Health Net 2013 Annual Report Download - page 74
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72
Western Region Operations Reportable Segment
Our Western Region Operations segment includes the operations of our commercial, Medicare and Medicaid
health plans, the operations of our health and life insurance companies primarily in California, Arizona, Oregon and
Washington, our pharmaceutical services subsidiary and certain operations of our behavioral health subsidiaries in
several states including Arizona, California and Oregon. Our Western Region Operations segment excludes the
operating results of our Medicare PDP business, which has been reclassified as discontinued operation for the year
ended December 31, 2011 and classified as discontinued operation for the year ended December 31, 2012.
Western Region Operations Segment Membership
Change
As of December 31, 2013 v 2012 2012 v 2011
2013 2012 2011 Increase/
(Decrease) %
Change Increase/
(Decrease) %
Change
(Membership in thousands)
California
Large Group ................................. 565 696 826 (131) (18.8)% (130) (15.7)%
Small Group and Individual......... 344 313 308 31 9.9 % 5 1.6 %
Commercial Risk.......................... 909 1,009 1,134 (100) (9.9)% (125) (11.0)%
Medicare Advantage..................... 153 145 125 8 5.5 % 20 16.0 %
Medi-Cal/Medicaid ...................... 1,113 1,084 1,009 29 2.7 % 75 7.4 %
Total California..................... 2,175 2,238 2,268 (63) (2.8)% (30) (1.3)%
Arizona
Large Group ................................. 57 82 77 (25) (30.5)% 5 6.5 %
Small Group and Individual......... 51 59 63 (8) (13.6)% (4) (6.3)%
Commercial Risk.......................... 108 141 140 (33) (23.4)% 1 0.7 %
Medicare Advantage..................... 43 43 41 — — % 2 4.9 %
Medicaid....................................... 4 — — 4 — — %
Total Arizona......................... 155 184 181 (29) (15.8)% 3 1.7 %
Northwest
Large Group ................................. 29 26 50 3 11.5 % (24) (48.0)%
Small Group and Individual......... 39 57 42 (18) (31.6)% 15 35.7 %
Commercial Risk.......................... 68 83 92 (15) (18.1)% (9) (9.8)%
Medicare Advantage..................... 48 46 39 2 4.3 % 7 17.9 %
Total Northwest..................... 116 129 131 (13) (10.1)% (2) (1.5)%
Total Health Plan Enrollment
Large Group ................................. 651 804 953 (153) (19.0)% (149) (15.6)%
Small Group and Individual......... 434 429 413 5 1.2 % 16 3.9 %
Commercial Risk.......................... 1,085 1,233 1,366 (148) (12.0)% (133) (9.7)%
Medicare Advantage..................... 244 234 205 10 4.3 % 29 14.1 %
Medi-Cal/Medicaid ...................... 1,117 1,084 1,009 33 3.0 % 75 7.4 %
2,446 2,551 2,580 (105) (4.1)% (29) (1.1)%
Year Ended December 31, 2013 Compared to Year Ended December 31, 2012
Total Western Region Operations enrollment at December 31, 2013 was approximately 2.4 million members, a
decrease of 4.1 percent compared with enrollment at December 31, 2012. Total enrollment in our California health plan
decreased by 2.8 percent to approximately 2.2 million members from December 31, 2012 to December 31, 2013.