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CMS says it owes insurers $12 billion in risk corridor payments; See the list

The government said it intends to collect from insurers the full 2016 risk corridors payments this month.

Susan Morse, Senior Editor

Image via <a href="https://en.wikipedia.org/wiki/United_States_Department_of_Health_and_Human_Services#/media/File:DHHS2_by_Matthew_Bisanz.JPG">Wikipedia</a>.Image via Wikipedia.

The Centers for Medicare and Medicaid Services has given an accounting of the $12.2 billion it owes insurers in the risk corridors program, one of three stabilization programs under the Affordable Care Act.

The money was promised to limit losses and gains in the ACA market, but in 2014 Congress balked at paying money it hadn't authorized. The result was a budget neutral program that still owes insurers payments from 2014.

[Also: Insurers miss out on $2.5 billion in risk corridor payments, HHS says]

In 2015, the Department of Health and Human Services owed insurers $8.3 billion, including $2.5 billion from 2014, according to Health Affairs. In 2016, $3.9 billion was added to that debt, he said.

Insurers have filed lawsuits over the payments, with cases expected soon to be heard, Jost said.

[Also: No risk corridors payments for 2015 plan year]

Last year, CMS announced that all 2015 benefit year risk corridors collections would be applied to the 2014 balances. The amount of the payouts for 2014 is being reduced based on the collections received.

On Nov. 15, HHS said it intends to collect the full 2016 risk corridors payments this month as set in a table. It will begin remitted risk corridors payments to insurers in January 2018, as those payments are received.

Payer State 2016 Amount (Individual Market) 2016 Amount (Small group market) Expected Payment Toward 2014 Amount
Payer State 2016 Amount (Individual Market) 2016 Amount (Small group market) Expected Payment Toward 2014 Amount
Premera Blue Cross Blue Shield of Alaska AK $0.00 $0.00 $71,752.90
Moda Health Plan, Inc. AK $2,331,107.54 $2,535,475.85 $14,666.28
Humana Insurance Company AL $5,347,297.70 $0.00 $8,238.76
Blue Cross and Blue Shield of Alabama AL $31,253,329.90 $0.00 $3,086.00
UnitedHealthcare Life Insurance Company AL N/A N/A $0.00
UnitedHealthcare of Alabama,Inc. AL $4,226,662.97 $0.00 N/A
QualChoice Life & Health Insurance Company, Inc. AR $6,742,797.09 $0.00 N/A
Celtic Insurance Company AR -$435,672.31 $0.00 $0.00
UnitedHealthcare of Arkansas,Inc. AR -$171,378.54 $0.00 N/A
QCA Health Plan, Inc. AR $5,894,850.51 $0.00 $36,371.03
USAble Mutual InsuranceCompany AR $19,022,135.87 -$1,727.51 $0.00
Humana Health Plan, Inc. AZ $3,030,258.28 $0.00 $16,107.78
Health Net Life InsuranceCompany AZ $6,406,342.85 $0.00 $390,038.18
Blue Cross Blue Shield of Arizona, Inc. AZ $10,845,468.60 $0.00 $101,672.21
Meritus Health Partners AZ N/A N/A $30,355.96
Phoenix Health Plans, Inc. AZ $14,356,552.64 $0.00 N/A
Health Choice Insurance Co. AZ $12,591,097.47 $0.00 $10,944.97
Aetna Health Inc. (a PA corp.) AZ $2,200,505.68 $0.00 N/A
Aetna Life Insurance Company AZ N/A N/A $522.54
Cigna Health and Life Insurance Company AZ N/A N/A $1,507.99
University of Arizona HealthPlans-University Healthcare, Inc. AZ N/A N/A $5,611.56
Health Net of Arizona, Inc. AZ $10,827,593.54 $1,688,379.12 $398,961.79
Meritus Mutual Health Partners AZ N/A N/A $16,297.96
Cigna HealthCare of Arizona,Inc AZ $1,709,445.01 $0.00 N/A
All Savers Insurance Company AZ $2,787,630.49 -$49,087.07 N/A
Oscar Health Plan of California CA $4,167,289.22 $0.00 N/A
