Prior authorization denial rates, plan by plan

VillageCare VillageCareMAX Managed Long-Term Care Medicaid Managed Care NY — 62.3% 1 Hamaspik Hamaspik Medicare Choice (MAP - Medicaid side) Medicaid Managed Care NY — 52.0% 1 Hamaspik Hamaspik Choice (MLTC) Medicaid Managed Care NY — 49.0% 1 AmeriHealth Caritas Family of Companies AmeriHealth Caritas Delaware CHIP CHIP Managed Care DE 3K 48.4% 1 UCare Prepaid Medical Assistance Program (PMAP) Medicaid Managed Care MN 31K 47.8% 1 UCare UCare Connect + Medicare Medicare Advantage MN 4K 46.6% 1 UCare UCare Connect Medicaid Managed Care MN 7K 45.2% 1 UCare MinnesotaCare (MnCare) Medicaid Managed Care MN 6K 45.1% 1 UCare UCare Minnesota Senior Health Options (MSHO) Medicare Advantage MN 4K 43.9% 1 UCare Minnesota Senior Care Plus (MSC+) Medicaid Managed Care MN 1K 41.9% 1 UnitedHealth Group Texas MMP Medicare-Medicaid Plan TX 240 40.4% 1 Univera Healthcare Univera Healthcare Medicare D-SNP (HMO) Medicare Advantage NY 118 36.4% — UCare EssentiaCare Plans Medicare Advantage MN 382 35.1% — Blue Cross Blue Shield of Michigan Blue Cross Complete of Michigan Medicaid Managed Care MI 243K 34.9% — UnitedHealth Group Massachusetts Senior Care Options Medicare-Medicaid Plan MA 84 33.3% — Centene Ambetter from Superior HealthPlan (29418) Marketplace QHP TX 218K 32.9% 1 Centene Ambetter from Superior HealthPlan (87226) Marketplace QHP TX 90K 32.5% 1 Centene Oklahoma Complete Health - SoonerSelect Medicaid Managed Care OK 73K 32.4% — Centene Ambetter of Oklahoma Marketplace QHP OK 38K 30.1% — California DHCS Medi-Cal Dental Fee-for-Service Medicaid FFS CA 3.1M 29.5% — Excellus BlueCross BlueShield Excellus BCBS Medicare D-SNP (HMO) Medicare Advantage NY 2K 29.3% — UCare UCare Medicare Plans Medicare Advantage MN 18K 28.9% — VillageCare VillageCareMAX Total Advantage (D-SNP) - Medicaid requests Medicaid Managed Care NY — 28.6% — Centene Ambetter of Alabama Marketplace QHP AL 39K 28.5% — AmeriHealth Caritas Keystone First Medicaid Managed Care PA 315K 28.4% 1 Centene Ambetter from Buckeye Health Plan Marketplace QHP OH 53K 28.4% — California DHCS Medi-Cal Fee-for-Service (medical and behavioral health) Medicaid FFS CA 79K 28.4% 1 AmeriHealth Caritas Family of Companies AmeriHealth Caritas Delaware (Medicaid) Medicaid Managed Care DE 71K 28.3% — Independent Health Independent Health Medicaid, Essential and CHP (combined) Medicaid Managed Care NY 36K 28.2% — Elevance Health Healthy Blue South Carolina (BlueChoice HealthPlan of South Carolina) Medicaid Managed Care SC 55K 27.9% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract R7444 Medicare Advantage — 18 27.8% — Centene Ambetter Health of Delaware Marketplace QHP DE 3K 27.7% — CVS Health / Aetna Aetna Better Health of New Jersey Medicaid Managed Care NJ 56K 27.6% — Cigna Cigna Individual & Family Plans (FFE) Marketplace QHP — — 27.0% — Molina Healthcare Molina Healthcare of South Carolina Medicaid Medicaid Managed Care SC — 27.0% — California DHCS California Children's Services (CCS) Medicaid FFS CA 756K 26.5% — UnitedHealth Group New York Child Health Plus CHIP Managed Care NY 2K 26.5% 1 Hamaspik Hamaspik Medicare Select (H0034 D-SNP & MAP Medicare, combined) Medicare Advantage NY — 26.0% — Centene Ambetter from Arizona Complete Health (91450) Marketplace QHP AZ 54K 26.0% — Centene MHS Indiana - Healthy Indiana Plan Medicaid Managed Care IN 79K 25.7% — Centene Ambetter from Sunflower Health Plan (34368) Marketplace QHP KS 64K 25.5% — AmeriHealth Caritas AmeriHealth Caritas Pennsylvania Medicaid Managed Care PA 279K 25.5% — Priority Health Priority Health Choice (Medicaid) Medicaid Managed Care MI 79K 25.2% — Centene MHS Indiana - Hoosier Care Connect Medicaid Managed Care IN 28K 25.2% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H1537 Medicare Advantage — 18K 25.2% — Centene SilverSummit Healthplan Medicaid Medicaid Managed Care NV 32K 24.7% — Centene Buckeye Health Plan (Ohio Medicaid) Medicaid Managed Care OH 146K 24.7% — Centene Ambetter Health (Indiana / MHS Indiana marketplace) Marketplace QHP IN 57K 24.6% — Virginia DMAS Virginia Medicaid Fee-for-Service (Cardinal Care FFS) Medicaid FFS VA 724K 24.4% — Centene Ambetter from Louisiana Healthcare Connections Marketplace QHP LA 23K 24.3% — Sanford Health Sanford Health Plan QHP - Minnesota Marketplace QHP MN 33 24.2% — Centene Nebraska Total Care Medicaid Managed Care NE 53K 24.2% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H2001 Medicare Advantage — 1.9M 23.5% — Centene Arizona Complete Health - Complete Care Medicaid Managed Care AZ 164K 23.3% — CVS Health / Aetna Aetna Better Health of Maryland Medicaid Managed Care MD 16K 23.2% — Centene Ambetter from NH Healthy Families Marketplace QHP NH 16K 23.1% — Elevance Health Anthem BCBS Ohio Medicaid Medicaid Managed Care OH 132K 23.1% — Centene Oklahoma Complete Health - Children's Specialty Program Medicaid Managed Care OK 9K 23.0% — UCare UCare Your Choice Plans Medicare Advantage MN 4K 22.9% — Centene Ambetter from Home State Health (99723) Marketplace QHP MO 90K 22.8% — Centene Ambetter of Tennessee Marketplace QHP TN 105K 22.8% — Oscar Health Oscar Health - Texas Marketplace QHP TX — 22.7% — Centene Ambetter from Meridian Marketplace QHP MI 42K 22.7% — Centene Meridian Illinois Medicaid Medicaid Managed Care IL 316K 22.6% — Centene Louisiana Healthcare Connections Medicaid Managed Care LA 154K 22.6% — Centene Ambetter Health (Nebraska Total Care marketplace) Marketplace QHP NE 37K 22.5% — EmblemHealth EmblemHealth Medicaid and HARP (combined) Medicaid Managed Care NY 115K 22.5% — UnitedHealth Group Massachusetts One Care Medicare-Medicaid Plan MA 20K 22.4% — UnitedHealth Group New York Medicaid Advantage Medicaid Managed Care NY 76K 22.4% — Sanford Health Sanford Health Plan QHP - North Dakota Marketplace QHP ND 4K 22.4% — CVS Health / Aetna Aetna Better Health of Florida Medicaid Managed Care FL 43K 22.4% — Colorado HCPF Health First Colorado / CHP+ (13 PA programs