,890
Orleans
0
0
0
331
2,289
374
0
2,994
Oswego
0
0
0
960
10,693
1,129
0
12,782
Otsego
0
0
0
348
2,644
465
0
3,457
Putnam
0
0
0
904
3,337
482
0
4,723
Queens
0
0
0
6,051
82,917
17,305
0
106,273
Rensselaer
0
0
0
523
4,425
617
0
5,565
Richmond (Staten Island)
0
0
0
1,256
13,459
1,914
0
16,629
Rockland
0
0
0
3,682
40,202
3,869
0
47,753
St. Lawrence
0
0
0
167
2,958
327
0
3,452
Saratoga
0
0
0
964
4,820
1,051
0
6,835
Schenectady
0
0
0
1,355
11,107
1,550
0
14,012
Schoharie
0
0
0
50
1,360
252
0
1,662
Schuyler
0
0
0
38
810
120
0
968
Steuben
0
0
0
195
5,525
840
0
6,560
Suffolk
0
0
0
7,781
27,140
5,961
0
40,882
Sullivan
0
0
0
251
3,288
446
0
3,985
Tioga
0
0
0
147
3,253
365
0
3,765
Tompkins
0
0
0
290
2,041
257
0
2,588
Enrollment by Plan - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Ulster
0
0
0
808
5,306
586
0
6,700
Warren
0
0
0
826
4,863
822
0
6,511
Washington
0
0
0
775
4,115
614
0
5,504
Wayne
0
0
0
172
1,353
126
0
1,651
Westchester
0
0
0
1,971
20,736
3,533
0
26,240
Wyoming
0
0
0
152
957
173
0
1,282
Total for Fidelis Care NY
0
0
0
65,630
728,324
106,061
0
900,015
Bronx
0
0
0
3,632
186,723
14,037
0
204,392
Kings (Brooklyn)
0
0
0
4,572
196,943
18,680
0
220,195
Nassau
0
0
0
3,683
22,595
4,433
0
30,711
New York (Manhattan)
0
0
0
1,783
94,665
7,967
0
104,415
Queens
0
0
0
6,746
146,198
21,031
0
173,975
Richmond (Staten Island)
0
0
0
278
8,146
780
0
9,204
Suffolk
0
0
0
6,993
40,447
5,847
0
53,287
Total for Healthfirst
0
0
0
27,687
695,717
72,775
0
796,179
2,574
14
171
0
0
0
0
2,759
Allegany
0
5
54
388
3,048
322
0
3,817
Cattaraugus
0
8
155
693
4,455
441
0
5,752
Chautauqua
0
14
242
522
4,097
364
0
5,239
Chemung
0
0
26
0
0
0
0
26
Clinton
0
2
103
0
0
0
0
105
Columbia
0
0
67
0
0
0
0
67
17,584
109
963
3,269
23,304
2,623
0
47,852
Essex
0
2
61
0
0
0
0
63
Franklin
0
0
1
0
0
0
0
1
Fulton
0
0
43
0
0
0
0
43
Genesee
0
3
62
0
0
0
0
65
Greene
0
5
63
0
0
0
0
68
Monroe
0
8
42
0
0
0
0
50
Healthfirst
HealthNow NY
Albany
Erie
Enrollment by Plan - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Montgomery
0
1
44
0
0
0
0
45
Niagara
0
23
232
2
0
0
0
257
Onondaga
0
5
52
0
0
0
0
57
Orleans
0
2
18
150
1,137
134
0
1,441
Oswego
0
1
45
0
0
0
0
46
Rensselaer
0
5
104
0
0
0
0
109
Saratoga
0
4
285
0
0
0
0
289
Schenectady
0
6
164
0
0
0
0
170
Warren
0
1
140
0
0
0
0
141
Washington
0
5
117
0
0
0
0
122
Wayne
0
1
3
0
0
0
0
4
Wyoming
0
2
45
503
1,921
395
0
2,866
20,158
226
3,302
5,527
37,962
4,279
0
71,454
Bronx
0
0
0
2,027
39,315
3,666
0
45,008
Kings (Brooklyn)
0
0
0
16,678
149,009
17,288
0
182,975
Nassau
0
0
0
8,414
11,117
2,502
0
22,033
New York (Manhattan)