MOLINA HEALTHCARE OF CALIFORNIA CA $0.00 $0.00 $0.00
Blue Cross ofCalifornia(Anthem BC) CA $55,180,958.69 $0.00 $0.00
UnitedHealthcare Benefits Plan of California CA $510,269.44 $0.00 N/A
Kaiser Foundation Health Plan,Inc. CA $22,533,814.62 $133,003,881.28 $321,273.85
Chinese Community HealthPlan CA $523,908.24 $763,358.71 $6,200.40
Health Net of California, Inc CA $0.00 $0.00 $0.00
CA Physician's Service dba Blue Shield of CA CA $0.00 $0.00 $0.00
County of Santa Clara CA $233,230.49 $0.00 $0.00
Sharp Health Plan CA $652,496.53 $630,358.81 $67.63
Local Initiative HealthAuthority for Los Angeles County CA $3,948,187.97 $0.00 $117,969.86
Western Health Advantage CA $995,351.80 $700,089.44 $50.58
Health Net Life InsuranceCompany CA $8,099,981.20 $0.00 $44,005.99
CONTRA COSTA HEALTHPLAN CA N/A N/A $0.00
New Health Ventures Inc CO N/A N/A $926.60
Colorado Health Insurance Cooperative, Inc. CO N/A N/A $124,396.13
Kaiser Foundation Health Plan of Colo. CO $76,429,472.92 $0.00 $123,181.64
Cigna Health and Life Insurance Company CO $3,811,568.48 $0.00 $0.00
UnitedHealthcare of Colorado,Inc. CO $719,427.07 $0.00 N/A
Colorado Choice Health Plans CO $900,328.41 $4,055,983.33 $52,260.66
Denver Health Medical Plan,Inc CO -$688,815.34 $0.00 $2,501.26
Humana Health Plan CO $0.00 $0.00 $27,693.60
HMO Colorado, Inc., dba HMO Nevada CO $2,015,531.53 $45,449.80 $12,871.37
Rocky Mountain Health CareOptions CO $0.00 $4,463,039.51 $3,832.28
Rocky Mountain Hospital and Medical Service, Inc., dba Anthem Blue Cross and BlueShield CO $14,813,129.30 $0.00 N/A
All Savers Insurance Company CO -$422,444.96 $0.00 $0.00
Rocky Mountain HMO CO $11,392,994.52 $3,230,381.44 $17,816.32
UnitedHealthcare Insurance Company CT $793,529.41 -$34,355.06 $98.29
ConnectiCare Benefits, Inc. CT $10,110,217.78 $0.00 $0.00
Anthem Health Plans Inc (Anthem BCBS) CT $6,673,451.37 $0.00 $0.00
HealthyCT, Inc. CT $22,557,147.20 $3,025,676.93 $15,952.57
UnitedHealthcare of the Mid- Atlantic Inc DC $0.00 $53,160.65 N/A
UnitedHealthcare Insurance Company DC $0.00 $0.00 $0.00
Aetna Health Inc. (a PA corp.) DC $0.00 $236,018.31 $0.00
Optimum Choice, Inc. DC $0.00 -$153,126.12 $0.00
Aetna Life Insurance Company DC $0.00 $1,348,005.01 $0.00
GHMSI DC $54,354.10 $379,836.03 $0.00
CareFirst BlueChoice, Inc. DC $18,583.46 $120,537.46 $0.00
Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. DC $643,071.50 $1,364,900.88 $10,935.98
Coventry Health and Life DE N/A N/A $0.00
Aetna Life Insurance Company DE $474,963.04 $0.00 N/A
Aetna Health Inc. (a PA corp.) DE $0.00 $126,849.04 N/A
Highmark BCBSD Inc. DE $15,159,604.02 $0.00 $52,848.57
Coventry Health Care of Delaware, Inc. DE N/A N/A $0.00
Blue Cross and Blue Shield ofFlorida FL $0.00 $0.00 $125,572.05
Aetna Health Inc. (a FL corp.) FL $0.00 $0.00 N/A
Celtic Insurance Company FL $0.00 $0.00 N/A
Aetna Life Insurance Company FL N/A N/A $0.00
Health First Health Plans, Inc. FL $1,432,717.01 $0.00 $895.97
Health Options, Inc. FL $0.00 $0.00 $99,007.22
Humana Medical Plan, Inc. FL $32,890,544.08 $173,712.62 $358,660.25
Cigna Health and Life Insurance Company FL N/A N/A $35,388.79
Preferred Medical Plan, Inc. FL N/A N/A $302,522.11
Molina Healthcare of Florida, Inc FL $26,068,734.68 $0.00 $339.56
Florida Health Care Plan, Inc. FL $0.00 $0.00 $0.00
Coventry Health Care ofFlorida, Inc. FL $0.00 $0.00 $266,187.17
UnitedHealthcare of Florida,Inc. FL $9,330,450.46 $0.00 N/A
Health First Insurance, Inc. FL $0.00 $205,230.49 $16,113.18
Florida Health Solution HMO Company FL $0.00 $0.00 N/A
Sunshine State Health Plan FL N/A N/A $0.00