combined) Medicaid FFS CO 1.7M 22.3% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H0710 Medicare Advantage — 3K 22.3% — UnitedHealth Group Arizona AHCCCS Complete Care Medicaid Managed Care AZ 95K 22.2% — CVS Health / Aetna Aetna Better Health of Michigan Medicaid Managed Care MI 18K 22.1% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract R5342 Medicare Advantage — 8K 22.1% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H5435 Medicare Advantage — 82 22.0% — AmeriHealth Caritas AmeriHealth Caritas Ohio Medicaid Managed Care OH 52K 21.9% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H3307 Medicare Advantage — 647 21.6% — Centene Ambetter from Magnolia Health (90714) Marketplace QHP MS 92K 21.5% — Centene Ambetter from Absolute Total Care (79222) Marketplace QHP SC 99K 21.5% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H3379 Medicare Advantage — 67K 21.4% — Centene Coordinated Care (Apple Health) Medicaid Managed Care WA 55K 21.3% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract R0759 Medicare Advantage — 14K 21.2% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H3418 Medicare Advantage — 35K 21.1% — Centene Ambetter Health Florida / Celtic (49004) Marketplace QHP FL 419K 21.0% — Centene Meridian Michigan Medicaid Medicaid Managed Care MI 122K 21.0% — Centene Home State Health (MO HealthNet) Medicaid Managed Care MO 130K 21.0% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H0755 Medicare Advantage — 38K 20.9% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H8211 Medicare Advantage — 13K 20.9% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H1659 Medicare Advantage — 810 20.7% — Centene MHS Indiana - Hoosier Healthwise Medicaid Managed Care IN 35K 20.7% — Centene Ambetter of North Carolina (77264) Marketplace QHP NC 50K 20.7% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract R2604 Medicare Advantage — 11K 20.6% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H2802 Medicare Advantage — 204K 20.6% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H8768 Medicare Advantage — 311K 20.6% — Oscar Health Oscar Health - Michigan Marketplace QHP MI — 20.5% — Kaiser Permanente Kaiser Foundation Health Plan of the Northwest - Oregon Medicaid Medicaid Managed Care OR 13K 20.4% — CareSource CareSource Ohio Medicaid Medicaid Managed Care OH 603K 20.0% — Elevance Health Wellpoint Maryland Medicaid Managed Care MD — 20.0% — Sentara Health Sentara Health Plans - Medicaid (Cardinal Care) Medicaid Managed Care VA 229K 20.0% — AmeriHealth Caritas Family of Companies Keystone First CHIP CHIP Managed Care PA 4K 19.9% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H0294 Medicare Advantage — 91K 19.8% — UnitedHealth Group Pennsylvania Medicaid Medicaid Managed Care PA 28K 19.8% — Kaiser Permanente Kaiser Permanente Southern California Medicare Advantage CA 144K 19.5% — CVS Health / Aetna Aetna Better Health of Kentucky Medicaid Managed Care KY 123K 19.5% — CVS Health / Aetna Aetna Better Health of West Virginia Medicaid Managed Care WV 83K 19.3% — Centene Wellcare by Superior HealthPlan H7323 Medicare Advantage TX 14K 19.2% — Centene Arkansas Total Care (PASSE) Medicaid Managed Care AR 27K 19.1% — AmeriHealth Caritas Family of Companies AmeriHealth Caritas District of Columbia Medicaid Managed Care DC 99K 19.1% — CareSource CareSource Georgia (Georgia Families) Medicaid Managed Care GA — 19.0% — Ohio Department of Medicaid Ohio Medicaid Managed Care - all plans combined Medicaid Managed Care OH 1.2M 19.0% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H5253 Medicare Advantage — 643K 18.9% — Oscar Health Oscar Health - Arizona Marketplace QHP AZ — 18.9% — AmeriHealth Caritas Family of Companies AmeriHealth Caritas New Hampshire Medicaid Managed Care NH 17K 18.8% 2 Centene Wellcare Medicare Advantage H2117 Medicare Advantage MI 18K 18.8% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract R3444 Medicare Advantage — 3K 18.6% — Oscar Health Oscar Health - Oklahoma Marketplace QHP OK — 18.5% — Oscar Health Oscar Health - Ohio (issuer 45845) Marketplace QHP OH — 18.4% — Centene Sunshine Health Medicaid MMA Medicaid Managed Care FL 418K 18.3% — Centene Ambetter Health Florida (86382) Marketplace QHP FL 6K 18.3% — AmeriHealth Caritas Family of Companies First Choice by Select Health of South Carolina Medicaid Managed Care SC 72K 18.3% 1 Centene Magnolia Health Plan (MSCAN) Medicaid Managed Care MS 105K 18.2% — CDPHP CDPHP Child Health Plus CHIP Managed Care NY 455 18.0% — Driscoll Health Plan Driscoll Health Plan STAR Kids Medicaid Managed Care TX — 18.0% — CVS Health / Aetna Aetna Better Health Kids (Pennsylvania CHIP) CHIP Managed Care PA 2K 18.0% 2 EmblemHealth EmblemHealth Child Health Plus CHIP Managed Care NY 6K 17.9% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H1045 Medicare Advantage — 182K 17.9% — VillageCare VillageCareMAX Medicare (all plans, aggregated) Medicare Advantage NY — 17.8% — Centene Absolute Total Care Medicaid Medicaid Managed Care SC 57K 17.7% — Oscar Health Oscar Health - Iowa Marketplace QHP IA — 17.6% — Elevance Health Wellpoint West Virginia Medicaid Managed Care WV — 17.6% — Priority Health Priority Health Qualified Health Plan Marketplace QHP MI 37K 17.6% — Blue Cross and Blue Shield of North Carolina Blue Cross NC ACA (Marketplace) plans Marketplace QHP NC — 17.5% — Network Health (Wisconsin) Network Health MSA Network Prime Medicare Advantage WI 790 17.5% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H2406 Medicare Advantage — 416K 17.3% — Centene Wellcare Medicare Advantage H0351 Medicare Advantage AZ 33K 17.3% — AmeriHealth Caritas Family of Companies AmeriHealth Caritas VIP Care (Pennsylvania) Medicare Advantage PA 25K 17.2% — CVS Health / Aetna Aetna Better Health of Virginia Medicaid Managed Care VA 108K 17.2% — Ohio Department of Medicaid Ohio Medicaid Fee-for-Service Medicaid FFS OH 31K 17.1% — The Health Plan The Health Plan - West Virginia Medicaid Medicaid Managed Care WV 49K 