What Was Measured?

The number of male and female commercial HMO and point of service (POS) enrollees in California’s largest health plans. HMO/POS enrollment information is not ranked because it is not a quality measure.

Why Is It Important?

Enrollees may feel more comfortable in one HMO or POS plan than another depending on the range of covered services, the perceived stability of the HMO or POS plan, or the availability of different types of physicians who best meet their needs. The number of male and female enrollees in an HMO or POS plan is one indication of how Californians select their HMO or POS.

What Was the Source?

Data on HMO and POS enrollees voluntarily reported by California health plans to the National Committee for Quality Assurance (NCQA) and made available through NCQA’s Quality Compass®. HMO and POS data are reported together here because Quality Compass® does not separate HMO and POS membership in it’s report. The HMO/POS Membership by Gender data comes from NCQA’s 2011 Quality Compass®, and is part of the same HMO data set used to generate the HEDIS and CAHPS quality information found in the health plan section of the 2012 OPA Report Card.

HMO/POS Members by Gender

Female
Male
 

HMO/POS Members by Gender

Quality Compass
members
  • 0
  • 1,500,000
Aetna Health of California, Inc. 194,929 Horizontal bar, 12 units
192,394 Horizontal bar, 12 units
Anthem Blue Cross - HMO 610,488 Horizontal bar, 40 units
579,693 Horizontal bar, 38 units
Blue Shield of California - HMO 502,278 Horizontal bar, 33 units
462,640 Horizontal bar, 30 units
CIGNA HMO 124,966 Horizontal bar, 8 units
116,896 Horizontal bar, 7 units
Health Net of California, Inc. 499,752 Horizontal bar, 33 units
480,095 Horizontal bar, 32 units
Kaiser Permanente - Northern California 1,276,911 Horizontal bar, 85 units
1,221,790 Horizontal bar, 81 units
Kaiser Permanente - Southern California 1,335,093 Horizontal bar, 89 units
1,275,386 Horizontal bar, 85 units
UnitedHealthcare of California (formerly PacifiCare) 306,414 Horizontal bar, 20 units
290,913 Horizontal bar, 19 units
Western Health Advantage 39,474 Horizontal bar, 2 units
35,367 Horizontal bar, 2 units
352.100/.200/.300/.400