UnitedHealthcare of Georgia,Inc. GA $4,356,433.40 $0.00 N/A
Peach State Health Plan GA N/A N/A $0.00
Blue Cross Blue ShieldHealthcare Plan of Georgia, Inc. GA $212,623.53 $0.00 $0.00
Cigna Health and Life Insurance Company GA $1,901,757.01 $0.00 N/A
Ambetter of Peach State Inc. GA $0.00 $0.00 N/A
Aetna Health Inc. (a GA corp.) GA $780,032.71 $0.00 N/A
Alliant Health Plans GA $4,529,064.09 $0.00 $1.08
Kaiser Foundation Health Plan of Georgia GA $29,343,780.25 $667,124.28 $17,236.52
Humana Employers Health Plan of Georgia, Inc. GA $102,932,298.50 $1,410,936.48 $730,465.11
Harken Health InsuranceCompany GA $12,210,414.34 $0.00 N/A
Hawaii Medical ServiceAssociation HI $14,609,115.03 $1,514,974.14 $0.00
Kaiser Foundation Health Plan,Inc. HI $15,458,919.49 $714,193.48 $161,886.27
Aetna Health Inc. (a IA corp.) IA $1,370,536.30 $0.00 $23,553.76
Gundersen Health Plan, Inc. IA $75,831.31 $5,595.73 $990.27
UnitedHealthcare of the Midlands, Inc. IA $1,351,512.14 $0.00 N/A
CoOportunity Health IA N/A N/A $487,173.70
Avera Health Plans, Inc. IA $155,933.71 $207,564.57 $877.81
Health Alliance Midwest, Inc. IA N/A N/A $0.00
Sanford Health Plan IA $0.00 $163,552.53 $1,123.32
UnitedHealthcare Insurance Company IA $0.00 $0.00 N/A
Medica Insurance Company IA $1,748,293.69 $0.00 N/A
SelectHealth ID $51,028,512.58 $6,672,365.27 $225,833.45
Montana Health Cooperative ID $13,010,336.93 $179,300.09 N/A
Regence Blue Shield of Idaho ID N/A N/A $0.00
BridgeSpan Health Company ID $847,275.91 $0.00 $242.85
PacificSource Health Plans ID $1,205,143.84 $0.00 $19,508.86
Blue Cross of Idaho Health Service, Inc. ID $14,535,162.34 $0.00 $348,280.50
UnitedHealthcare of the Midwest, Inc. IL $157,038.37 $0.00 N/A
Health Alliance Medical Plans,Inc. IL $21,342,103.01 $71,969.35 $24,131.15
Celtic Insurance Company IL $1,846,059.24 $0.00 N/A
Coventry Health & Life Co. IL $0.00 $0.00 $2,942.33
Blue Cross Blue Shield ofIllinois IL $112,457,984.78 $3,412,467.14 $1,715,156.95
Humana Health Plan, Inc. IL $102,828.49 $0.00 $6,967.57
Humana Insurance Company IL N/A N/A $41,765.42
Aetna Life Insurance Company IL N/A N/A $1,361.64
Harken Health InsuranceCompany IL $28,285,818.16 $0.00 N/A
Land of Lincoln Mutual Health Insurance Company IL $42,901,843.98 $9,846,132.23 $39,077.05
Coventry Health Care ofIllinois, Inc. IL $0.00 $0.00 $27,641.33
Aetna Health Inc. (a PA corp.) IL $7,352,468.06 $0.00 N/A
Anthem Ins Companies Inc(Anthem BCBS) IN $0.00 $0.00 $7,068.45
Advantage Health Solutions,Inc. IN $0.00 $0.00 N/A
Indiana University HealthPlans, Inc. IN $403,177.29 $0.00 N/A
Coordinated Care Corporation Indiana IN N/A N/A $0.00
All Savers Insurance Company IN $6,211,732.83 $0.00 N/A
Physicians Health Plan of Northern Indiana, Inc. IN $4,482,634.94 $0.00 $28,751.69
CareSource Indiana, Inc. IN $10,568,031.40 $0.00 N/A
MDwise Marketplace, Inc. IN $9,751,130.86 $0.00 N/A
Southeastern Indiana Health Organization IN $105,200.90 $0.00 N/A
Celtic Insurance Company IN -$1,099,796.09 $0.00 N/A
MDwise, Inc. IN N/A N/A $0.00
Blue Cross and Blue Shield of Kansas, Inc. KS $17,567,910.47 $408,112.19 $122,123.61
BlueCross BlueShield Kansas Solutions, Inc. KS $28,453,460.78 $142,714.94 N/A
UnitedHealthcare of the Midwest, Inc. KS $0.00 $0.00 N/A
Coventry Health and Life KS N/A N/A $199,115.09
Coventry Health Care OfKansas Inc KS N/A N/A $82,617.01
Blue Cross and Blue Shield of Kansas City KS $11,222,745.35 $2,304,584.43 $10,973.78
UnitedHealthcare Insurance Company KS $0.00 $0.00 N/A
Humana Health Plan, Inc. KY $2,625,179.37 $0.00 $52,445.04
UnitedHealthcare of Kentucky,Ltd. KY $0.00 $0.00 $0.00