17.1% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H1889 Medicare Advantage — 178K 17.1% — Centene Wellcare Medicare Advantage H5590 Medicare Advantage AZ 44K 17.1% — Oscar Health Oscar Health - North Carolina Marketplace QHP NC — 17.1% — Driscoll Health Plan Driscoll Health Plan STAR Medicaid Managed Care TX — 17.0% — Molina Healthcare Molina Healthcare of Texas CHIP Medicaid CHIP Managed Care TX — 17.0% — Molina Healthcare Molina Healthcare of Texas STAR Medicaid Managed Care TX — 17.0% — Centene Wellcare Medicare Advantage H0074 Medicare Advantage MS 3K 16.9% — Centene Peach State Health Plan Medicaid Medicaid Managed Care GA 215K 16.9% — Centene MHS Health Wisconsin (MHS line) Medicaid Managed Care WI 14K 16.8% — Umpqua Health Umpqua Health Alliance Medicaid Managed Care OR — 16.8% — Oscar Health Oscar Health - Nebraska Marketplace QHP NE — 16.8% — UnitedHealth Group New York Essential Plan Program Medicaid Managed Care NY 19K 16.7% — Centene Wellcare Medicare Advantage H5779 Medicare Advantage IL 15K 16.6% — Community Health Choice Community Health Choice CHIP & CHIP Perinatal (combined) CHIP Managed Care TX 3K 16.6% 1 Oscar Health Oscar Health - Ohio (issuer 29341) Marketplace QHP OH — 16.6% — Sanford Health Sanford Health Plan QHP - South Dakota Marketplace QHP SD 3K 16.5% — Centene Pennsylvania Health & Wellness (Community HealthChoices) Medicaid Managed Care PA 20K 16.5% — AmeriHealth Caritas Family of Companies AmeriHealth Caritas VIP Care (Michigan) Medicare Advantage MI 6K 16.4% 1 CVS Health / Aetna Aetna Medicare Advantage - contract H5309 Medicare Advantage — — 16.3% — Oscar Health Oscar Health - Missouri Marketplace QHP MO — 16.1% — Johns Hopkins Medicine Johns Hopkins Advantage MD (HMO) - Contract H1225 Medicare Advantage MD 13K 16.1% — UnitedHealth Group Texas STAR Medicaid Managed Care TX 139K 16.0% — Molina Healthcare Molina Healthcare of New York Medicaid Medicaid Managed Care NY — 16.0% — Molina Healthcare Molina Healthcare of Washington (Apple Health) Medicaid Managed Care WA 140K 16.0% — UnitedHealth Group Maryland HealthChoice Medicaid Managed Care MD 44K 16.0% 1 UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H6595 Medicare Advantage — 11K 16.0% — Univera Healthcare Univera Healthcare MyHealth (MMC) Medicaid Managed Care NY 5K 16.0% — Point32Health Harvard Pilgrim Health Care – New Hampshire Exchange Local Choice Marketplace QHP NH 182 15.9% 1 Centene Wellcare Medicare Advantage H6550 Medicare Advantage KS 6K 15.9% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H0432 Medicare Advantage — 40K 15.7% — CVS Health / Aetna Aetna Better Health of Illinois Medicaid Managed Care IL 111K 15.6% — Point32Health Tufts Health RITogether Medicaid Managed Care RI 352 15.6% — UnitedHealth Group UnitedHealthcare Community Plan - New Jersey FamilyCare Medicaid Managed Care NJ 279K 15.5% — Community Care Plan Community Care Plan (MMA/SMI & Florida Healthy Kids) Medicaid Managed Care FL 16K 15.5% — Centene Wellcare Medicare Advantage H9387 Medicare Advantage KS 2K 15.5% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H0251 Medicare Advantage — 32K 15.4% — Johns Hopkins Medicine Johns Hopkins Advantage MD (VA HMO) - Contract H1339 Medicare Advantage VA 13 15.4% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H5008 Medicare Advantage — 28K 15.2% — CVS Health / Aetna Aetna Better Health of Louisiana Medicaid Managed Care LA 80K 15.2% — Humana Humana Healthy Horizons in Ohio Medicaid Managed Care OH 61K 15.1% — Centene WellCare of North Carolina Medicaid Managed Care NC 147K 15.1% — Excellus BlueCross BlueShield Excellus BCBS Managed Medicaid (MMC) Medicaid Managed Care NY 126K 15.0% — AmeriHealth Caritas AmeriHealth Caritas North Carolina Medicaid Managed Care NC 78K 15.0% 2 Humana / iCare iCare BadgerCare Plus Medicaid Managed Care WI 8K 15.0% — Molina Healthcare Molina Healthcare of Florida Medicaid Managed Care FL — 15.0% — Molina Healthcare Molina Healthcare of New Mexico (Turquoise Care) Medicaid Managed Care NM — 15.0% — Molina Healthcare Molina Healthcare of Texas CHIP RSA Medicaid CHIP Managed Care TX — 15.0% — Centene MHS Health Wisconsin (NHP line) Medicaid Managed Care WI 11K 15.0% — Centene WellCare of Kentucky Medicaid Managed Care KY 357K 14.9% — Centene Home State Health - Show Me Healthy Kids Medicaid Managed Care MO 18K 14.8% — Centene Trillium Community Health Plan - Tri-County Medicaid Managed Care OR 14K 14.7% — Johns Hopkins Medicine Johns Hopkins Advantage MD (PPO) - Contract H3890 Medicare Advantage MD 12K 14.7% — Commonwealth of Massachusetts Calendar Year 2025 Prior Authorization Metrics (program not named in document) Medicaid FFS MA — 14.6% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H4604 Medicare Advantage — 88K 14.6% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H3805 Medicare Advantage — 107K 14.5% — Excellus BlueCross BlueShield Excellus BCBS Child Health Plus CHIP Managed Care NY 18K 14.5% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H0421 Medicare Advantage — 4K 14.4% — Centene Trillium Community Health Plan - Southwest Medicaid Managed Care OR 10K 14.3% — Rocky Mountain Health Plans Rocky Mountain Health Plans - QHP On-Exchange Marketplace QHP CO 1K 14.2% 1 UnitedHealth Group Missouri HealthNet Medicaid Managed Care MO 69K 14.2% — Centene Carolina Complete Health Medicaid Managed Care NC 71K 14.1% — CVS Health / Aetna Aetna Better Health of Ohio (OhioRISE) Medicaid Managed Care OH 76K 14.1% — The Health Plan The Health Plan - West Virginia CHIP CHIP Managed Care WV 2K 14.1% — Molina Healthcare Molina Healthcare of Illinois (Medicaid) Medicaid Managed Care IL — 14.0% — EmblemHealth EmblemHealth Medicare H5991 Medicare Advantage NY 5K 14.0% — Oscar Health Oscar Health - Kansas Marketplace QHP KS — 14.0% — UnitedHealth Group Florida Managed Medical Assistance Medicaid Managed Care FL 71K 13.9% — Network Health (Wisconsin) Network Health ACA/exchange plans Marketplace QHP WI 11K 13.9% — EmblemHealth EmblemHealth