0
0
0
1,944
23,949
2,549
0
28,442
Putnam
0
0
0
0
125
0
0
125
Queens
0
0
0
13,376
86,740
17,632
0
117,748
Richmond (Staten Island)
0
0
0
3,512
32,966
4,048
0
40,526
Suffolk
0
0
0
7,395
0
0
0
7,395
Westchester
0
0
0
2,733
0
0
0
2,733
Total for HealthPlus
0
0
0
56,079
343,221
47,685
0
446,985
Albany
13,171
2
2
0
0
0
0
13,175
Bronx
4,226
95
37
700
26,444
1,950
0
33,452
Broome
23
0
5
0
0
0
0
28
Columbia
6
1
2
0
0
0
0
9
Delaware
0
1
5
0
0
0
0
6
Dutchess
10
7
26
0
0
0
0
43
Total for HealthNow NY
HealthPlus
HIP (EmblemHealth)
Enrollment by Plan - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Greene
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
12
0
5
0
0
0
0
17
Kings (Brooklyn)
62,271
261
163
1,518
49,840
4,958
0
119,011
Nassau
21,106
496
162
2,255
18,857
2,675
0
45,551
193,255
365
1,109
479
15,915
1,659
0
212,782
0
1
0
0
0
0
0
1
1,158
0
0
0
0
0
0
1,158
Orange
291
15
76
0
0
0
0
382
Otsego
1
0
2
0
0
0
0
3
Putnam
0
8
45
0
0
0
0
53
Queens
17,195
436
69
3,408
47,799
7,616
0
76,523
28
0
1
0
0
0
0
29
1,065
120
1
392
8,855
1,028
0
11,461
510
40
16
0
0
0
0
566
24,997
313
372
2,271
18,449
2,959
0
49,361
22
0
11
0
0
0
0
33
518
1
425
0
0
0
0
944
89
0
0
0
0
0
0
89
7,840
174
19
763
8,415
937
0
18,148
347,794
2,336
2,553
11,786
194,574
23,782
0
582,825
Dutchess
0
0
0
1,277
8,197
824
0
10,298
Orange
0
0
0
2,118
13,989
1,558
0
17,665
Rockland
0
0
0
1,510
10,152
1,262
0
12,924
Sullivan
0
0
0
1,286
8,987
1,068
0
11,341
Ulster
0
0
0
768
5,829
782
0
7,379
Westchester
0
0
0
7,938
50,839
6,185
0
64,962
Total for Hudson Health Plan
0
0
0
14,897
97,993
11,679
0
124,569
23,794
0
0
0
0
0
0
23,794
Allegany
117
4
49
0
0
0
0
170
Broome
2
0
0
0
0
0
0
2
New York (Manhattan)
Niagara
Onondaga
Rensselaer
Richmond (Staten Island)
Rockland
Suffolk
Sullivan
Ulster
Warren
Westchester
Total for HIP (EmblemHealth)
Hudson Health Plan
Independent Health
Albany
Enrollment by Plan - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Cattaraugus
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
541
7
158
0
0
0
0
706
1
0
0
0
0
0
0
1
726
8
301
0
0
0
0
1,035
Clinton
1
0
0
0
0
0
0
1
Delaware
1
0
0
0
0
0
0
1
18,685
182
3,078
1,665
37,490
3,678
0
64,778
341
2
110
0
0
0
0
453
Lewis
1
0
0
0
0
0
0
1
Livingston
1
0
0
0
0
0
0
1
278
0
0
0
0
0
0
278
1
0
0
0
0
0
0
1
352
0
0
0
0
0
0
352
6,562
20
808
0
12,622
0
0
20,012
Onondaga
1
0
0
0
0
0
0
1
Ontario
4
0
1
0
0
0
0
5
Orange
1
0
0
0
0
0
0
1
Orleans
165
0
28
0
0
0
0
193
1
0
0
0
0
0
0
1
20
0
0
0
0
0
0
20
Schuyler
3
0
0
0
0
0
0
3
Suffolk
4
0
0
0
0
0
0
4
Westchester
845
0
0
0
0
0
0
845
Wyoming
199
0
