Health Net 2014 Annual Report Download - page 78
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76
Western Region Operations Reportable Segment
Our Western Region Operations segment includes the operations of our commercial, Medicare, Medicaid and
dual eligibles health plans, the operations of our health and life insurance companies primarily in California, Arizona,
Oregon and Washington, and our pharmaceutical services subsidiary and certain operations of our behavioral health
subsidiaries in several states including Arizona, California, Oregon and Washington. Our Western Region Operations
segment excludes the operating results of our Medicare PDP business, which had been classified as discontinued
operation for the year ended December 31, 2012.
Western Region Operations Segment Membership
Change
As of December 31, 2014 v 2013 2013 v 2012
2014 2013 2012 Increase/
(Decrease) %
Change Increase/
(Decrease) %
Change
(Membership in thousands)
California
Large Group ................................. 474 565 696 (91) (16.1)% (131) (18.8)%
Small Group ................................. 246 244 248 2 0.8 % (4) (1.6)%
Individual ..................................... 237 100 65 137 137.0 % 35 53.8 %
Commercial.................................. 957 909 1,009 48 5.3 % (100) (9.9)%
Medicare Advantage..................... 173 153 145 20 13.1 % 8 5.5 %
Medi-Cal/Medicaid ...................... 1,595 1,113 1,084 482 43.3 % 29 2.7 %
Dual Eligibles............................... 16 16
Total California..................... 2,741 2,175 2,238 566 26.0 % (63) (2.8)%
Arizona
Large Group ................................. 44 57 82 (13) (22.8)% (25) (30.5)%
Small Group ................................. 43 39 44 4 10.3 % (5) (11.4)%
Individual ..................................... 92 12 15 80 666.7 % (3) (20.0)%
Commercial.................................. 179 108 141 71 65.7 % (33) (23.4)%
Medicare Advantage..................... 46 43 43 3 7.0 % — — %
Medicaid....................................... 81 4 77 1,925.0 % 4
Total Arizona......................... 306 155 184 151 97.4 % (29) (15.8)%
Northwest
Large Group ................................. 29 29 26 — — % 3 11.5 %
Small Group ................................. 24 36 54 (12) (33.3)% (18) (33.3)%
Individual ..................................... 3 3 3 — — % — — %
Commercial.................................. 56 68 83 (12) (17.6)% (15) (18.1)%
Medicare Advantage..................... 56 48 46 8 16.7 % 2 4.3 %
Total Northwest..................... 112 116 129 (4) (3.4)% (13) (10.1)%
Total Health Plan Enrollment
Large Group ................................. 547 651 804 (104) (16.0)% (153) (19.0)%
Small Group ................................. 313 319 346 (6) (1.9)% (27) (7.8)%
Individual ..................................... 332 115 83 217 188.7 % 32 38.6 %
Commercial.................................. 1,192 1,085 1,233 107 9.9 % (148) (12.0)%
Medicare Advantage..................... 275 244 234 31 12.7 % 10 4.3 %
Medi-Cal/Medicaid ...................... 1,676 1,117 1,084 559 50.0 % 33 3.0 %
Dual Eligibles............................... 16 16
3,159 2,446 2,551 713 29.1 % (105) (4.1)%