June Update: DHP Posts 1Q2018 Enrollment Data, New Reports for Download

The AIS Data Team has uploaded new enrollment data, now available via the Search Tool and in the In-App Download Enrollment Data Spreadsheets. The data is the latest available, primarily reflecting first quarter 2018 status.

For this update, five MCO records were removed from the database because they no longer offered primary medical insurance or because we found their membership to overlap the ASO enrollment of other national insurers:

• 87, Tuality Health Alliance
• 1144, Trustmark Companies
• 760, ConnectiCare of Massachusetts, Inc. (Consolidated into ConnectiCare, Inc. (110))
• 1296, Everence Financial
• 1450, American National Insurance Company

New to the database in this update are the following MCOs:

• 1045, Amida Care
• 1139, Kalos Health
• 1731, State of Texas
• 1936, Community PACE at Home, Inc.
• 1937, Atlanticare LIFE Connection
• 1939, True Health New Mexico

Based on user feedback, AIS Data Team has further evolved its methodology to identify potential areas of membership double-counting, particularly in the ASO/self-funded space, with special focus on eliminating BlueCard host membership. The data now features comprehensive ASO membership by state. Membership allocation for Blue Cross Blue Shield ASO enrollment now attributes all commercial membership of single-state BCBS plans to the main service area, even though some ASO members may reside outside of the state.

This update also for the first time features public exchange enrollment data by state for all insurers participating on marketplaces in 2018.

Because our specialty vendor links to MCOs have become more robust, we have moved Pharmacy Benefit Manager, Specialty Pharmacy Provider and Behavioral Vendor affiliations into their own child tables. Please see new In-App Download, Specialty Vendors and Affiliates. Clients can link the data from one workbook to the other using the MCO ID key identifier.

The Integrated Delivery Networks Report is another new PDF, focusing on the growth and proliferation of integrated delivery systems that have an ownership relationship with an insurer.

ICYMI in our last update the Payer Portraits report is a printable PDF providing an overview of each payer record, including narrative descriptions. The Highlights report is an Excel workbook featuring insurer rankings and analyses by sector. Also, DHP is no longer collecting names of key executives or plan contact names for this app. AIS Health’s contact data is now being tracked in a single product called MMIT Reach, a robust database of payer contacts that includes email addresses.