70
0
0
0
0
269
52,647
223
4,603
1,665
50,112
3,678
0
112,928
Bronx
0
1
48
0
0
0
0
49
Kings (Brooklyn)
0
0
174
0
0
0
0
174
Nassau
0
0
97
0
0
0
0
97
New York (Manhattan)
0
0
97
0
0
0
0
97
Queens
0
0
147
0
0
0
0
147
Richmond (Staten Island)
0
0
25
0
0
0
0
25
Cayuga
Chautauqua
Erie
Genesee
Monroe
Nassau
New York (Manhattan)
Niagara
Saratoga
Schenectady
Total for Independent Health
Managed Health Inc
Enrollment by Plan - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Suffolk
0
0
132
0
0
0
0
132
Total for Managed Health Inc
0
1
720
0
0
0
0
721
Bronx
0
0
0
2,789
110,938
7,875
0
121,602
Kings (Brooklyn)
0
0
0
3,085
102,629
8,692
0
114,406
New York (Manhattan)
0
0
0
960
43,405
3,100
0
47,465
Queens
0
0
0
5,208
105,820
13,993
0
125,021
Richmond (Staten Island)
0
0
0
0
475
25
0
500
Total for MetroPlus
0
0
0
12,042
363,267
33,685
0
408,994
Bronx
0
0
0
0
0
0
2,217
2,217
Kings (Brooklyn)
0
0
0
0
0
0
1,700
1,700
New York (Manhattan)
0
0
0
0
0
0
716
716
Queens
0
0
0
0
0
0
672
672
Richmond (Staten Island)
0
0
0
0
0
0
33
33
Total for MetroPlus SNP
0
0
0
0
0
0
5,338
5,338
3,033
3
140
0
0
0
0
3,176
74
0
1
0
0
0
0
75
6
0
5
0
0
0
0
11
1,039
4
192
0
0
0
0
1,235
2
0
0
0
0
0
0
2
456
2
87
0
0
0
0
545
2
0
0
0
0
0
0
2
Chemung
11
0
6
0
0
0
0
17
Chenango
915
2
76
0
0
0
0
993
Clinton
107
0
5
0
0
0
0
112
Columbia
693
2
110
0
0
0
0
805
Cortland
149
0
52
0
0
0
0
201
Delaware
499
2
116
0
0
0
0
617
Dutchess
10,959
25
1,683
1,049
6,566
780
0
21,062
MetroPlus
MetroPlus SNP
MVP
Albany
Allegany
Bronx
Broome
Cattaraugus
Cayuga
Chautauqua
Enrollment by Plan - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Erie
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
107
0
2
0
0
0
0
109
Essex
44
0
7
0
0
0
0
51
Franklin
26
0
48
0
0
0
0
74
Fulton
1,887
0
81
0
0
0
0
1,968
Genesee
1,963
3
107
0
3,246
419
0
5,738
Greene
467
4
112
0
0
0
0
583
Hamilton
239
0
20
0
0
0
0
259
Herkimer
740
0
109
0
0
0
0
849
Jefferson
280
2
37
0
0
0
0
319
5
0
1
0
0
0
0
6
169
0
45
0
0
0
0
214
1,672
4
78
0
1,100
88
0
2,942
Madison
963
0
117
0
0
0
0
1,080
Monroe
14,333
72
697
0
13,467
702
0
29,271
1,524
3
70
0
0
0
0
1,597
Nassau
3
0
3
0
0
0
0
6
New York (Manhattan)
2
0
1
0
0
0
0
3
Niagara
37
0
4
0
0
0
0
41
Oneida
6,408
7
403
0
0
0
0
6,818
Onondaga
3,907
9
615
0
0
0
0
4,531
Ontario
2,707
7
139
0
637
66
0
3,556
Orange
3,984
5
945
0
0
0
0
4,934
Orleans
1,097
4
47
0
0
0
0
1,148
Oswego
1,603
1
104
0
0
0
0
1,708
Otsego
565
1
92
0
0
0
0
658
Putnam
328
3
223
0
0
0
0
554
Queens
106
0
0
0
0
0
0
106
1,867
6
163
0
0
0
0
2,036
Rockland
81
1
194
0
0
0
0
276
St. Lawrence
32
2
33
0
0
0
