2021 | |
---|---|
Number of Enrollees: | 64,151 |
PMPM: | $1,171 |
Number of Physicians: | 284,992 |
NCQA Accreditation: |
*The data elements noted with an asterisk (*) contain regional-specific values whereas those not noted with an asterisk (*) contain Virginia specific values.
Accomack, Albemarle, Alleghany, Amelia, Appomattox, Arlington, Augusta, Bath, Botetourt, Brunswick, Buckingham, Caroline, Charles City, Charlotte, Chesterfield, Clarke, Craig, Culpeper, Cumberland, Dinwiddie, Essex, Fauquier, Floyd, Fluvanna, Franklin, Giles, Gloucester, Goochland, Greene, Greensville, Halifax, Hanover, Henrico, Henry, Highland, Isle of Wight, James City, King and Queen, King George, King William, Lancaster, Loudoun, Louisa, Lunenburg, Madison, Mathews, Mecklenburg, Middlesex, Montbomery, Nelson, New Kent, Northampton, Northumberland, Nottoway, Orange, Patrick, Pittsylvanie, Powhatan, Prince George, Prince William, Pulaski, Rappahannock, Richmond, Rockbridge, Southampton, Spotsylvania, Stafford, Surry, Sussex, Westmoreland, Wythe, York
Alexandria, Buena Vista, Charlottesville, Chesapeake, Colonial Heights, Covington, Danville, Emporia, Falls Church, Franklin, Fredericksburg, Hampton, Hopewell, Lexington, Manassas, Manassas Park, Martinsville, Newport News, Norfolk, Petersburg, Poquoson, Portsmouth, Radford, Richmond, Salen, Staunton, Suffolk, Virginia Beach, Waynesboro, Williamsburg
Information provided by HMOs to State Corporation Commission Bureau of Insurance.
2021 | 2020 | 2019 | 2018 | 2017 | |
---|---|---|---|---|---|
Number of Enrollees | 64,151 | 57,975 | 51,161 | 41,465 | NA |
PMPM | $1,171 | $1,179 | $1,129 | $1,087 | NA |
Medical Cost Ratio | 87% | 84% | 86% | 86% | NA |
Administrative Ratio | 11% | 13% | 11% | 13% | NA |
Profit/Loss Ratio | 2% | 3% | 0% | 1% | NA |
Number of Physicians | 284,992 | 270,756 | 225,634 | 218,700 | NA |
*The data elements noted with an asterisk (*) contain regional-specific values whereas those not noted with an asterisk (*) contain Virginia specific values.
2021 | 2020 | 2019 | 2018 | 2017 | |
---|---|---|---|---|---|
Premiums Earned | $896,653,731 | $804,255,758 | $665,649,398 | $521,094,633 | NA |
Income | $100,351,282 | $104,064,717 | $88,712,386 | $11,485,624 | NA |
Net Worth | $468,030,787 | $416,048,476 | $344,733,219 | $296,415,747 | NA |
*The data elements noted with an asterisk (*) contain regional-specific values whereas those not noted with an asterisk (*) contain Virginia specific values.
Adult Access To Preventive/Ambulatory Health Services | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Adult Access To Preventive/Ambulatory Health Services | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Alcohol and Other Drug Dependence Treatment | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Alcohol and Other Drug Dependence Treatment | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Prenatal and Postpartum Care | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Prenatal and Postpartum Care | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Adherence to Antipsychotic Medications for Individuals with Schizophrenia | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Adherence to Antipsychotic Medications for Individuals with Schizophrenia | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Antidepressant Medication Management | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Antidepressant Medication Management | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Attention-Deficit/Hyperactivity Disorder (ADHD) Medication | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Attention-Deficit/Hyperactivity Disorder (ADHD) Medication | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Follow-Up After Emergency Department Visit for Mental Illness | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Follow-Up After Emergency Department Visit for Mental Illness | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Follow-up After Hospitalization For Mental Illness | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Follow-up After Hospitalization For Mental Illness | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Asthma Medication Ratio | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Asthma Medication Ratio | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Cardiovascular Disease Management | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Cardiovascular Disease Management | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Cervical Cancer Screening | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Cervical Cancer Screening | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Common Childhood Illnesses | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Common Childhood Illnesses | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Diabetes Care and Management | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Diabetes Care and Management | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Immunizations | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Immunizations | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Pharmacotherapy of COPD Exacerbation | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Pharmacotherapy of COPD Exacerbation | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Preventive Care | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Preventive Care | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Spirometry Testing | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Spirometry Testing | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Statin Therapy | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Statin Therapy | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Weight Assessment and Counseling | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Weight Assessment and Counseling | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Administrative Data | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Administrative Data | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Financial Data | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Financial Data | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Years in Business | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Years in Business | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Member Satisfaction | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Member Satisfaction | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Antipsychotics | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Antipsychotics | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Cervical Cancer Screening in Adolescent Females | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Cervical Cancer Screening in Adolescent Females | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Lower Back Pain | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Lower Back Pain | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Respiratory | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Respiratory | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Use of Opiods | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Use of Opiods | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Acute Hospital Utilization Rate | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Acute Hospital Utilization Rate | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Emergency Department Utilization | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Emergency Department Utilization | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Plan All-Cause Readmissions | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Plan All-Cause Readmissions | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Antibiotic Utilization | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Antibiotic Utilization | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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Mental Health Utilization | 2021 Plan | State Avg | Nat Avg | 90th Pctl. |
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Mental Health Utilization | Year | Plan | State Avg. | Natl. Avg. | 90th Pctl. |
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