Aetna Health Inc. (a PA corp.) KY $0.00 $0.00 N/A
Anthem Health Plans of KY(Anthem BCBS) KY $0.00 -$37,294.97 $0.00
Bluegrass Family Health, Inc. KY $9,865,154.55 $2,898,208.49 $12,805.35
CareSource Kentucky Co. KY $3,087,507.35 $0.00 N/A
Golden Rule InsuranceCompany KY N/A N/A $0.00
WELLCARE HEALTH PLANS OF KENTUCKY, INC KY -$13,574.40 $0.00 N/A
Kentucky Health Cooperative KY N/A N/A $670,458.18
HMO Louisiana, Inc. LA $4,490,022.42 $687,627.16 $27,646.68
UnitedHealthcare of Louisiana,Inc. LA $200,537.78 $0.00 N/A
Humana Health Benefit Plan of Louisiana, Inc. LA $3,092,925.82 $0.00 $3,607.09
Louisiana Health Cooperative,Inc. LA N/A N/A $104,030.52
Vantage Health Plan, Inc. LA $8,130,698.29 -$15,784.88 $210.66
Louisiana Health Service & Indemnity Company LA $21,756,614.82 $1,822,667.19 $307,395.02
Tufts Associated Health Maintenance Org MA $0.00 $0.00 $0.00
CeltiCare Health Plan of MA MA $0.00 $0.00 $1,746.54
UnitedHealthcare Insurance Company MA $492,333.25 $0.00 N/A
Health New England, Inc. MA $591,143.39 $1,823,346.74 $0.00
Harvard Pilgrim Health CareInc. MA $945,497.81 $7,745,516.62 $0.00
Neighborhood Health Plan MA $0.00 $0.00 $155,998.39
Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. MA $0.00 $0.00 $0.00
Tufts Health Public Plans Inc. MA $0.00 $0.00 $0.00
Minuteman Health, Inc MA $2,916,284.01 $311,545.12 $9,904.80
Boston Medical Center Health Plan, Inc. MA $0.00 $0.00 $15,106.14
Fallon Community Health Plan,Inc. MA $1,606,849.24 $328,544.25 $4,875.12
HPHC Insurance Company Inc. MA $8,976,329.97 $9,268,445.40 $10,565.74
Coventry Health Care of Delaware, Inc. MD N/A N/A $0.00
UnitedHealthcare Insurance Company MD $0.00 $0.00 $0.00
CareFirst BlueChoice, Inc. MD $41,057,486.62 -$46,498.46 $155,946.37
UnitedHealthcare of the Mid- Atlantic Inc MD $0.00 -$27,309.80 $0.00
Cigna Health and Life Insurance Company MD $743,128.94 $0.00 N/A
All Savers Insurance Company MD $0.00 $0.00 $1,205.34
CareFirst of Maryland, Inc. MD $11,539,940.12 $62,844.74 $47,341.07
MAMSI Life and Health Insurance Company MD $0.00 -$117,035.51 $0.00
Aetna Health Inc. (a PA corp.) MD $0.00 $0.00 N/A
Coventry Health and Life MD $0.00 $0.00 $0.00
Aetna Life Insurance Company MD $0.00 $34,442.90 N/A
Optimum Choice, Inc. MD $0.00 $0.00 $0.00
Evergreen Health Cooperative,Inc. MD $5,446,190.67 $15,614,288.59 $35,975.13
Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. MD $31,064,359.51 $77,950.89 $4,896.36
GHMSI MD $9,019,881.61 $0.00 $8,886.20
Maine Community Health Options ME $21,050,424.64 $4,317,337.28 $2,102.64
Anthem Health Plans of ME(Anthem BCBS) ME $0.00 $0.00 $0.00
Harvard Pilgrim Health CareInc. ME $747,510.63 $444,527.55 N/A
Blue Cross Blue Shield of Michigan Mutual InsuranceCompany MI $5,296,176.54 $0.00 $0.00
McLaren Health Plan MI $0.00 $781,057.65 $4,634.82
Priority Health Insurance Company (PHIC) MI $7,075,598.39 $0.00 $9,411.44
Priority Health MI $26,339,617.56 $0.00 $3,580.16
Health Alliance Plan (HAP) MI $0.00 $0.00 $0.00
Molina Healthcare ofMichigan, Inc. MI -$39,105.84 $0.00 $0.00
Consumers Mutual Insurance of Michigan MI N/A N/A $15,920.95
UnitedHealthcare Life Insurance Company MI $0.00 -$906.46 $0.28
Humana Medical Plan of Michigan, Inc. MI $9,529,350.76 $0.00 $70,478.35
Meridian Health Plan of Michigan, Inc. MI $0.00 $0.00 $0.00
Physicians Health Plan MI $277,579.39 $0.00 N/A
UnitedHealthcare Insurance Company MI $0.00 $0.00 N/A
Total Health Care USA, Inc. MI $0.00 -$2,047,580.25 $0.00
Alliance Health and Life Insurance Company MI $846,068.00 $0.00 $562.17
UnitedHealthcare Community Plan, Inc. MI $0.00 $0.00 N/A
