Health Plans
Commercial and government health plan management
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Compliance
24
Health Plans
142,830
Total Members
$18.4M
Monthly Premiums
Enrollment by Plan Type
- Total Enrolled Members39,340
- New Enrollments (30d)+284
Financial Performance
$412
Avg Premium PMPM
86.4%
MLR
$24.2M
Claims Paid
- Admin Cost Ratio11.8%
- Avg Deductible$1,240
- Claims Backlog (30d+)142
| Plan Name | Plan ID | Type | Network | Members | Premium PMPM | MLR % | Status | Actions |
|---|---|---|---|---|---|---|---|---|
| BlueCross PPO Gold | BCPPO-G-001 | Commercial | PPO | 38,420 | $524 | 82% | Active | |
| Medicare Advantage Plus | MAPLUS-2025 | Medicare | HMO | 52,100 | $892 | 85% | Active | |
| Medicaid Managed Care | MMC-CA-001 | Medicaid | HMO | 41,310 | $438 | 88% | Active | |
| ACA Silver Exchange Plan | ACA-SLV-2025 | Exchange | EPO | 11,000 | $412 | 81% | Pending |
Showing 4 of 24 health plans