Page 1 of 1

Table II.1. Overview of Firms Involved in the Collaborative

Evaluation of a Learning Collaborative's Process and Effectiveness to Reduce Health Care Disparities Among Minority Populations

Participating FirmsScale and LocationPrimary Products
National Firms
AetnaOver 13 million covered lives that are served by 6 regions.Primarily commercial; mix of HMOs and PPOs; serves large national accounts, among others, and has some Medicare business.
CignaApproximately 13 million covered lives in at least 42 states and DC.Primarily commercial; mix of HMO and PPO products; serves large national accounts, among others.
Kaiser PermanenteApproximately 8.5 million covered lives, served mainly through integrated care system in 8 regions.Primarily commercial with HMO products; Medicare products, particularly for those "aging in."
United HealthcareOver 18 million covered lives; operates through related businesses for the commercial market (United Healthcare), Seniors (Ovations), Medicaid (Americhoice), and others.Primarily commercial, although the firm offers a mix of products that address Medicare, Medicaid, and other market sectors. Recent merger with PacifiCare has enlarged its role in Medicare.
WellPointApproximately 28 million covered lives after the recent merger with Anthem. Affiliated with Blue Cross-Blue Shield (BC-BS) and offers products in 13 states.Primarily commercial through a range of HMO, PPO, and other products. Also serves Medicare and Medicaid.
Regional Firms
Harvard Pilgrim HealthcareAbout 900,000 covered lives in nonprofit health plan based in Massachusetts, Maine, and New Hampshire.Primarily commercial with range of HMO, PPO, and other products, and some Medicare business.
HealthPartnersOver 630,000 covered lives in nonprofit health plan serving Minnesota and western Wisconsin. Has a staff model HMO affiliate (Group Health).Primarily commercial in a variety of HMO, PPO products, and some Medicare business.
Highmark Inc.Over 4.1 million covered lives in an independent, nonprofit BC-BS licensed plan serving western and central Pennsylvania.Primarily commercial with some Medicare supplemental products (is affiliated with a Medicaid plan).
Molina HealthcareOver 500,000 covered lives in 6 states in the west and north central United States. Headquartered in California. Includes a staff model unit.Medicaid, SCHIP, and related programs.

Source: MPR summary based on publicly available information, 2005.

HMO = Health Maintenance Organization; PPO = Preferred Provider Organization; SCHIP = State Children's Health Insurance Program.

Return to Document 

Current as of December 2007
Internet Citation: Table II.1. Overview of Firms Involved in the Collaborative: Evaluation of a Learning Collaborative's Process and Effectiveness to Reduce Health Care Disparities Among Minority Populations. December 2007. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/final-reports/learning/tab2-1.html