OHIO



HMO Local Headquarters Parent, Owner or Manager; Profit Status Year Licensed as HMO 2008 Enrollment/Change from 2007
2008 Net Income (Loss) (% of Revenues)* Notes and History
Aetna Health, Inc.
Richfield Aetna Inc., Blue Bell, PA (FP) 1992 98,049
3.7%
$528,491,400
12.7%
Now reporting as part of Aetna Health (Pennsylvania)
AMERIGROUP Ohio
Canton
AMERIGROUP, Virginia Beach, VA
2005
57,659
6.4%
($2,266,080)
-1.0%
Medicaid contractor in Cincinnati area
Anthem HMO (Health Maintenance Plan)* Cincinnati Community Insurance Co., WellPoint, Inc., Indianapolis, IN 1973 132,156
-63.4%
HMO line of business of Anthem Blue Cross Blue Shield of Ohio (Community Insurance). Anthem acquired Medicaid business from QualChoice and operated as Anthem Blue Cross Blue Shield Partnership Plan, but terminated contract effective March 2008
Buckeye Community Health Plan
Columbus
Centene Corporation, St. Louis (FP)
2003
131,498
2.7%
($17,292,881)
-3.3%
Acquired Medicaid enrollment of Family Health Plan in 2003 and SummaCare in 2004
CareSource Dayton Cooperative (NFP) 1988643,849
15.8%
$(819,079)
0.0%
Formerly Dayton Area Health Plan. Renamed Caresource and acquired Total Health Care's assets in 2000. Bought UnitedHealthcare's Medicaid business in 1996. Absored Butler Health Plan in 1997. Operates Medicaid plans in nearby states.
CIGNA Healthcare of Ohio, Inc. Columbus CIGNA Healthcare, Inc., Hartford, CT (FP) 1986 0
$450.217
5.9%
Absorbed HealthSource Ohio in 1999. Has not reported Ohio HMO enrollees in several years
Gateway Health Plan
Pittsburgh

2005
60
-99.3%
$(176,158)
-57.3%
Medicaid contractor in Youngstown area
The Health Plan of the Upper Ohio Valley St. Clairsville, OH Health Plan of Upper Ohio Valley, Inc., West Virginia 1979 29,739
-11.1%
$14,684,071
3.7%

Doing business as The Health Plan. Acquired Hometown Health Plan in 2003.
Humana Health Plan of Ohio Cincinnati Humana, Louisville, KY (FP) 1979 99,953
66.1%
$4,230,347
6.4%
Formerly known as ChoiceCare. Originally created by area Academy of Medicine. Humana acquired in 1997 and consolidated operations with Humana of Ohio
Kaiser Foundation Health Plan of Ohio Cleveland Kaiser Foundation Health Plans, Oakland, CA (NFP) 1976 137,669
-5.9%
$2,055,268 0.4%
McKinley Life Insurance Company (AultCare HMO)
Canton
Aultman Health Services Association (NFP)
1994
130,823
-10.6%
$8,242,537
1.8%
Doing business as Primetime Health Plan (Medicare), MediPlan (Medicaid) and AultCare (commercial)
Medical Health Insuring Co. Cleveland Medical Mutual of Ohio 1978 23,774
-9.8%
$3,377,341
3.5%
An HMO line of business of Medical Mutual (formerly Blue Cross Blue Shield) of Ohio. Acquired MedChoice, United Health Plan, University Health Plan and HealthFirst
Molina Health of Ohio
Dayton
Molina Healthcare, Long Beach, CA
2005
176,483
29.4%
(10,351,243)
-1.7%
Medicaid contractor in Dayton area
Mount Carmel Health Plan Westerville Mount Carmel Medical Center 1996 24,963
14.2%
$4,375,330
1.6%
Medicare Advantage products only
Paramount Health Care Maumee Toledo Hospital, Promedica Health System (FP) 1987 137,984
1.1%
$(3,475,672)
-0.7%%
Acquired Medical Value Plan from Health Alliance Plan of Michigan. Operates separately licensed insurance company and Medicaid plan (Paramount Advantage)
QualChoice Health Plan Cleveland University Hospitals Health System, Inc., Cleveland (FP) 1994 0

HMO line of business for QualChoice Health Plan, Inc. Ended operations on December 21, 2006; endorsed Anthem for commercial groups
SummaCare Akron Summa Health System (FP) 1993 25,983
8.2%
$(6,159,699) -2.6% Sold its Medicaid enrollment to Buckeye Community Health Plan in 2005
Unison Health Plan
Monroeville, PA
UnitedHealthcare, Minnetonka, MN (FP) 2005

$195,181
0.4%
Medicaid contractor in Youngstown area. Acquired by UnitedHealthcare in 2008 from Three Rivers Health Group
UnitedHealthcare of Ohio Columbus UnitedHealthcare, Minnetonka, MN (FP) 1980 183,232
4.7%
$42,909,459
4.2%
Acquired Unison Health Plans in Ohio and Pennsylvania in 2008. Absorbed MetraHealth HMO in 1996; acquired former Physicians Health Plan in Columbus
WellCare of Ohio, Inc.
Indpendence
WellCare, Inc.
Tamps, FL
2007
95,595
117.9%
$(7,045,539)
-2.5%
Medicaid contractor

Updated January 2010

* Net income for Aetna and Health Plan of the Upper Ohio Valley based on operations in multiple states. Anthem does not report revenues, expenses and net income separately for HMO operations. Anthem reported $528.5 million in net income in 2008 for all of its regulated Ohio operations.

Inactive HMOs:

Advantage Health Plan, licensed as Health Guard (Bellaire); Bethesda Health (Cincinnati); CSA-HMO, Inc. (Cleveland) affiliated with Columbia/HCA; Mutual of Omaha Health Plans of Ohio; NorthCoast Health Plan (Cleveland), formerly United Health Plan, membership acquired by HMO Health Ohio (Medical Mutual), MedOhio Health Plan, Inc. (Worthington)

Liquidated HMOs: Day-Med Health Maintenance Plan; (Miamisburg); Personal Physician Care (Cleveland); Health Power HMO (Columbus), Renaissance Health Plan. Total Health Care

HMOs that ended Ohio operations recently: Community Health Plan of Ohio, Genesis Health Plans, Nationwide Health Plan, Ohio Health Group HMO, PacifiCare of Ohio, QualMed (Advantage), People's Health Plan








© 2010 Allan Baumgarten. All rights reserved.