Medicare H5228 Medicare Advantage NY 29 13.8% — HealthPartners HealthPartners Commercial Wisconsin Federally Facilitated Exchange (on-exchange QHP) plans Marketplace QHP WI 1K 13.7% — UnitedHealth Group Healthy Louisiana Medicaid Managed Care LA 136K 13.7% — Cascade Health Alliance Cascade Health Alliance Medicaid Managed Care OR — 13.7% — TrueCare TrueCare (MississippiCAN) Medicaid Managed Care MS 34K 13.5% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H0169 Medicare Advantage — 40K 13.5% — UnitedHealth Group UnitedHealthcare Medicare Advantage H0169 Medicare Advantage — 40K 13.5% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H1285 Medicare Advantage — 21K 13.4% — Centene NH Healthy Families Medicaid Managed Care NH 40K 13.4% 1 Humana / iCare iCare Medicaid SSI Medicaid Managed Care WI 6K 13.3% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H2445 Medicare Advantage — 19K 13.2% — CVS Health / Aetna Aetna Medicare Advantage - contract H8332 Medicare Advantage — — 13.2% — Centene Iowa Total Care Medicaid Managed Care IA 155K 13.2% — Centene YouthCare (HealthChoice Illinois Medicaid) Medicaid Managed Care IL 10K 13.2% — Univera Healthcare Univera Healthcare MyHealth Plus (HARP) Medicaid Managed Care NY 498 13.1% — Molina Healthcare Molina Healthcare of Nebraska - Medicaid Medicaid Managed Care NE — 13.0% — Molina Healthcare Molina Marketplace South Carolina Marketplace QHP SC — 13.0% — Molina Healthcare Senior Whole Health of New York - MLTSS Medicaid Managed Care NY — 13.0% 1 CDPHP CDPHP Medicaid HARP Medicaid Managed Care NY 2K 13.0% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H2509 Medicare Advantage — 19K 12.9% — Excellus BlueCross BlueShield Excellus BCBS Blue Option Plus (HARP) Medicaid Managed Care NY 18K 12.9% — Molina Healthcare Molina Healthcare of Ohio (Medicaid) Medicaid Managed Care OH 68K 12.8% — Blue Cross Blue Shield of Arizona AZ Blue Individual ACA Marketplace QHP AZ 34K 12.8% — Centene Delaware First Health Medicaid Medicaid Managed Care DE 15K 12.8% — CVS Health / Aetna Aetna Medicare Advantage - contract H4523 Medicare Advantage — — 12.7% — Rocky Mountain Health Plans Rocky Mountain Health Plans Medicare Advantage Medicare Advantage CO 294 12.6% 1 Kaiser Permanente Kaiser Foundation Health Plan of the Northwest Medicare Advantage OR 62K 12.6% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H3256 Medicare Advantage — 18K 12.6% — Highmark Highmark Medicare Advantage contract H7710 Medicare Advantage DE 671 12.4% — CDPHP CDPHP Managed Medicaid Medicaid Managed Care NY 8K 12.3% — Highmark Highmark Medicare Advantage contract H5932 Medicare Advantage PA 7K 12.2% 1 Network Health (Wisconsin) Network Health Medicare Advantage Medicare Advantage WI 123K 12.2% — Wellmark Blue Cross and Blue Shield Wellmark Blue Cross and Blue Shield of South Dakota (FFE plans) Marketplace QHP SD 3K 12.2% — Centene Delaware First Health CHIP CHIP Managed Care DE 618 12.1% — Blue Cross Blue Shield of Arizona AZ Blue Health Choice (AHCCCS) Medicaid Managed Care AZ 72K 12.1% — Centene Sunflower Health Plan (KanCare) Medicaid Managed Care KS 82K 12.1% — Martin's Point Health Care Generations Advantage LPPO - Medical (non-oncology) Medicare Advantage ME 568 12.0% — Elevance Health Anthem HealthKeepers Plus (Virginia Medicaid) Medicaid Managed Care VA 342K 11.9% — Molina Healthcare Molina Clinical Services, LLC (Mississippi) Medicaid Managed Care MS — 11.9% — Oscar Health Oscar Health - Tennessee Marketplace QHP TN — 11.9% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H3794 Medicare Advantage — 15K 11.9% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H7464 Medicare Advantage — 12K 11.9% — CDPHP CDPHP Medicare HMO Medicare Advantage NY 19K 11.9% — Highmark Highmark QHP (federal Marketplace) - West Virginia Marketplace QHP WV 25K 11.8% 1 Yamhill Community Care Yamhill Community Care Medicaid Managed Care OR 14K 11.8% — Mass General Brigham Mass General Brigham Advantage PPO Medicare Advantage MA 11K 11.7% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H0764 Medicare Advantage — 499 11.6% — Elevance Health Anthem HealthPlus New York Child Health Plus CHIP Managed Care NY — 11.6% — Community Health Choice Community Health Choice STAR & STAR+PLUS (combined) Medicaid Managed Care TX 52K 11.5% 1 UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H3387 Medicare Advantage — 41K 11.5% — CVS Health / Aetna Aetna Medicare Advantage - contract H3219 Medicare Advantage — — 11.5% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H2292 Medicare Advantage — 280 11.4% — Centene Sunshine Health Children's Medical Services (Title XXI) CHIP Managed Care FL 37K 11.4% — Humana / iCare iCare Family Care Partnership Medicaid Managed Care WI 3K 11.3% — Kaiser Permanente Kaiser Permanente Northern California (H8794) Medicare Advantage CA 40K 11.3% — CVS Health / Aetna Aetna Medicare Advantage - contract H4711 Medicare Advantage — — 11.3% — Health Share of Oregon Health Share of Oregon Medicaid Managed Care OR — 11.3% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H2247 Medicare Advantage — 19K 11.3% — Independent Health Independent Health Medicare H3344 Medicare Advantage NY 7K 11.2% — UnitedHealth Group Virginia Cardinal Care LTSS Medicaid Managed Care VA 49K 11.1% — Wellmark Blue Cross and Blue Shield Wellmark Blue Cross and Blue Shield of Iowa (FFE plans) Marketplace QHP IA 25K 11.1% — Driscoll Health Plan Driscoll Health Plan CHIP CHIP Managed Care TX — 11.0% — Mass General Brigham Mass General Brigham Advantage Secure HMO-POS Medicare Advantage MA 2K 11.0% — Kaiser Permanente Kaiser Permanente Southern California (H8794) Medicare Advantage CA 34K 11.0% — CVS Health / Aetna Aetna Medicare Advantage - contract H3288 Medicare Advantage — — 10.9% — Contra Costa Health Contra Costa Health Plan (Medi-Cal) Medicaid Managed Care CA 62K 10.9% 2 UnitedHealth Group Virginia Cardinal Care Medicaid Medicaid Managed Care VA 57K 10.9% — CVS Health / Aetna Aetna Better