0
67
6,370
5
282
0
0
0
0
6,657
Kings (Brooklyn)
Lewis
Livingston
Montgomery
Rensselaer
Saratoga
Enrollment by Plan - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Schenectady
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
5,085
4
236
0
0
0
0
5,325
Schoharie
666
1
63
0
0
0
0
730
Schuyler
24
0
2
0
0
0
0
26
1,140
1
25
0
0
0
0
1,166
720
2
124
0
0
0
0
846
4
0
0
0
0
0
0
4
Sullivan
860
1
250
0
0
0
0
1,111
Tioga
182
0
51
0
0
0
0
233
Tompkins
126
0
19
0
0
0
0
145
Ulster
5,687
14
1,512
568
5,493
916
0
14,190
Warren
2,504
2
119
0
0
0
0
2,625
Washington
1,870
0
108
0
0
0
0
1,978
Wayne
2,150
4
113
0
0
0
0
2,267
Westchester
192
0
12
0
0
0
0
204
Wyoming
610
1
25
0
0
0
0
636
Yates
541
2
27
0
0
0
0
570
93,822
211
9,938
1,617
30,509
2,971
0
139,068
7,803
152
827
0
0
0
0
8,782
589
23
126
0
0
0
0
738
Kings (Brooklyn)
20,849
532
4,974
0
0
0
0
26,355
Nassau
39,768
908
5,171
0
0
0
0
45,847
New York (Manhattan)
83,014
1747
5,880
0
0
0
0
90,641
Orange
666
30
259
0
0
0
0
955
Putnam
768
32
237
0
0
0
0
1,037
Queens
18,718
579
4,547
0
0
0
0
23,844
Richmond (Staten Island)
2,626
80
571
0
0
0
0
3,277
Rockland
5,036
185
942
0
0
0
0
6,163
32,699
413
7,125
0
0
0
0
40,237
Sullivan
29
18
48
0
0
0
0
95
Ulster
29
17
54
0
0
0
0
100
Seneca
Steuben
Suffolk
Total for MVP
Oxford
Bronx
Dutchess
Suffolk
Enrollment by Plan - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Westchester
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
26,248
864
2,670
0
0
0
0
29,782
238,842
5,580
33,431
0
0
0
0
277,853
Cortland
0
0
0
55
1,570
175
0
1,800
Onondaga
0
0
0
1,092
24,114
1,752
0
26,958
Tompkins
0
0
0
351
4,975
519
0
5,845
Total for Todays Options
0
0
0
1,498
30,659
2,446
0
34,603
Oswego
0
0
0
651
0
0
0
651
Total for Today's Options
0
0
0
651
0
0
0
651
Albany
0
0
0
0
69
14
0
83
Bronx
0
0
0
322
14,121
1,394
0
15,837
Broome
0
0
0
6
513
67
0
586
Cayuga
0
0
0
151
1,092
176
0
1,419
Chautauqua
0
0
0
0
1
1
0
2
Chemung
0
0
0
0
91
25
0
116
Chenango
0
0
0
4
938
75
0
1,017
Clinton
0
0
0
4
890
161
0
1,055
Columbia
0
0
0
5
18
3
0
26
Essex
0
0
0
0
22
15
0
37
Fulton
0
0
0
0
17
2
0
19
Genesee
0
0
0
4
9
2
0
15
Herkimer
0
0
0
21
58
7
0
86
Jefferson
0
0
0
7
3,159
352
0
3,518
Kings (Brooklyn)
0
0
0
6,636
141,464
19,253
0
167,353
Madison
0
0
0
88
746
166
0
1,000
Monroe
0
0
0
9
623
259
0
891
Nassau
0
0
0
5,342
26,955
5,884
0
38,181
New York (Manhattan)
0
0
0
406
9,570
1,519
0
11,495
Niagara
0
0
0
0
36
75
0
111
Total for Oxford
Todays Options
Today's Options
United Healthcare
Enrollment by Plan - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Oneida
0
0
0