McLaren Health Plan Community MI $0.00 $0.00 N/A
Blue Care Network of Michigan MI $20,617,731.68 $0.00 $149,563.12
Medica Insurance Company MN $0.00 $0.00 $2,757.22
Group Health Plan, Inc. MN $14,052,643.55 $0.00 $22,722.12
BCBSM, INC. MN $61,016,505.39 $7,923,542.86 $60,505.56
HMO Minnesota MN $5,336,936.71 $504,528.26 N/A
Medica Health Plans ofWisconsin MN $35,597,185.27 $0.00 $0.00
UCare Minnesota MN $10,114,026.06 $0.00 $0.00
PreferredOne Insurance Company MN N/A N/A $461,585.23
All Savers Insurance Company MO $0.00 $0.00 N/A
Humana Insurance Company MO $373,172.66 $0.00 N/A
Healthy Alliance Life Co(Anthem BCBS) MO $0.00 $0.00 $196.52
Blue Cross and Blue Shield of Kansas City MO $21,589,143.65 $49,355.14 $24,424.21
Coventry Health and Life MO $0.00 $0.00 $252,932.81
Cigna Health and Life Insurance Company MO $1,404,505.78 $0.00 N/A
Humana Insurance Company MS $9,041,890.00 $0.00 $0.00
UnitedHealthcare Life Insurance Company MS $0.00 $0.00 $0.00
Ambetter of Magnolia Inc. MS $0.00 $0.00 N/A
Magnolia Health Plan MS N/A N/A $0.00
UnitedHealthcare ofMississippi, Inc. MS $3,906,592.67 $0.00 N/A
PacificSource Health Plans MT $9,717,931.78 $135,770.45 $16,858.72
Blue Cross and Blue Shield of Montana MT $31,380,006.00 $3,027,515.02 $208,874.79
Montana Health Cooperative MT $290,347.23 $355,758.03 $54,200.16
Blue Cross and Blue Shield ofNC NC $18,159,126.49 $0.00 $1,282,852.75
UnitedHealthcare of North Carolina, Inc NC $0.00 $0.00 N/A
Coventry Health Care of the Carolinas, Inc. NC N/A N/A $88,629.95
Aetna Health Inc. (a PA corp.) NC $15,884,547.64 $0.00 N/A
Blue Cross Blue Shield of North Dakota ND $0.00 $0.00 $3,987.33
Medica Insurance Company ND $0.00 $19,371.92 N/A
Medica Health Plans ND $0.00 $62,294.31 $2,090.31
Sanford Health Plan ND $1,765,053.70 $108,586.34 $0.00
Coventry Health Care of Nebraska Inc. NE $14,918,861.69 $0.00 $0.00
Medica Insurance Company NE $7,670,841.68 $0.00 N/A
Blue Cross and Blue Shield of Nebraska NE $25,923,663.23 $520,261.48 $123,027.09
CoOportunity Health NE N/A N/A $643,281.99
UnitedHealthcare of the Midlands, Inc. NE $6,406,781.24 $0.00 N/A
UnitedHealthcare Life Insurance Company NE $0.00 $0.00 N/A
UnitedHealthcare Insurance Company NE $0.00 $0.00 N/A
Health Alliance Midwest Inc. NE N/A N/A $63.65
Maine Community HealthOptions NH $5,826,502.09 $4,804,390.97 N/A
Harvard Pilgrim Health Care ofNE NH $291,440.74 $0.00 N/A
Minuteman Health, Inc NH $10,710,229.92 $9,045.97 N/A
Celtic Insurance Company NH -$10,549,229.99 $0.00 N/A
Matthew Thornton Hlth Plan(Anthem BCBS) NH $0.00 $0.00 $0.00
Freelancers CO-OP of New Jersey, Inc. NJ $36,610,266.63 $7,789,387.27 $1,306.25
Oxford Health Plans (NJ), Inc. NJ $4,561,830.04 $0.00 N/A
Oscar Insurance Corporation of New Jersey NJ $3,064,840.14 $0.00 N/A
AmeriHealth HMO, Inc. NJ $3,974,893.09 $105,954.94 $30,437.40
Horizon Healthcare Services,Inc. NJ $16,478,389.42 $0.00 $27,709.38
AmeriHealth Ins Company of New Jersey NJ $73,160,117.68 $344,230.91 $10,070.13
Molina Health Care of New Mexico, Inc. NM $0.00 $0.00 $0.00
Presbyterian Insurance Company, Inc. NM $0.00 $8,019,908.13 $0.00
Presbyterian Health Plan, Inc. NM $2,450,553.68 $350,630.79 $21,562.43
CHRISTUS Health Plan NM $2,352,154.70 $0.00 N/A
Blue Cross Blue Shield of New Mexico NM $2,231,211.41 $653,200.67 $57,124.04
New Mexico HealthConnections NM $13,116,504.33 $10,319,090.60 $36,636.23
Prominence HealthFirst NV $0.00 $0.00 $0.00
Rocky Mountain Hospital and Medical Service, Inc., dba Anthem Blue Cross and BlueShield NV $4,030,060.93 $0.00 N/A
Nevada Health CO-OP NV N/A N/A $93,079.06