Health of Oklahoma Medicaid Managed Care OK 64K 10.8% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H5420 Medicare Advantage — 13K 10.8% — AmeriHealth Caritas AmeriHealth Caritas Louisiana Medicaid Managed Care LA 87K 10.8% 2 CVS Health / Aetna Aetna Medicare Advantage - contract H4835 Medicare Advantage — — 10.7% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H0624 Medicare Advantage — 10K 10.7% — Kaiser Permanente Kaiser Permanente Northern California Medicare Advantage CA 145K 10.5% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H6706 Medicare Advantage — 133 10.5% — Centene Sunshine Health Children's Medical Services (Title XIX) Medicaid Managed Care FL 297K 10.5% — CVS Health / Aetna Aetna Medicare Advantage - contract H3928 Medicare Advantage — — 10.4% — CVS Health / Aetna Aetna Medicare Advantage - contract H3239 Medicare Advantage — — 10.4% — UnitedHealth Group Washington Apple Health Medicaid Managed Care WA 37K 10.4% — CVS Health / Aetna Aetna Medicare Advantage - contract H1609 Medicare Advantage — — 10.4% — Wyoming Department of Health Wyoming Medicaid Utilization Management (FFS) Medicaid FFS WY 11K 10.3% 1 Elevance Health Wellpoint New Jersey (NJ FamilyCare) Medicaid Managed Care NJ — 10.3% — Elevance Health Wellpoint Washington (Apple Health) Medicaid Managed Care WA 68K 10.3% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H0321 Medicare Advantage — 39K 10.2% — Mississippi Division of Medicaid Mississippi Medicaid Fee-for-Service Medicaid FFS MS 60K 10.2% 2 Mass General Brigham Mass General Brigham Health Plan - MGB ACO (MassHealth) Medicaid Managed Care MA 41K 10.1% — CountyCare Health Plan (Cook County Health) CountyCare Health Plan (HealthChoice Illinois Medicaid) Medicaid Managed Care IL 242K 10.0% 1 CareSource CareSource MyCare Ohio Medicare-Medicaid Plan OH 61K 10.0% — CDPHP CDPHP Medicare PPO Medicare Advantage NY 4K 10.0% — Molina Healthcare Molina Healthcare of Wisconsin - BadgerCare Plus Medicaid Managed Care WI — 10.0% — CVS Health / Aetna Aetna Better Health of New York Medicaid Managed Care NY 53K 10.0% — Rocky Mountain Health Plans Rocky Mountain Health Plans PRIME (Medicaid) Medicaid Managed Care CO 1K 10.0% 1 Northeast Health Partners Northeast Health Partners (Regional Accountable Entity) Medicaid Managed Care CO 4K 9.9% 2 Texas Children's Health Plan Texas Children's Health Plan (STAR/CHIP/STAR Kids combined) Multiple (combined) TX 128K 9.9% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H3113 Medicare Advantage — 36K 9.9% — Sentara Health Sentara Health Plans - Commercial Marketplace QHP VA 120K 9.8% — UnitedHealth Group Arizona Developmental Disabilities Program Medicaid Managed Care AZ 10K 9.7% — Humana / iCare iCare Medicare Plan Medicare Advantage WI 4K 9.7% — Kaiser Permanente Kaiser Foundation Health Plan of Colorado Medicare Advantage CO 69K 9.6% — CVS Health / Aetna Aetna Medicare Advantage - contract H1692 Medicare Advantage — — 9.6% — Priority Health Priority Health Medicare Advantage MI 13K 9.6% — UnitedHealth Group Florida Long Term Care Medicaid Managed Care FL 43K 9.5% — CVS Health / Aetna Aetna Medicare Advantage - contract H3931 Medicare Advantage — — 9.5% — Kaiser Permanente Kaiser Foundation Health Plan of Colorado - CHIP CHIP Managed Care CO 1K 9.4% — Molina Healthcare Molina MyCare Ohio Medicare-Medicaid Plan OH 28K 9.2% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H2385 Medicare Advantage — 601 9.2% — Rocky Mountain Health Plans Rocky Mountain Health Plans - QHP Off-Exchange (Commercial) Marketplace QHP CO 7K 9.1% — Santa Clara Family Health Plan SCFHP DualConnect (HMO D-SNP) Medicare Advantage CA 13K 9.1% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H5322 Medicare Advantage — 136K 9.0% — UnitedHealth Group Michigan Comprehensive Health Care Program Medicaid Managed Care MI 73K 9.0% — UnitedHealth Group Texas CHIP CHIP Managed Care TX 577 9.0% — Blue Cross and Blue Shield of Nebraska BCBSNE Qualified Health Plans Marketplace QHP NE — 9.0% — GuideWell / Florida Blue BlueMedicare Classic (HMO) / Preferred (HMO) / Premier (HMO) Medicare Advantage FL — 9.0% — Molina Healthcare Molina Complete Care of Arizona (AHCCCS Medicaid) Medicaid Managed Care AZ — 9.0% — UnitedHealth Group New York Wellness 4Me (HARP) Medicaid Managed Care NY 4K 9.0% 1 CHRISTUS Health CHRISTUS Health Plan Medicare Advantage TX 401 9.0% — Independent Health Independent Health Medicare H3362 Medicare Advantage NY 117K 9.0% — Kaiser Permanente Kaiser Permanente Northern California - Medi-Cal Medicaid Managed Care CA 25K 9.0% — Elevance Health Wellpoint District of Columbia Medicaid Managed Care DC — 8.9% — Rocky Mountain Health Plans Rocky Mountain Health Plans RAE (Medicaid Regional Accountable Entity) Medicaid Managed Care CO 8K 8.9% 1 Community Health Choice Community Health Choice D-SNP Medicare Advantage TX 1K 8.8% — Highmark Highmark Medicaid - New York Medicaid Managed Care NY — 8.7% — UnitedHealth Group District of Columbia Dual Choice Program Medicare-Medicaid Plan DC 23 8.7% — CVS Health / Aetna Aetna Medicare Advantage - contract H5325 Medicare Advantage — — 8.7% — UnitedHealth Group Washington Apple Health Expansion Medicaid Managed Care WA 21K 8.6% — Elevance Health Wellpoint Texas Medicaid & CHIP (all) Medicaid Managed Care TX — 8.6% — HealthPartners HealthPartners Minnesota Health Care Programs (Medicaid) Medicaid Managed Care MN 12K 8.5% — Elevance Health Wellpoint Tennessee (TennCare) Medicaid Managed Care TN — 8.5% — Kaiser Permanente Kaiser Foundation Health Plan of Colorado (H3138) Medicare Advantage CO 876 8.5% — Blue Cross Blue Shield of Arizona AZ Blue Health Choice Pathway (D-SNP) Medicare Advantage AZ 12K 8.4% — Hawaii Med-QUEST Med-QUEST aggregate (QUEST Integration plans plus FFS) Medicaid FFS HI 122K 8.3% — CVS Health / Aetna Aetna Medicare Advantage - contract H2293 Medicare Advantage — — 8.3% — UnitedHealth Group Nebraska Heritage Health Medicaid Managed Care NE 42K 8.3% — Highmark Highmark