311
4,164
404
0
4,879
Onondaga
0
0
0
753
8,047
971
0
9,771
Orange
0
0
0
13
484
101
0
598
Oswego
0
0
0
268
4,817
506
0
5,591
Queens
0
0
0
3,370
37,188
7,535
0
48,093
Rensselaer
0
0
0
0
40
5
0
45
Richmond (Staten Island)
0
0
0
575
8,921
1,662
0
11,158
Rockland
0
0
0
13
635
176
0
824
St. Lawrence
0
0
0
2
239
22
0
263
Suffolk
0
0
0
7,365
32,127
6,328
0
45,820
Tioga
0
0
0
0
296
47
0
343
Ulster
0
0
0
1
198
39
0
238
Warren
0
0
0
2
592
95
0
689
Westchester
0
0
0
32
1,805
481
0
2,318
Total for United Healthcare
0
0
0
25,710
299,945
47,822
0
373,477
Allegany
0
0
0
120
1,852
281
0
2,253
Cattaraugus
0
0
0
196
1,912
296
0
2,404
Chautauqua
0
0
0
85
1,016
135
0
1,236
Erie
0
0
0
4,074
33,670
4,718
0
42,462
Total for Univera Community Hlth
0
0
0
4,475
38,450
5,430
0
48,355
Albany
0
2
0
0
0
0
0
2
Allegany
5
4
150
0
0
0
0
159
Cattaraugus
1
1
140
0
0
0
0
142
Chautauqua
10
14
384
0
0
0
0
408
Erie
50
92
1,616
0
0
0
0
1,758
Genesee
5
1
116
0
0
0
0
122
Monroe
0
0
7
0
0
0
0
7
Niagara
9
12
301
0
0
0
0
322
Onondaga
0
0
2
0
0
0
0
2
Univera Community Hlth
Univera Healthcare
Enrollment by Plan - December 31, 2013
MEDICAID
COMMERCIAL
HMO/
POS
Direct
Pay
Healthy
New
York
Child
Health
Plus
Family
Health
Plus
Medicaid
Managed
Care
HIV
SNP
Total
Enrollment
Orleans
5
0
71
0
0
0
0
76
Wyoming
0
3
86
0
0
0
0
89
85
129
2,873
0
0
0
0
3,087
Bronx
0
0
0
0
0
0
2,169
2,169
Kings (Brooklyn)
0
0
0
0
0
0
1,255
1,255
New York (Manhattan)
0
0
0
0
0
0
1,150
1,150
Queens
0
0
0
0
0
0
494
494
Richmond (Staten Island)
0
0
0
0
0
0
42
42
Total for VNSNY Choice SNP
0
0
0
0
0
0
5,110
5,110
Albany
0
0
0
86
1,769
178
0
2,033
Bronx
0
0
0
365
15,581
1,937
0
17,883
Dutchess
0
0
0
573
2,473
275
0
3,321
Kings (Brooklyn)
0
0
0
606
18,857
3,044
0
22,507
New York (Manhattan)
0
0
0
217
8,955
1,240
0
10,412
Orange
0
0
0
426
1,773
229
0
2,428
Queens
0
0
0
988
18,150
4,030
0
23,168
Rensselaer
0
0
0
67
782
88
0
937
Richmond (Staten Island)
0
0
0
0
59
6
0
65
Rockland
0
0
0
371
2,241
157
0
2,769
Ulster
0
0
0
339
2,582
304
0
3,225
Total for WellCare of New York
0
0
0
4,038
73,222
11,488
0
88,748
2013 Total NYS Enrollment
980,297
17,289
112,663 304,566
3,472,194
432,191
16,405
5,335,605
% of Total Enrollment
18.4%
0.3%
2.1%
5.7%
65.1%
8.1%
0.3%
2012 Total NYS Enrollment
1 1,042,279
19,611
130,439
341,001
3,327,259
431,300
17,072
% Change from 2012
-1.3%
0.0%
-0.3%
-0.7%
2.4%
0.0%
0.0%
Total for Univera Healthcare
VNSNY Choice SNP
WellCare of New York
1
5,308,961
Total enrollment for 2012 was recalculated to exclude Medicare enrollment, which was excluded from this year's report.
IV.
