Health Insurance in Virginia
HMO Compare
Administrative Data (Health Plan Stability/Descriptive)
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| Plan Name | 2021 | 2020 | 2019 | 2018 | 2017 |
|---|---|---|---|---|---|
| CareFirst BlueChoice, Inc. | 0.19 | 0.22 | 0.20 | 0.21 | 0.21 |
| Optimum Choice, Inc. | 0.16 | 0.20 | 0.17 | 0.18 | 0.15 |
| UnitedHealthcare Plan of the River Valley, Inc. | 0.14 | 0.16 | 0.12 | 0.12 | 0.13 |
| Piedmont Community Healthcare HMO, Inc. | 0.13 | N/A. | 0.15 | 0.16 | N/A |
| Innovation Health Plan, Inc. | 0.12 | 0.13 | 0.13 | 0.16 | 0.17 |
| Aetna Health Inc. (a Pennsylvania Corporation) | 0.11 | 0.14 | 0.13 | 0.17 | 0.15 |
| HealthKeepers, Inc. | 0.10 | 0.12 | 0.10 | 0.11 | 0.10 |
| UnitedHealthcare of the Mid-Atlantic, Inc. | 0.10 | 0.11 | 0.12 | 0.16 | 0.12 |
| Optima Health Plan | 0.09 | 0.10 | 0.10 | 0.10 | 0.09 |
| Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. | 0.06 | 0.07 | 0.07 | 0.08 | 0.09 |
| State Average | 0.12 | 0.13 | 0.12 | 0.14 | 0.12 |
| National Average | N/A | N/A | N/A | 86.19 | 86.39 |
| 90th Percentile | N/A | N/A | N/A | 92.68 | 93.13 |
| Plan Name | 2021 | 2020 | 2019 | 2018 | 2017 |
|---|---|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. | 0.95 | 0.89 | 0.91 | 0.92 | 0.93 |
| Optima Health Plan | 0.88 | 0.88 | 0.93 | 0.85 | 0.90 |
| UnitedHealthcare of the Mid-Atlantic, Inc. | 0.88 | 0.82 | 0.85 | 0.78 | 0.81 |
| CareFirst BlueChoice, Inc. | 0.87 | 0.75 | 0.74 | 0.77 | 0.82 |
| Aetna Health Inc. (a Pennsylvania Corporation) | 0.84 | 0.78 | 0.83 | 0.80 | 0.81 |
| Innovation Health Plan, Inc. | 0.83 | 0.85 | 0.85 | 0.79 | 0.82 |
| Piedmont Community Healthcare HMO, Inc. | 0.83 | 0.79 | 0.75 | 0.84 | N/A |
| HealthKeepers, Inc. | 0.82 | 0.81 | 0.81 | 0.83 | 0.82 |
| UnitedHealthcare Plan of the River Valley, Inc. | 0.79 | 0.77 | 0.85 | 0.89 | 0.84 |
| Optimum Choice, Inc. | 0.77 | 0.77 | 0.80 | 0.73 | 0.78 |
| State Average | 0.85 | 0.81 | 0.84 | 0.83 | 0.83 |
| National Average | N/A | N/A | N/A | 92.60 | 93.13 |
| 90th Percentile | N/A | N/A | N/A | 95.85 | 96.59 |
| Plan Name | 2021 | 2020 | 2019 | 2018 | 2017 |
|---|---|---|---|---|---|
| HealthKeepers, Inc. | 869,626 | 758,061 | 649,455 | 532,548 | 669,975 |
| Optima Health Plan | 432,650 | 413,250 | 360,886 | 347,283 | 303,866 |
| UnitedHealthcare of the Mid-Atlantic, Inc. | 219,465 | 188,553 | 155,376 | 88,797 | 83,174 |
| Kaiser Foundation Health Plan of the Mid-Atlantic | 167,944 | 165,398 | 166,997 | 204,481 | 180,972 |
| CareFirst BlueChoice, Inc. | 93,769 | 83,967 | 81,960 | 79,558 | 84,851 |
| Aetna Health Inc. (a Pennsylvania Corporation) | 25,053 | 23,402 | 20,671 | 22,748 | 50,391 |
| Innovation Health Plan, Inc. | 12,800 | 15,819 | 14,521 | 14,892 | 21,040 |
| Optimum Choice, Inc. | 12,267 | 11,467 | 15,951 | 19,012 | 15,028 |
| Piedmont Community Healthcare HMO, Inc. | 5,614 | 6,891 | 7,670 | 19,917 | N/A |
| UnitedHealthcare Plan of the River Valley, Inc. | 2,883 | 2,935 | 3,399 | 3,954 | 3,120 |
| State Average | 189,570 | 157,206 | 136,748 | 129,656 | 133,992 |
| National Average | N/A | N/A | N/A | 92 | 92 |
| 90th Percentile | N/A | N/A | N/A | 96 | 97 |
| Plan Name | 2021 | 2020 | 2019 | 2018 | 2017 |
|---|---|---|---|---|---|
| Aetna Health Inc. (a Pennsylvania Corporation) | 1,043,977 | 923,132 | 795,989 | 554,080 | 426,906 |
| UnitedHealthcare Plan of the River Valley, Inc. | 162,901 | 167,840 | 134,073 | 135,644 | 126,348 |
| Optimum Choice, Inc. | 95,009 | 82,581 | 68,683 | 67,323 | 63,577 |
