Table 1.
Plan | Commercial, Medicaid, or Both | Number of Members | Percent of Non-White Pediatric Members (if known) | Census Regiona | Urban, Rural, or Both | Plan Type and Model (Group/Staff, IPA/Network/Mixed, Other)b | Interview Participantsc |
---|---|---|---|---|---|---|---|
| |||||||
1 | Medicaid | Not reported | Unknown | West | Urban | HMO: IPA/Network/Mixed | QI Staff |
| |||||||
2 | Medicaid | 5,479 | 95% | Northeast | Urban | HMO: IPA/Network/Mixed | QI Staff |
| |||||||
3 | Both: | ||||||
Commercial | 10,410 | Unknown | West | Urban | HMO/POS: Group/Staff | QI, Immunization & Pediatric Program Staff | |
Medicaid | 53,200 | HMO: Group/Staff | QI, Immunization & Pediatric Program Staff | ||||
| |||||||
4 | Medicaid | 16,793 | 33% | Midwest | Both | HMO: IPA/Network/Mixed | QI Staff |
| |||||||
5 | Commercial | 81,086 | Unknown | Northeast | Both | HMO: IPA/Network/Mixed | QI Staff |
| |||||||
6 | Commercial | 126,878 | 8% | Midwest | Both | HMO/POS:IPA/Network/Mixed | QI & Immunization Program Staff |
| |||||||
7 | Both: | ||||||
Commercial | 159,416 | 79% | West | Urban | HMO: IPA/Network/Mixed | QI, Immunization & Pediatric Program Staffd | |
Medicaid | 24,411 | 89% | HMO: IPA/Network/Mixed | QI, Immunization & Pediatric Program Staffd | |||
| |||||||
8 | Medicaid | 161,336 | Unknown | Northeast | Not reported | HMO (model not reported) | QI Staff |
| |||||||
9 | Commercial | 2,541,871 | Unknown | West | Both | HMO: Othere | QI & Immunization Program Staff |
| |||||||
10 | Commercial | 2,734,938 | 63% | West | Both | HMO: Othere | Pediatric Program & Other Practice Staff |
U.S. Census Bureau. Geographic Terms and Concepts – Census Divisions and Census Regions. There are four census regions—Northeast, Midwest, South, and West. Available at: https://www.census.gov/geo/reference/gtc/gtc_census_divreg.html.
HMO=Health Maintenance Organization; POS=Point of Service; IPA=Independent Practice Association.
QI=Quality Improvement.
Plan #7 interview participants also included OB/GYN staff.
Indicates that the plan defined itself as an Integrated Healthcare Delivery System.