Provider Research

Provider-led Plan Database

The provider-led plan database offers a comprehensive up-to-date integrated list of 106 providers with associated health plans and respective covered lives (~15 million) across the U.S. by lines of business, including individual, small group, large group, ASO, Medicaid, and Medicare Advantage, as well as individual exchange product information.

Specifically, the database includes:

  • Covered lives, revenues, and losses at a state level across individual, small group, large group, ASO, Medicaid*, and Medicare Advantage** (lives split by cost, non-cost, and PDP products) 2010-2014
  • Exchange provider-led participation, as well as product information for all exchange years (2014-2016)
  • Financials for 2015 as well as exchange participation 2017 are currently in development for addition to the database - 2017 exchange rate filing analysis available by request (where available)

 

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*Not 100% business is represented in statutory financial filings for select states - however 100% of covered lives are available by state
** 80% of total MA business represented in statutory financial filings - however 100% of covered lives are available by county