QHP (federal Marketplace) - Delaware Marketplace QHP DE 16K 8.3% — Colorado Access Colorado Access Medicaid Managed Care CO 17K 8.2% 1 Priority Health Priority Health Medicare PPO Medicare Advantage MI 96K 8.2% — CVS Health / Aetna Aetna Medicare Advantage - contract H1608 Medicare Advantage — — 8.2% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H2582 Medicare Advantage — 86 8.1% — UnitedHealth Group New Mexico Turquoise Care Medicaid Managed Care NM 6K 8.1% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H2272 Medicare Advantage — 3K 8.1% — GuideWell / Florida Blue BlueMedicare Patriot (PPO) / Select (PPO) / Value (PPO) Medicare Advantage FL — 8.0% — Molina Healthcare Molina Healthcare of Nebraska - CHIP CHIP Managed Care NE — 8.0% — Molina Healthcare Senior Whole Health of New York - Medicare Medicare Advantage NY — 8.0% — UnitedHealth Group Kentucky Medicaid Medicaid Managed Care KY 90K 8.0% — The Health Plan The Health Plan - Medicare (posted as PPO) Medicare Advantage WV 4K 7.9% — CareOregon Columbia Pacific CCO Medicaid Managed Care OR 16K 7.9% 2 CVS Health / Aetna Aetna Medicare Advantage - contract H5521 Medicare Advantage — — 7.9% — CVS Health / Aetna Aetna Medicare Advantage - contract H7149 Medicare Advantage — — 7.8% — UnitedHealth Group Wisconsin Medicaid Medicaid Managed Care WI 81K 7.8% — EmblemHealth EmblemHealth Medicare H3330 Medicare Advantage NY 73K 7.7% — Rocky Mountain Health Plans Rocky Mountain Health Plans - CHP+ (Child Health Plan Plus) CHIP Managed Care CO 6K 7.7% — CVS Health / Aetna Aetna Better Health of Texas Medicaid Managed Care TX 41K 7.7% — CVS Health / Aetna Aetna Medicare Advantage - contract H0628 Medicare Advantage — — 7.7% — CVS Health / Aetna Aetna Medicare Advantage - contract H1109 Medicare Advantage — — 7.7% — CareOregon Jackson Care Connect Medicaid Managed Care OR 35K 7.6% 2 Centene Community Health Plan of Imperial Valley Medi-Cal Medicaid Managed Care CA 57K 7.6% — UnitedHealth Group Rhode Island Medicaid Medicaid Managed Care RI 30K 7.6% — Martin's Point Health Care Generations Advantage HMO - Medical (non-oncology) Medicare Advantage ME 8K 7.5% — CVS Health / Aetna Aetna Medicare Advantage - contract H5302 Medicare Advantage — — 7.4% — CHRISTUS Health CHRISTUS Health Plan (LA Marketplace) Marketplace QHP LA 351 7.4% — Point32Health Tufts Health Together Managed Care Organization (MCO) Medicaid Managed Care MA 2K 7.4% — UnitedHealth Group Indiana Hoosier Care Connect Medicaid Managed Care IN 6K 7.4% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H0609 Medicare Advantage — 705K 7.3% — CVS Health / Aetna Aetna Medicare Advantage - contract H3312 Medicare Advantage — — 7.3% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H1360 Medicare Advantage — 2K 7.3% — CVS Health / Aetna Aetna Medicare Advantage - contract H3748 Medicare Advantage — — 7.3% — CVS Health / Aetna Aetna Medicare Advantage - contract H8597 Medicare Advantage — — 7.3% — Centene Buckeye MyCare Ohio Medicare-Medicaid Plan OH 20K 7.2% — CVS Health / Aetna Aetna Medicare Advantage - contract H2056 Medicare Advantage — — 7.2% — Community First Health Plans Community First Texas Medicaid STAR+PLUS Medicaid Managed Care TX 9K 7.2% 2 CareFirst BlueCross BlueShield CareFirst BlueCross BlueShield Community Health Plan Maryland (CareFirst CHPMD) Medicaid Managed Care MD 28K 7.2% — Kaiser Permanente Kaiser Mid-Atlantic States - Maryland Medicaid Medicaid Managed Care MD — 7.1% — CVS Health / Aetna Aetna Medicare Advantage - contract H3146 Medicare Advantage — — 7.1% — Kaiser Permanente Kaiser Permanente Hawaii Medicare Advantage HI 22K 7.1% — Priority Health Priority Health Medicare HMO/HMO-POS Medicare Advantage MI 144K 7.0% — The Health Plan The Health Plan - Medicare HMO Medicare Advantage WV 10K 7.0% — CVS Health / Aetna Aetna Medicare Advantage - contract H5593 Medicare Advantage — — 7.0% — Molina Healthcare Molina Healthcare of Wisconsin - Medicaid SSI Medicaid Managed Care WI — 7.0% — CVS Health / Aetna Aetna Medicare Advantage - contract H5522 Medicare Advantage — — 7.0% — Ohio Department of Medicaid MyCare Ohio - all plans combined Medicare-Medicaid Plan OH 188K 7.0% — Fallon Health Fallon Health – Atrius Health Care Collaborative (365 Care) Medicaid Managed Care MA 18K 6.8% — CVS Health / Aetna Aetna Medicare Advantage - contract H2663 Medicare Advantage — — 6.8% — Molina Healthcare Molina Healthcare of Mississippi, Inc. Medicaid Managed Care MS — 6.7% — UnitedHealth Group District of Columbia Dual Choice - Medicaid LTSS Medicare-Medicaid Plan DC 12K 6.6% — CVS Health / Aetna Aetna Medicare Advantage - contract H5337 Medicare Advantage — — 6.6% — CVS Health / Aetna Aetna Better Health Premier Plan (Medicare-Medicaid) Medicare-Medicaid Plan IL — 6.6% — UnitedHealth Group Tennessee TennCare Medicaid Managed Care TN 104K 6.5% — Univera Healthcare Univera Healthcare Child Health Plus CHIP Managed Care NY 215 6.5% — Blue Cross and Blue Shield of Louisiana HMO Louisiana, Inc. Marketplace QHP LA 63K 6.5% — Blue Cross and Blue Shield of Louisiana Louisiana Health Services Insurance Company (LHSIC) Marketplace QHP LA 11K 6.4% — Connecticut DSS Connecticut Medicaid (HUSKY) FFS - Medical Medicaid FFS CT 255K 6.4% — Kaiser Permanente Kaiser Permanente Southern California - Medi-Cal Medicaid Managed Care CA 57K 6.4% — UnitedHealth Group Hawaii Quest Integration Medicaid Managed Care HI 20K 6.4% — Centene CalViva Health Medi-Cal Medicaid Managed Care CA 310K 6.3% — HealthPartners HealthPartners Medicare Advantage and Minnesota Senior Health Options (MSHO), combined Multiple (combined) MN 12K 6.3% — Univera Healthcare Univera Healthcare Medicare PPO Medicare Advantage NY 3K 6.2% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H2531 Medicare Advantage — 7K 6.2% — Excellus BlueCross BlueShield Excellus BCBS Medicare PPO Medicare Advantage NY 118K 6.2% — Kaiser Permanente Kaiser Foundation Health Plan of Washington Medicare Advantage WA 185K 6.1% — Highmark Highmark