| UnitedHealthcare of the Mid-Atlantic, Inc. | 88,412 | 82,569 | 62,910 | 58,540 | 68,443 |
| CareFirst BlueChoice, Inc. | 61,218 | 12,049 | 10,545 | 10,336 | 10,155 |
| HealthKeepers, Inc. | 45,799 | 40,310 | 33,561 | 29,248 | 28,352 |
| Kaiser Foundation Health Plan of the Mid-Atlantic | 26,554 | 24,779 | 22,526 | 21,018 | 21,796 |
| Optima Health Plan | 23,258 | 20,058 | 18,667 | 17,219 | 16,458 |
| Innovation Health Plan, Inc. | 6,924 | 27,145 | 27,160 | 84,706 | 79,982 |
| Piedmont Community Healthcare HMO, Inc. | 1,268 | 1,038 | 1,665 | 1,732 | N/A |
| State Average | 144,761 | 118,547 | 105,314 | 86,806 | 81,926 |
| National Average | N/A | N/A | N/A | 87 | 87 |
| 90th Percentile | N/A | N/A | N/A | 95 | 95 |
| Plan Name | 2021 | 2020 | 2019 | 2018 | 2017 |
|---|---|---|---|---|---|
| Aetna Health Inc. (a Pennsylvania Corporation) | $ 723 | $ 713 | $ 569 | $ 645 | $ 430 |
| Piedmont Community Healthcare HMO, Inc. | $ 617 | $ 607 | $ 716 | $ 706 | $ 0 |
| Optima Health Plan | $ 605 | $ 593 | $ 572 | $ 566 | $ 425 |
| UnitedHealthcare of the Mid-Atlantic, Inc. | $ 587 | $ 649 | $ 612 | $ 264 | $ 337 |
| HealthKeepers, Inc. | $ 585 | $ 579 | $ 590 | $ 532 | $ 435 |
| Innovation Health Plan, Inc. | $ 532 | $ 535 | $ 497 | $ 423 | $ 352 |
| Kaiser Foundation Health Plan of the Mid-Atlantic | $ 524 | $ 540 | $ 485 | $ 422 | $ 381 |
| UnitedHealthcare Plan of the River Valley, Inc. | $ 520 | $ 481 | $ 478 | $ 503 | $ 445 |
| CareFirst BlueChoice, Inc. | $ 479 | $ 468 | $ 455 | $ 455 | $ 404 |
| Optimum Choice, Inc. | $ 467 | $ 446 | $ 379 | $ 369 | $ 361 |
| State Average | $582 | $529 | $511 | $517 | $370 |
| National Average | N/A | N/A | N/A | N/A | N/A |
| 90th Percentile | N/A | N/A | N/A | N/A | N/A |
| Plan Name | 2021 | 2020 | 2019 | 2018 | 2017 |
|---|---|---|---|---|---|
| HealthKeepers, Inc. | 0.09 | 0.07 | 0.10 | 0.06 | 0.08 |
| Optimum Choice, Inc. | 0.09 | 0.04 | 0.04 | 0.10 | 0.07 |
| UnitedHealthcare Plan of the River Valley, Inc. | 0.07 | 0.08 | 0.04 | -0.01 | 0.02 |
| Piedmont Community Healthcare HMO, Inc. | 0.06 | 0.06 | 0.09 | 0.01 | N/A |
| Innovation Health Plan, Inc. | 0.05 | 0.02 | -0.01 | 0.05 | 0.01 |
| Optima Health Plan | 0.03 | 0.04 | -0.01 | 0.06 | 0.01 |
| UnitedHealthcare of the Mid-Atlantic, Inc. | 0.03 | 0.08 | 0.03 | 0.07 | 0.07 |
| Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. | -0.01 | 0.03 | 0.02 | 0.01 | -0.02 |
| CareFirst BlueChoice, Inc. | -0.06 | 0.04 | 0.07 | 0.03 | -0.02 |
| State Average | 0.04 | 0.06 | 0.04 | 0.04 | 0.05 |
| National Average | N/A | N/A | N/A | N/A | N/A |
| 90th Percentile | N/A | N/A | N/A | N/A | N/A |
- Healthkeepers is the product for HealthKeepers, Inc, Peninsula Health Care, Inc. and Priority Health Care, Inc.
- Per NCQA, Piedmont Community Healthcare HMO, Inc. is newly accredited for commercial and has a ‚standards only‚ accreditation which means they are not required to and did not submit any HEDIS or CAHPS data for HEDIS measurement year 2018 or 2019.
- Per NCQA, the performance data for United Health Care River Valley has been reported with United Health Care Mid-Atlantic since 2017.
- Per NCQA, Innovation Health Plan, Inc. is newly accredited for commercial and has a “standards only” accreditation which means they are not required to and did not submit any HEDIS or CAHPS data for HEDIS measurement year 2015, 2016 or 2019.
Updated on: 07/02/2024
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