Managed Care Penetration Rates by State and Region

Managed Care* Penetration, by State, 2007
 
 
State Total Managed Care Enrollment* Managed Care Penetration**
Alabama 1,505,921 32.74%
Alaska 200,054 29.86%
Arizona 3,261,845 52.90%
Arkansas 1,366,904 48.63%
California 23,637,658 64.84%
Colorado 2,314,542 48.69%
Connecticut 2,511,488 71.66%
Delaware 483,321 56.63%
District of Columbia 865,185 148.78%
Florida 8,281,337 45.78%
Georgia 3,292,743 35.16%
Hawaii 1,031,729 80.26%
Idaho 617,707 41.12%
Illinois 9,960,231 77.62%
Indiana 1,532,280 24.27%
Iowa 2,077,854 69.68%
Kansas 1,522,781 55.09%
Kentucky 2,425,199 57.66%
Louisiana 1,704,869 39.76%
Maine 652,832 49.40%
Maryland 2,016,469 35.91%
Massachusetts 3,483,896 54.12%
Michigan 7,354,785 72.85%
Minnesota 4,799,347 92.88%
Mississippi 607,559 20.87%
Missouri 1,805,776 30.91%
Montana 389,442 42.04%
Nebraska 833,928 47.16%
Nevada 1,290,074 51.70%
New Hampshire 458,353 34.86%
New Jersey 6,108,506 70.02%
New Mexico 952,826 48.75%
New York 16,398,024 84.94%
North Carolina 3,914,521 44.20%
North Dakota 484,936 76.26%
Ohio 6.484,669 56.50%
Oklahoma 1,341,242 37.47%
Oregon 2,982,443 80.59%
Pennsylvania 11,833,952 95.12%
Puerto Rico 991,439 25.24%
Rhode Island 705,824 66.11%
South Carolina 1,384,272 32.03%
South Dakota 530,263 67.82%
Tennessee 4,541,016 75.20%
Texas 9,648,865 41.05%
Utah 1,451,110 56.90%
Vermont 324,585 52.02%
Virginia 2,254,160 29.49%
Washington 6,511,491 101.81%
West Virginia 910,740 50.08%
Wisconsin 2,405,670 43.29%
Wyoming 143,813 27.92%
*Health insurance enrollment refers to all medical enrollment for companies that offer fully insured products – HMO POS PPO EPO FFS Medicare Medicaid CDH, everything. Does not include specialty benefits (dental, etc.)
**Managed care penetration rate calculated as a percentage of state population per U.S. Census Bureau estimates. Managed care penetration is calculated by the number of enrollees reported at the state level for health plans that are able to provide a geographic breakdown. State-by-state breakdown of enrollment was not available from all plans. Partial state breakdowns are used where only part of the total plan enrollment can be attributed to a specific state. Enrollment is often counted by the location of the employer/group health client or plan sponsor, even though the plan sponsor may have employees/members located in other states (as in Washington DC). This can result in a managed care penetration of greater than 100%.
 
Note: End of Year 2007 Data.
 
Source: AIS's Directory of Health Plans: 2008. Used with permission. http://www.aishealth.com/Products/dhp.html

Click here  to view Managed Care penetration rate data and map for HMO enrollment only.

Return to Managed Care Fact Sheet Menu

©2008, MCOL Inc. All Rights Reserved