QHP (federal Marketplace) - Pennsylvania Marketplace QHP PA 78K 6.1% 1 CVS Health / Aetna Aetna Medicare Advantage - contract H3959 Medicare Advantage — — 6.1% — CVS Health / Aetna Aetna Medicare Advantage - contract H7301 Medicare Advantage — — 6.0% — MJHS Health System Elderplan Medicare Advantage NY — 6.0% — Molina Healthcare Molina Healthcare of Texas STAR+PLUS Medicaid Managed Care TX — 6.0% — CVS Health / Aetna Aetna Medicare Advantage - contract H1206 Medicare Advantage — — 6.0% — CVS Health / Aetna Aetna Better Health Premier Plan Michigan Medicare-Medicaid Plan MI — 5.9% — Alignment Healthcare Alignment Health Plan H3443 Medicare Advantage — 14K 5.8% — CVS Health / Aetna Aetna Medicare Advantage - contract H5793 Medicare Advantage — — 5.8% — UnitedHealth Group MississippiCAN Medicaid Managed Care MS 7K 5.7% — UnitedHealth Group Ohio Public Health Care Program Medicaid Managed Care OH 113K 5.7% — UnitedHealth Group UnitedHealthcare Community Plan of Ohio Medicaid Managed Care OH 113K 5.7% — UnitedHealth Group North Carolina Medicaid Managed Care Medicaid Managed Care NC 153K 5.7% — Blue Cross Blue Shield of Arizona AZ Blue Medicare Advantage Medicare Advantage AZ 37K 5.6% — Kaiser Permanente Kaiser Foundation Health Plan of the Mid-Atlantic States Medicare Advantage MD 90K 5.5% 1 CVS Health / Aetna Aetna Medicare Advantage - contract H3597 Medicare Advantage — — 5.5% — UnitedHealth Group Texas STAR Kids Medicaid Managed Care TX 18K 5.4% — Point32Health Tufts Health Together with UMass Memorial Health Medicaid Managed Care MA 6K 5.2% — Michigan Department of Health and Human Services Michigan Medicaid Home and Community Based Services (Aging and Community Services Division, incl. Brain Injury Services and Community Transition Services) - Fee-for-Service Medicaid FFS MI 3K 5.2% 1 Highmark Highmark Medicare Advantage contract H5106 Medicare Advantage — 41K 5.2% — Community First Health Plans Community First Texas Medicaid STAR Kids Medicaid Managed Care TX 12K 5.2% 1 Geisinger Health Geisinger Health Plan (all lines of business, aggregated) Medicare Advantage PA 311K 5.1% 1 Sentara Health Sentara Health Plans - Medicare Medicare Advantage VA 50K 5.1% 1 Univera Healthcare Univera Healthcare Medicare HMO Medicare Advantage NY 33K 5.0% — GuideWell / Florida Blue BlueOptions (PPO) / BlueSelect (EPO) Marketplace QHP FL — 5.0% — Molina Healthcare Molina Healthcare of New York Child Health Plus CHIP Managed Care NY — 5.0% — Molina Healthcare Molina Healthcare of Texas CHIP Perinate RSA (at or below 185% FPL) CHIP Managed Care TX — 5.0% 1 Martin's Point Health Care Generations Advantage HMO - Optum oncology/radiology Medicare Advantage ME 7K 4.9% — Blue Cross & Blue Shield of Rhode Island Blue Cross & Blue Shield of Rhode Island (all impacted lines combined) Multiple (combined) RI 68K 4.9% — Excellus BlueCross BlueShield Excellus BCBS Medicare HMO Medicare Advantage NY 103K 4.9% — Devoted Health Devoted Health (all MA plans, aggregated) Medicare Advantage — — 4.9% — Macomb County Community Mental Health Macomb County Community Mental Health Medicaid Managed Care MI 48K 4.9% — CHRISTUS Health CHRISTUS Health Plan (TX Marketplace) Marketplace QHP TX 3K 4.8% — Kaiser Permanente Kaiser Foundation Health Plan (Hawaii QHP) Marketplace QHP HI 2K 4.8% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H4514 Medicare Advantage — 227K 4.8% — UnitedHealth Group Kansas KanCare Medicaid Managed Care KS 94K 4.7% — Community First Health Plans Community First Texas Medicaid STAR Medicaid Managed Care TX 20K 4.7% 2 UnitedHealth Group Arizona Long Term Care Medicaid Managed Care AZ 46K 4.6% — Community First Health Plans Community First CHIP CHIP Managed Care TX 1K 4.6% 1 UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H1278 Medicare Advantage — 213K 4.5% — Point32Health Tufts Health One Care Medicare-Medicaid Plan MA 10K 4.5% — Elevance Health Wellpoint Iowa Medicaid Managed Care IA — 4.4% — UnitedHealth Group UnitedHealthcare MyCare Ohio Medicare-Medicaid Plan OH 18K 4.4% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H2226 Medicare Advantage — 13K 4.3% — Highmark Highmark Medicare Advantage contract H8166 Medicare Advantage — 27K 4.1% — UnitedHealth Group Pennsylvania CHIP CHIP Managed Care PA 900 4.1% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract R6801 Medicare Advantage — 89K 4.0% — Santa Clara Family Health Plan SCFHP Medi-Cal Medicaid Managed Care CA 182K 4.0% — Blue Cross and Blue Shield of Nebraska BCBSNE Medicare Advantage HMO Medicare Advantage NE — 4.0% — Blue Cross and Blue Shield of Nebraska BCBSNE Medicare Advantage PPO Medicare Advantage NE — 4.0% — Molina Healthcare Molina Healthcare of Idaho (Medicaid Plus) Medicaid Managed Care ID — 4.0% — Molina Healthcare Molina Healthcare of Texas CHIP Perinate MHT (at or below 185% FPL) CHIP Managed Care TX — 4.0% 1 Point32Health Tufts Health Together with Cambridge Health Alliance (CHA) Medicaid Managed Care MA 4K 4.0% — UnitedHealth Group Indiana PathWays for Aging Medicaid Managed Care IN 55K 4.0% — Wisconsin Department of Health Services Wisconsin Medicaid (ForwardHealth) -- specific program/agency not named in document Medicaid FFS WI 165K 4.0% 2 Blue Cross and Blue Shield of North Carolina Experience Health Medicare Advantage (HMO) Medicare Advantage NC — 3.9% — Highmark Highmark Medicare Advantage contract H3916 Medicare Advantage — 463K 3.9% — Highmark Highmark Medicaid - West Virginia Medicaid Managed Care WV 1K 3.9% — Highmark Highmark Medicaid - Pennsylvania Medicaid Managed Care PA 22K 3.8% — UnitedHealth Group MississippiCAN CHIP CHIP Managed Care MS 616 3.7% — Alignment Healthcare Alignment Health Plan H5296 Medicare Advantage — 44K 3.7% — Alignment Healthcare Alignment Health Plan H5472 Medicare Advantage — 9K 3.7% — CVS Health / Aetna Aetna MyCare Ohio Medicare-Medicaid Plan OH 61K 3.6% — Highmark Highmark QHP (federal Marketplace) - New York Marketplace QHP NY 1K 3.4% — Blue Cross and Blue Shield of