MDHI 2.9 Billion dollar New customer! Health Pl
Post# of 94144
Health Plan Markets
The geographic markets in which our health plans operate and the products offered in each market, during 2012, are described as follows:
• Arkansas - commercial products in Northwest Arkansas, Fort Smith, Hot Springs and Little Rock; and Medicare Advantage CCP products in 13 counties. • Delaware - commercial products throughout the state. • Florida - commercial products in South Florida, the Treasure Coast, the Tampa Bay area and certain counties in North Florida; Medicaid products in South Florida, the Treasure Coast and certain counties in North Florida and the state’s panhandle; and Medicare Advantage CCP products in South Florida and the Tampa Bay area. • Georgia - commercial products primarily in the greater Atlanta, Savannah, Augusta, Macon and Columbus metropolitan areas; and Medicare Advantage CCP products in 27 counties. • Idaho - commercial products throughout the state. • Illinois - commercial products throughout the state; and Medicare Advantage CCP products in portions of Eastern, Central, Western and Northern Illinois. • Iowa - commercial products primarily in the Des Moines, Waterloo, Sioux City, Ames, Cedar Rapids and Iowa City metropolitan areas; and Medicare Advantage CCP products in 49 counties. • Kansas - commercial products in the Kansas City and Wichita metropolitan areas as well as portions of Western Missouri; Medicaid products for the State of Kansas in portions of Eastern Missouri; and Medicare Advantage CCP products in the Kansas City, Topeka, and Wichita metropolitan areas as well as Southwest Missouri. • Kentucky - Medicaid products in seven out of eight regions within the state. • Louisiana - commercial products primarily in the New Orleans, Baton Rouge, Shreveport and Monroe metropolitan areas. • Maryland - commercial products throughout the state; and Medicaid products in the Baltimore City, Baltimore County, Harford County and Cecil County. • Michigan - Medicaid and Children’s Health Insurance Program products in Wayne, Oakland, Macomb, Kalamazoo, St. Joseph, Cass and Hillsdale counties. • Missouri - commercial products throughout the state; Medicare Advantage CCP products in Kansas City, Springfield, St. Louis and Central Missouri areas; and Medicaid products throughout the state. • Nebraska - commercial and Medicaid products throughout the state; and Medicare Advantage CCP products in 17 counties. • Nevada - commercial products primarily in the Las Vegas metropolitan area. • North Carolina - commercial products primarily in the Raleigh-Durham, Greensboro, Winston-Salem, and Charlotte metropolitan areas; and Medicare Advantage CCP products in 15 counties. • Ohio - commercial and Medicare Advantage CCP products in Eastern portions of the state. • Oklahoma - commercial products in the Oklahoma City and Tulsa markets and Medicare Advantage CCP products in the Oklahoma City area. • Pennsylvania - commercial products in all Pennsylvania markets; Medicare Advantage CCP products in the Pittsburgh, Philadelphia, Harrisburg and State College metropolitan areas; and Medicaid products throughout the majority of the state. • South Carolina - commercial products in the Charleston, Columbia and Greenville-Spartanburg metropolitan areas. • South Dakota - commercial products throughout Eastern South Dakota and Medicare Advantage CCP products in 12 counties. • Tennessee - commercial products primarily in the metropolitan Memphis and West Tennessee areas, with additional networks in the far northern Mississippi counties of DeSoto and Tate; and Eastern Arkansas. • Texas - Medicare Advantage CCP products in 20 counties that include Dallas, Houston, San Antonio and El Paso. • Utah - commercial products throughout the state and Medicare Advantage CCP products in 13 counties. • Wyoming - commercial products primarily in the lower Southwestern counties near Utah and Medicare Advantage CCP products in Uinta County. • Virginia - commercial products primarily in the Richmond, Roanoke and Charlottesville metropolitan areas and the Shenandoah Valley and Medicaid products throughout most of the state. Under a Medicaid Managed Care contract, the participating state pays a premium PMPM based on the age, sex, eligibility category and, in some states, county or region of the Medicaid member enrolled. In some states, these premiums are adjusted further according to the health risk associated with the individual member. Our Medicaid line of business covered approximately 974,000 members as of December 31, 2012 and accounted for $2.8 billion of revenue in 2012.
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• West Virginia - commercial