HMO Colorado, Inc., dba HMO Nevada NV $0.00 -$7,237.91 $23.62
Health Plan of Nevada, Inc. NV $3,326,339.65 $0.00 $0.00
MetroPlus Health Plan NY $14,216,773.89 $820,311.63 $76,155.52
Independent Health Benefits Corporation NY $2,527,441.24 $12,491,216.10 $0.00
New York State Catholic Health Plan, Inc. NY $3,996,255.02 $0.00 $0.00
American Progressive Life &Health Insurance Company of New York NY N/A N/A $0.00
WellCare of New York NY $442,366.09 $0.00 N/A
HealthNow New York NY $5,597,212.16 $23,522,343.21 $0.00
UnitedHealthcare of NewYork, Inc. NY $4,509,245.86 $0.00 $0.00
MVP Health Plan, Inc. NY $5,120,950.13 $1,162,229.18 $13,489.22
Affinity Health Plan, Inc. NY $20,735,006.33 $0.00 $10,259.07
Freelancers Health Service Corporation d/b/a Health Republic Insurance of NewYork NY N/A N/A $1,299,031.53
Oscar Insurance Corporation NY $107,138,699.40 $0.00 $81,270.32
Excellus Health Plan, Inc. NY $0.00 $23,595,031.50 $65,471.29
Empire HealthChoice HMO, Inc. NY $8,305,584.61 $0.00 $0.00
North Shore-LIJ Insurance Company Inc NY $50,880,224.71 $62,252,325.98 $30,592.89
Oxford Health Insurance, Inc. NY N/A N/A $0.00
Health Insurance Plan of Greater New York NY $8,669,878.30 $1,686,044.58 $0.00
Healthfirst PHSP, Inc. NY $6,891,430.55 $0.00 $656.96
CDPHP Universal Benefits Inc. NY $0.00 $10,440,924.71 $127,063.72
CDPHP NY $1,128,625.43 $0.00 $0.00
Atlantis Health Plan NY N/A N/A $0.00
Coordinated Health Mutual,Inc. OH $20,218,260.47 $310,347.28 N/A
HealthSpan Integrated Care OH $1,619,850.19 $2,851,843.52 $97,447.70
Consumers Life InsuranceCompany OH -$160,706.30 $0.00 N/A
Premier Health Plan, Inc. OH $5,682,287.55 $0.00 N/A
AultCare Insurance Company OH $0.00 $0.00 $5,685.81
Community Insurance Company(Anthem BCBS) OH $0.00 $0.00 $139.50
UnitedHealthcare of Ohio, Inc. OH $3,833,592.57 $0.00 N/A
Buckeye Community HealthPlan OH $0.00 $0.00 $0.00
Summa Insurance Company,Inc. OH $2,037,988.17 -$146,496.91 $18,755.19
MOLINA HEALTHCARE OFOHIO OH $0.00 $0.00 $0.00
Humana Health Plan of Ohio,Inc. OH $0.00 $0.00 $80,623.79
Aetna Life Insurance Company OH $0.00 $0.00 N/A
Paramount Insurance Company OH $267,351.46 $0.00 $0.00
CareSource OH $32,086,445.80 $0.00 $0.00
All Savers Insurance Company OH $446,164.50 $0.00 N/A
HealthSpan OH $1,335,788.24 $211,049.76 $44,083.11
Coventry Health and Life OH N/A N/A $4,981.15
Medical Health Insuring Corp. of Ohio OH $13,342,648.57 -$8,758.40 $43,298.40
UnitedHealthcare of Oklahoma, Inc. OK $3,012,668.48 $0.00 N/A
Coventry Health and Life OK N/A N/A $1,394.42
Aetna Life Insurance Company OK N/A N/A $3,740.86
Coventry Health Care ofKansas, Inc. OK N/A N/A $10,986.77
GlobalHealth, Inc. OK N/A N/A $24,404.54
Blue Cross Blue Shield ofOklahoma OK $57,436,784.47 $787,973.67 $468,796.42
CommunityCare Life & Health Insurance Co OK $0.00 $1,522,505.85 $1,332.98
CommunityCare HMO Inc. OK $0.00 $677,742.83 $2,826.00
PacificSource Health Plans OR $5,543,447.37 $1,501,673.38 $26,164.27
Health Net Health Plan of Oregon, Inc. OR N/A N/A $20,486.10
ZOOM+Care Health Insurance OR $1,045,273.45 $21,956.61 N/A
ATRIO Health Plans OR $3,823,044.78 $0.00 $1,030.23
Moda Health Plan, Inc. OR $33,246,324.18 $2,164,823.82 $763,234.82
Providence Health Plan OR $66,897,686.23 $68,882.34 $16,551.00
BridgeSpan Health Company OR $154,767.68 $0.00 $0.00
Kaiser Foundation Healthplan of the NW OR $15,251,167.48 $0.00 $0.00
LifeWise Health Plan ofOregon OR $11,093,351.11 $0.00 $41,979.64
Trillium Community HealthPlan OR -$152,773.99 -$1,237.14 $0.00
Health Republic InsuranceCompany OR N/A N/A $68,588.91
Community Care of Oregon,Inc. OR $6,321,118.60 $4,270,863.90 $13,297.97