Kansas Blue Cross and Blue Shield of Kansas - Qualified Health Plans Marketplace QHP KS 4K 3.4% — Providence Health Plan Providence Medicare Advantage Plans Medicare Advantage — 115K 3.4% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H4527 Medicare Advantage — 258K 3.4% — Highmark Highmark Medicare Advantage contract H3957 Medicare Advantage — 98K 3.3% — Blue Cross and Blue Shield of Kansas Blue Cross and Blue Shield of Kansas Medicare Advantage Medicare Advantage KS 2K 3.2% — Kaiser Permanente Kaiser Foundation Health Plan of Georgia Medicare Advantage GA 52K 3.1% — Group Health Cooperative of South Central Wisconsin GHC-SCW Qualified Health Plan (Marketplace) Marketplace QHP WI — 3.0% — Blue Cross and Blue Shield of North Carolina Blue Medicare Advantage (PPO) Medicare Advantage NC — 3.0% — Alameda Alliance for Health Alameda Alliance for Health Medicaid Managed Care CA 117K 3.0% — Alignment Healthcare Alignment Health Plan H8832 Medicare Advantage — 4K 2.9% — Alignment Healthcare Alignment Health Plan H4961 Medicare Advantage — 5K 2.9% — Martin's Point Health Care Generations Advantage LPPO - Optum oncology/radiology Medicare Advantage ME 387 2.8% — Centene Wellcare Medicare Advantage H5087 Medicare Advantage CA 120K 2.8% — Community First Health Plans University Community Care Plan (Marketplace) Marketplace QHP TX 3K 2.8% 2 Alliance Health Alliance Health (NC Behavioral Health I/DD Tailored Plan) Medicaid Managed Care NC 98K 2.8% — Utah DHHS Utah Medicaid Medicaid FFS UT 30K 2.8% — Blue Cross and Blue Shield of North Carolina Healthy Blue + Medicare (HMO-POS D-SNP) Medicare Advantage NC — 2.7% — Community First Health Plans Community First Medicare Advantage (Alamo & D-SNP) Medicare Advantage TX 508 2.6% 2 Kaiser Permanente Kaiser Permanente Hawaii - Medicaid Medicaid Managed Care HI 10K 2.6% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H9239 Medicare Advantage — 6K 2.5% — Centene Health Net Medi-Cal Medicaid Managed Care CA 3.1M 2.5% — CVS Health / Aetna Aetna Medicare Advantage - contract H0523 Medicare Advantage — — 2.4% — UnitedHealth Group UnitedHealthcare Community Plan - Texas STAR+PLUS Medicaid Managed Care TX 130K 2.3% — Sendero Health Plans Sendero Health Plans (IdealCare marketplace) Marketplace QHP TX — 2.2% — Alignment Healthcare Alignment Health Plan H3815 Medicare Advantage — 838K 2.1% — Alignment Healthcare Alignment Health Plan H7074 Medicare Advantage — 380 2.1% — Alaska Department of Health Alaska Medicaid (fee-for-service) Medicaid FFS AK 430K 2.1% — CVS Health / Aetna Aetna Medicare Advantage - contract H4982 Medicare Advantage — — 2.0% — Group Health Cooperative of South Central Wisconsin GHC-SCW BadgerCare Plus (WI Medicaid) Medicaid Managed Care WI — 2.0% — Molina Healthcare Molina Healthcare of California (Medi-Cal) Medicaid Managed Care CA — 2.0% — Centene Wellcare By Health Net H3561 Medicare Advantage CA 290K 2.0% — San Francisco Health Plan San Francisco Health Plan (Medi-Cal) Medicaid Managed Care CA 63K 2.0% — Gold Coast Health Plan Gold Coast Health Plan Medicaid Managed Care CA 319K 2.0% — Centene Wellcare By Health Net H0562 Medicare Advantage CA 185K 1.9% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H0543 Medicare Advantage — 1.6M 1.8% — CalOptima Health CalOptima Health Medi-Cal Medicaid Managed Care CA 965K 1.7% — Central California Alliance for Health Central California Alliance for Health Medicaid Managed Care CA 518K 1.6% — Highmark Highmark Medicaid - Delaware Medicaid Managed Care DE 32K 1.5% — Highmark Highmark Medicare Advantage contract H3384 Medicare Advantage — 39K 1.5% — Highmark Highmark Medicare Advantage contract H5526 Medicare Advantage — 26K 1.4% — CalOptima Health CalOptima Health OneCare (HMO D-SNP) Medicare Advantage CA 95K 1.4% — Centene Sunshine Health Long-Term Care Medicaid Managed Care FL 135K 1.4% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H6824 Medicare Advantage — 153 1.3% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H5652 Medicare Advantage — 3K 1.2% 1 Elevance Health Anthem HealthPlus New York Medicaid Medicaid Managed Care NY — 1.2% — Peak Health Peak Health Medicare Advantage WV 937 1.1% 1 GuideWell / Florida Blue myBlue (HMO) / BlueCare (HMO-POS) Marketplace QHP FL — 1.0% — Connecticut DSS Connecticut Medicaid (HUSKY) FFS - Behavioral Health Medicaid FFS CT 105K 0.8% — UnitedHealth Group Idaho Medicaid Plus Medicaid Managed Care ID 2K 0.7% — UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H7833 Medicare Advantage — 2K 0.7% 1 Blue Shield of California Blue Shield of California Promise Health Plan (Medi-Cal) Medicaid Managed Care CA 892K 0.7% — New Jersey DMAHS NJ FamilyCare / Medicaid Fee-for-Service Medicaid FFS NJ 890K 0.3% — AmeriHealth Caritas PerformCare Pennsylvania (HealthChoices BH) Medicaid Managed Care PA 15K 0.2% — CVS Health / Aetna Aetna Medicare Advantage - contract H0562 Medicare Advantage — — 0.0% 1 Magellan Healthcare Wyoming High Fidelity Wraparound CME Medicaid FFS WY 1K 0.0% 1 Martin's Point Health Care Generations Advantage HMO - Behavioral Health Medicare Advantage ME 131 0.0% 2 Martin's Point Health Care Generations Advantage LPPO - Behavioral Health Medicare Advantage ME 17 0.0% 1 Molina Healthcare Senior Whole Health of New York - FIDE Medicaid Managed Care NY — 0.0% 1 UnitedHealth Group UnitedHealthcare Medicare Advantage - Contract H4032 Medicare Advantage — 8 0.0% 1 Wyoming Department of Health Wyoming Medicaid Home and Community Based Services Medicaid FFS WY 32K 0.0% 1 Advanced Health Advanced Health Medicaid Managed Care OR 19K — — Blue Cross and Blue Shield of Minnesota Blue Cross and Blue Shield of Minnesota (Blue Cross plans) Marketplace QHP MN — — — Blue Cross and Blue Shield of Minnesota Blue Plus (Blue Cross and Blue Shield of Minnesota) Medicaid Managed Care MN — — — Community Health Plan of Washington CHPW Apple Health Medicaid Managed Care WA — — — Health Plan of San Mateo Health Plan of San Mateo Medicaid Managed Care CA 9K — —