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. Author manuscript; available in PMC: 2018 May 1.
Published in final edited form as: J Public Health Manag Pract. 2017 May-Jun;23(3):283–290. doi: 10.1097/PHH.0000000000000440

Table 1.

Descriptive Characteristics of Participating Health Plans

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
a

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.

b

HMO=Health Maintenance Organization; POS=Point of Service; IPA=Independent Practice Association.

c

QI=Quality Improvement.

d

Plan #7 interview participants also included OB/GYN staff.

e

Indicates that the plan defined itself as an Integrated Healthcare Delivery System.