UPMC Health Options, Inc. PA $59,842,450.12 $872,510.61 N/A
UPMC Health Network, Inc. PA N/A N/A $1,933.41
Geisinger Health Plan PA $13,244,631.61 $0.00 $199,187.89
UnitedHealthcare Insurance Company PA $0.00 $2,903.41 N/A
UnitedHealthcare of Pennsylvania, Inc. PA $2,254,922.55 $0.00 N/A
Independence Blue Cross (QCC Ins. Co.) PA $9,763,812.15 $0.00 $93,682.09
Highmark Inc. PA $13,432,627.24 $1,567,070.49 $1,390,214.34
Keystone Health Plan East, Inc PA $8,955,428.25 $0.00 $254,626.90
Aetna Life Insurance Company PA N/A N/A $2,655.77
Highmark Select ResourcesInc. PA $7,665,319.69 $0.00 N/A
Capital Advantage Assurance Company PA $12,578,353.88 $6,463.00 N/A
UPMC Health Plan, Inc. PA N/A N/A $118.37
Keystone Health Plan Central PA $14,440,418.45 $60,166.33 $1,013.51
First Priority Life Insurance Company, Inc. PA $15,373,532.92 $0.00 $95,110.60
UPMC Health Coverage, Inc. PA $0.00 $281,136.83 N/A
Aetna Health Inc. (a PA corp.) PA $7,165,507.59 $0.00 $0.00
Highmark Health Insurance Company PA $13,156,877.36 -$406,467.62 $275,664.50
Geisinger Quality Options PA $5,955,066.10 $0.00 $66,969.88
Capital Advantage Insurance Company CAIC PA N/A N/A $2,523.63
HealthAmerica Pennsylvania,Inc. PA N/A N/A $17,765.54
Blue Cross & Blue Shield of Rhode Island RI $6,723,928.86 $0.00 $0.00
Neighborhood Health Plan of Rhode Island RI -$2,475,751.37 -$38,745.91 $0.00
UnitedHealthcare of New England, Inc. RI $0.00 $0.00 $6.63
Blue Cross and Blue Shield of South Carolina SC $21,882,021.95 $0.00 $0.00
Aetna Health Inc. (a PA corp.) SC -$4,047,046.75 $0.00 N/A
Coventry Health Care of the Carolinas, Inc. SC N/A N/A $44,328.35
BlueChoice HealthPlan of South Carolina, Inc. SC $29,862,056.07 $1,524,317.55 $0.00
UnitedHealthcare Insurance Company SC $486,864.50 $0.00 N/A
Consumers' Choice Health Insurance Company SC N/A N/A $108,084.37
Sanford Health Plan SD $11,217,457.61 $0.00 $30,763.76
Avera Health Plans, Inc. SD $13,756,105.86 $311,636.34 $69,300.60
South Dakota State Medical Holding Company, Inc. SD N/A N/A $688.23
BlueCross BlueShield ofTennessee TN $64,972,431.35 $0.00 $684,777.34
Community Health Alliance Mutual Insurance Company TN N/A N/A $3,196.92
UnitedHealthcare Insurance Company TN $2,134,105.98 $0.00 N/A
Humana Insurance Company TN $2,795,659.26 $0.00 $63,434.93
Cigna Health and Life Insurance Company TN $6,667,000.07 $0.00 $0.00
Oscar Insurance Company ofTexas TX $35,085,745.70 $0.00 N/A
SHA, LLC DBA FirstCareHealth Plans TX $7,590,347.71 $118,270.44 $18,539.02
Community Health Choice, Inc. TX $3,212,369.47 $0.00 $0.00
Celtic Insurance Company TX $0.00 $0.00 N/A
Humana Health Plan of Texas,Inc. TX $15,164,712.65 $0.00 $532,622.61
Blue Cross Blue Shield ofTexas TX $157,277,306.72 $10,601,287.65 $2,560,124.49
Prominence HealthFirst of Texas, Inc. TX $1,572,951.33 $0.00 N/A
Insurance Company of Scott &White TX $75,429,033.03 $0.00 N/A
Scott and White Health Plan TX $25,086,485.39 $0.00 $6,701.62
Molina Healthcare of Texas TX $0.00 $0.00 $0.00
Community First Health Plans,Inc. TX $0.00 $0.00 $85.01
Cigna Health and Life Insurance Company TX $12,607,716.28 $0.00 $112,051.45
Humana Insurance Company TX $1,157,247.50 $0.00 $44,137.59
Allegian Insurance Company TX $6,758,866.06 $0.00 N/A
CHRISTUS Health Plan TX $9,529,090.47 $0.00 N/A
Sendero Health Plans, inc. TX $9,085,117.80 $0.00 $5,957.77
Cigna HealthCare of Texas,Inc. TX $4,891,396.84 $0.00 N/A
All Savers Insurance Company TX $37,545,522.88 $83,872.87 N/A
Superior Health Plan TX N/A N/A $0.00
Aetna Life Insurance Company TX $5,142,859.96 $0.00 $9,581.33
