Exhibit 2.15: HMO Penetration in the 10 Largest Metropolitan Areas, 2002 While higher in urban markets than in rural markets, HMO penetration in the country’s most populated metropolitan areas still varies considerably, from a high of 54% in the Los Angeles–Long Beach area to a low of 14% in Houston. City | Estimated HMO Penetration | Estimated HMO Enrollment | Estimated Population | Los Angeles–Long Beach, CA | 53.8% | 5,184,513 | 9,637,494 | Philadelphia, PA–NJ | 41.5% | 2,122,517 | 5,116,830 | Boston, MA | 41.2% | 1,407,068 | 3,411,591 | Washington, DC–MD–VA–WV | 29.8% | 1,505,137 | 5,053,594 | Detroit, MI | 28.0% | 1,246,554 | 4,448,235 | New York, NY | 27.6% | 2,575,049 | 9,333,651 | Atlanta, GA | 25.0% | 1,067,337 | 4,262,584 | Dallas, TX | 23.4% | 854,526 | 3,646,217 | Chicago, IL | 19.0% | 1,587,286 | 8,342,190 | Houston, TX | 13.7% | 587,303 | 4,290,277 |
Notes: HMO enrollment includes enrollees in both traditional HMOs and Point-of-Service (POS) plans through: group/commercial plans, Medicare, Medicaid, the Federal Employees Health Benefits Program, direct pay plans, supplemental Medicare plans, and unidentified HMO products. State penetration was calculated by InterStudy using state population from the Census Bureau as of July 1, 2001. Source: Kaiser Family Foundation analysis using InterStudy Publications, The InterStudy Competitive Edge 12.2, Part III: Regional Market Analysis, November 2002, pp.42-105, using data as of January 1, 2002.
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