MHRN Health Plan Characteristics
BS&W
EH
GH
HFHS
HP
HPHC
KPCO
KPGA
KPHI
Yr plan established
1982
1997
1947
1915
1957
1969
1969
1985
1958
1945
1942
1947
1930
Primary model
HMO
Mixed
HMO
Mixed
Mixed
Contracted
HMO
HMO
HMO
HMO
HMO
HMO
Mixed
12
18
1
5
4
0
0
0
1
21
1
14
3
202
40
# hospitals, owned/operated
60
25
36
51
930
379
75
14
not
specified
630
Covered lives in IDS ,
x1000
Electronic medical record (EMR)
# clinic sites, owned/operated
# primary care providers (MD/DO/PA/NP)
2
4
Total covered lives , x1000
1
0
22
28
17
234
25
524
293
327
378
135
3000
286
715
477
350
577
111
314
5000
594
25
25
15
0
21
29
18
154
22
413
758
126
796
815
539
220
210
3,315
453
248
407
126
361
815
479
219
210
Next
6
Gen
Epic
Epic
Care
Plus
Epic
Epic
Epic
Epic
Epic
860
68
3
# specialty providers
# in-house pharmacies
KPNCal KPNW KPSCal
3
805
5
3
6000
PAMF
500
750
124
3
486
3,351
694
3,315
424
3,351
98
Epic
Epic
Epic
Epic
1
estimated 35 primary care clinics
Primary care provider definition may vary between delivery systems
3
Total providers (primary care and specialty combined)
4
Covered lives = patients with insurance coverage and/or some but not the vast majority of care data available in EMR or other medical records. Claims data only on some of this population.
5
Covered lives in integrated delivery system (IDS): Comprehensive clinical data available in EMR, other delivery system data bases and claims data, aka overlap population.
6
Locally created or “homegrown” EMR system
2
Health Plan Acronyms:
EH = Essentia Health
GHC = Group Health
HFHS = Henry Ford Health System
HP = HealthPartners
HPHC = Harvard Pilgrim Health Care
KPCO = Kaiser Permanente Colorado
KPGA = Kaiser Permanente Georgia
KPHI = Kaiser Permanente Hawaii
KPNCal = Kaiser Permanente Northern California
KPNW = Kaiser Permanente Northwest
KPSCal = Kaiser Permanente Southern California
PAMF = Palo Alto Medical Foundation
BS&W = Scott & White Healthcare