MANAGED CARE PENETRATION RATES
Managed Care Penetration Rates by County
New York State County
Total Population,
July 1, 2013 1
Managed Care
Enrollment
Penetration
Rate
% Change from
2
2012
306,945
150,620
49.1%
5.9%
48,109
7,263
15.1%
-1.3%
1,418,733
611,009
43.1%
-0.6%
197,534
34,359
17.4%
0.7%
Cattaraugus
78,892
13,227
16.8%
-2.9%
Cayuga
79,477
12,310
15.5%
0.4%
133,080
26,854
20.2%
-0.9%
Chemung
88,506
14,807
16.7%
4.7%
Chenango
49,503
9,116
18.4%
1.0%
Clinton
81,591
12,736
15.6%
0.3%
Columbia
62,243
13,059
21.0%
-1.7%
Cortland
48,976
8,361
17.1%
0.2%
Delaware
46,722
7,301
15.6%
0.1%
Dutchess
296,916
48,024
16.2%
0.4%
Erie
919,866
195,611
21.3%
-1.3%
Essex
38,762
5,029
13.0%
-0.1%
Franklin
51,688
6,522
12.6%
-0.1%
Fulton
54,586
12,961
23.7%
-0.2%
Genesee
59,454
9,799
16.5%
-0.3%
Greene
48,455
8,666
17.9%
-0.4%
Hamilton
4,773
817
17.1%
2.1%
Herkimer
64,181
12,308
19.2%
-0.5%
Jefferson
119,504
16,340
13.7%
6.3%
2,592,149
1,025,933
39.6%
-1.1%
Lewis
27,149
4,420
16.3%
6.0%
Livingston
64,705
9,736
15.0%
0.4%
Madison
72,382
10,712
14.8%
0.9%
Monroe
749,606
160,292
21.4%
-0.7%
49,897
16,525
33.1%
0.2%
Nassau
1,352,146
253,048
18.7%
1.3%
New York (Manhattan)
1,626,159
620,635
38.2%
-2.2%
Niagara
214,249
40,953
19.1%
-2.6%
Oneida
233,585
53,636
23.0%
1.3%
Onondaga
468,387
82,152
17.5%
0.6%
Ontario
109,103
16,097
14.8%
0.2%
Orange
375,592
74,779
19.9%
0.2%
Orleans
42,235
8,507
20.1%
0.2%
Oswego
121,165
26,138
21.6%
0.6%
Albany
Allegany
Bronx
Broome
Chautauqua
Kings (Brooklyn)
Montgomery
New York State County
Managed Care
Enrollment
Penetration
Rate
% Change from
2012 2
Otsego
61,683
8,827
14.3%
-0.3%
Putnam
99,645
9,200
9.2%
-0.3%
Queens
2,296,175
755,268
32.9%
-0.7%
Rensselaer
159,918
35,937
22.5%
-1.3%
Richmond (Staten Island)
472,621
101,002
21.4%
-0.1%
Rockland
320,903
83,494
26.0%
0.3%
Saratoga
223,865
35,019
15.6%
-1.0%
Schenectady
155,333
38,236
24.6%
0.3%
Schoharie
31,844
5,734
18.0%
0.8%
Schuyler
18,460
2,764
15.0%
2.0%
Seneca
35,409
6,076
17.2%
1.1%
111,963
16,470
14.7%
8.8%
98,650
15,027
15.2%
3.2%
1,499,738
283,891
18.9%
0.1%
Sullivan
76,665
17,208
22.4%
0.0%
Tioga
50,243
6,734
13.4%
3.4%
Tompkins
103,617
10,193
9.8%
0.0%
Ulster
180,998
37,474
20.7%
-0.2%
Warren
65,337
12,445
19.0%
3.4%
Washington
63,093
12,220
19.4%
-0.5%
Wayne
92,473
16,295
17.6%
0.6%
968,802
175,936
18.2%
-0.1%
Wyoming
41,531
5,233
12.6%
0.4%
Yates
25,156
4,260
16.9%
0.8%
New York City
8,405,837
3,113,847
37.0%
-0.7%
Rest of State
11,245,290
2,221,758
19.8%
0.4%
New York State
19,651,127
5,335,605
27.2%
-0.1%
St. Lawrence
Steuben
Suffolk
Westchester
1
Total Population,
July 1, 2013 1
Estimated county populations as of July 1, 2013 from the Annual Estimates of the Resident Population: April 1, 2010 to July 1,
2013; U.S. Census Bureau, Population Division.
2 Penetration rates for 2012 were recalculated to exclude Medicare enrollment, which was excluded from this year's report.