UnitedHealthcare Insurance Company TX $0.00 $0.00 N/A
Molina Healthcare of Utah UT $19,606,971.43 $0.00 $0.00
Arches Mutual Insurance Company UT N/A N/A $104,531.54
BridgeSpan Health Company UT $0.00 $0.00 $17,545.89
Aetna Health of Utah Inc. UT N/A N/A $17,466.91
University of Utah Health Insurance Plans UT $182,764.40 $0.00 N/A
Humana Medical Plan of Utah,Inc. UT $1,711,863.52 $0.00 $84,119.08
UnitedHealthcare of Utah, Inc. UT $0.00 $53,669.11 $0.00
SelectHealth UT $129,565,046.28 $14,423,772.02 $726,669.04
CareFirst BlueChoice, Inc. VA $8,737,341.69 $0.00 $6,356.82
Innovation Health Insurance Company VA $32,520,623.08 $0.00 $3,713.14
Piedmont Community HealthCare, Inc. VA $636,028.99 $579,061.87 N/A
Optima Health Plan VA $8,636,390.10 $0.00 $0.00
Piedmont Community HealthCare HMO, Inc. VA $737,160.77 $0.00 N/A
Aetna Life Insurance Company VA $0.00 $0.00 $0.00
UnitedHealthcare of the Mid- Atlantic Inc VA $1,646,134.28 $0.00 N/A
Group Hospitalization and Medical Services Inc. VA $4,073,508.25 -$602,890.46 $0.00
Innovation Health Plan, Inc. VA $0.00 $75,765.11 N/A
HealthKeepers, Inc. VA $0.00 $0.00 $0.00
Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. VA $35,656,640.04 $1,309,812.93 $1,485.37
Coventry Health Care ofVirginia, Inc VA $3,614,943.00 $0.00 $0.00
Blue Cross Blue Shield ofVermont VT $2,552,850.56 $3,784,868.82 $0.00
MVP Health Plan, Inc. VT $257,849.50 $226,463.69 $13,596.16
Community Health Plan of Washington WA $492,042.87 $0.00 $0.00
Kaiser Foundation Healthplan of the NW WA $6,553,058.03 $0.00 $0.00
Health Alliance Northwest Health Plan Inc. WA $16,154.71 $0.00 N/A
LifeWise Health Plan of WA WA $2,511,858.16 $0.00 $0.00
UnitedHealthcare of Washington, Inc. WA $917,117.57 $457,090.26 N/A
Premera Blue Cross WA $27,211,442.78 $0.00 $0.00
BridgeSpan Health Company WA $0.00 $0.00 $0.00
Coordinated Care Corporation WA $0.00 $0.00 $0.00
Moda Health Plan, Inc. WA $0.00 $264,613.60 N/A
Group Health Cooperative WA $21,043,260.92 $0.00 $0.00
Molina Healthcare of Washington, Inc. WA $2,547,925.84 $0.00 $0.00
Regence BlueShield WA $0.00 $0.00 N/A
Managed Health Services Insurance Corporation WI -$834,199.47 $0.00 N/A
MercyCare Insurance Company WI $0.00 $690,228.89 $3,093.35
Unity Health Plans Insurance Corporation WI $0.00 $0.00 $0.00
Security Health Plan of Wisconsin, Inc. WI $24,508,429.21 $2,534,857.63 $7,617.14
Dean Health Plan WI $5,406,793.42 $0.00 $122,558.13
All Savers Insurance Company WI $925,020.38 $201,371.29 N/A
Health Tradition Health Plan WI $733,565.54 $1,958,359.42 $5,048.00
Molina Healthcare ofWisconsin, Inc. WI $27,554,627.62 $0.00 $0.00
Medica Insurance Company WI $0.00 $573,305.09 $4,186.53
Medica Health Plans ofWisconsin WI $0.00 $0.00 $0.00
MercyCare HMO, Inc. WI $0.00 $1,966,338.04 $10,291.91
Physicians Plus Insurance Corporation WI $464,542.33 $0.00 $0.00
Compcare Health Serv Ins Co(Anthem BCBS) WI $0.00 $0.00 $42,897.95
Network Health Plan WI $2,307,460.56 $0.00 N/A
WPS Health Plan, Inc. WI $8,723,207.17 $663,495.55 $55,803.86
Common Ground Healthcare Cooperative WI $26,987,917.60 $669,339.38 $393,547.93
Gundersen Health Plan, Inc. WI $3,596,244.55 $53,602.89 $18,047.13
Group Health Cooperative-SCW WI $385,820.36 -$126,846.57 $0.00
Highmark Blue Cross Blue Shield West Virginia WV $23,939,268.98 $0.00 $125,468.50
CareSource West Virginia Co. WV $1,239,716.45 $0.00 N/A
Blue Cross Blue Shield of Wyoming WY $6,400,796.86 $83,778.46 $5,283.77
WINhealth Partners WY N/A N/A $44,073.60

Twitter: @SusanJMorse
Email the writer: susan.morse@himssmedia.com

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