159, , ,805 80,894 72,034 (45.2%) (50.6%) 78,982 (49.4%) 87,295 (54.8%) FY12 Q1 Net: ,802 28,897 28,969 27,376

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1 4/24/212 I. Commonwealth Care Overall Commonwealth Care membership has increased in Q3FY12, compared to Q2FY12 due to the reintegration of the AWSS population. The vast majority of these new AWSS members are Plan Type 1 members who are not required to pay a premium, thus, resulting in an increase in the non-premium paying percentage of members. In addition, Network Health has continued to have the largest membership of all Commonwealth Care MCOs for the 3rd straight quarter. 2, CommCare Chart 1: Quarterly total enrollment for Net enrollment increased by about 9% between the second and third quarters of FY12. This is primarily due to the reintegration of CommCare Bridge members into CommCare effective March 212. Percentage enrollment by nonpremium paying members also increased in. 1, 159, , ,85 8,894 (5.6%) 78,982 (49.4%) No premium 72,34 (45.2%) 87,295 (54.8%) Premium-paying 71,432 (49.4%) 87,373 (5.6%) 173,438 72,4 (41.7%) 11,38 (58.3%) FY11 Q4 FY12 Q1 FY12 Q2 6, FY11 Q4 Net: +4,358 FY12 Q1 Net: -547 FY12 Q2 Net: -524 Net: +14,633 CommCare Chart 2: Quarterly Additions/Terminations (excluding plan changes) for Net enrollment increased significantly from FY12 Q2 as a result of the reintegration of former CommCare Bridge members. Gross terminations remained within the historical range. 4,82 28,897 28,969 27,376-24,539-29,516-27,9-26,169-6, Additions Terminations 1

2 4/24/212 CommCare Chart 3: Enrollment by Plan Type for The percentage of members by Plan Type has not changed significantly. Type 2 (1-2% FPL), 67,428, 39% Type 1 (- 1% FPL), 78,533, 45% Type 3 (2-3% FPL), 27,477, 16% CommCare Chart 4: Enrollment by MMCO for CeltiCare, 34,818, 2% BMCHP, 35,874, 2% Percentage enrollment in CeltiCare increased by more than 7% in. This increase is likely attributable to former CommCare Bridge members electing to remain with CeltiCare. Percentage enrollment in BMCHP and NHP declined by approximately 4.4% and 3.2% respectively. Fallon, 4,659, 3% Neighborhood, 34,161, 2% Network Health, 63,926, 37% Members Members CommCare Chart 5: A. Quarterly enrollment by gender for Membership by gender remains consistent. FY12 Q2 94,51 (54.4%) 85,859 (54.1%) 78,928 (45.5%) 72,946 (45.9%) % 65+.6% % B. Enrollment by age for FY12 Q3 Percentage enrollment by age cohort did not change significantly. FY12 Q1 FY11 Q4 86,18 (54%) 86,43 (53.8%) 73,221 (46%) 73,833 (46.2%) % % % % 5% 1% Female Male 2

3 4/24/212 II. Commonwealth Choice As of March 212, there were 38,747 paid members (26,574 paid subscribers and 12,173 dependents). Enrollment decreased 6% from the previous quarter by 2,585 members. This can be attributed to the closed enrollment period of the non-group market that is now in effect as non-group subscribers account for 79% of total Commonwealth Choice enrollment. As of February 212, all eight Commonwealth Choice carriers are participating in the Business Express product for small group employers (beginning with coverage effective April 1, 212). 42, Members CommChoice Chart 1: Quarterly total enrollment for Total enrollment decreased in to within historical levels. 39, % 42, % 41, % 38, % FY11 Q4 FY12 Q1 FY12 Q2 CommChoice Chart 2: Enrollment by Benefit Level for Bronze, 13,666, 52% Percentage enrollment by benefit level did not change significantly from FY12 Q2. The Bronze tier continues to retain roughly half of total membership. YAP, 2,484, 9% Silver, 8,267, 31% Gold, 2,157, 8% 3

4 4/24/212 CommChoice Chart 3: Enrollment by Health Plan for On November 1, 211, BMCHP became the eighth carrier to participate in CommChoice. New subscribers were able to enroll in BMCHP for coverage effective as early as January 1, 212. As of the end of, 53 subscribers have enrolled in BMCHP. Enrollment in the other plans has not changed significantly. BMCHP, 53, % Neighborhood Health Plan, 11,285, 43% Harvard Pilgrim Health Care, 5,941, 22% Fallon Community Health Plan, 1,945, 7% Blue Cross Blue Shield MA, 4,113, 16% CeltiCare, 82, % Health New England, 1,72, 4% Tufts Health Plan, 2,83, 8% Family, 2,812, 1% CommChoice Chart 4: Enrollment by Rate Basis Type for Individual coverage remains the top-selling rate basis type by far. Individual, 21,2, 79% 2-person, 1,776, 7% 1+Children, 966, 4% CommChoice Chart 5: A: Quarterly enrollment by gender for hip by gender remains consistent. B: Enrollment by age for While the percentage enrollment by adults age has increased slightly since FY12 Q2, the majority of members continue to be younger - about 53% are under age 45. FY12 Q2 FY12 Q1 FY11 Q4 12, % 13, % 14, % 13, % 13, % 14, % 15, % 14, % % 65+.6% % <18.5% % % % % 5% 1% Female Male 4

5 4/24/212 2, 1,534 Employers 1,499 Employees 1,629 1,587 CommChoice Chart 6: Quarterly Voluntary Plan Enrollments for Employer and employee participation in the Voluntary Plan did not change significantly from FY12 Q2. 1, FY11 Q4 FY12 Q1 FY12 Q2 3 Employers Employees CommChoice Chart 7: Quarterly Contributory Plan Enrollments for 2 Effective April 1, 212, the Contributory Plan is closed to new and renewing employer groups and their employees. Eligible employers have the option to renew into Business Express FY11 Q4 FY12 Q1 FY12 Q2 3, 2,242 2,236 2,375 CommChoice Chart 8: Quarterly Business Express Enrollments for Employer participation in Business Express grew slightly since FY12 Q2. 2, 1, 1,572 1,561 1,597 1,61 2,239 Employers Employees FY11 Q4 FY12 Q1 FY12 Q2 5

6 4/24/212 1% 2,242 2,236 2,375 2,239 CP, 119 (.4%) 3,436 (13%) CP, 89 (.3%) 3,62 (11%) CP, 81 (.3%) 2,688 (1%) CP, 58 (.2%) 2,347 CommChoice Chart 9: Quarterly Enrollment by Product Type for Non-group enrollment continues to retain roughly three-quarters of total membership. 5% 2,52 (73%) 22,399 (77%) 21,636 (76%) 2,343 (76%) YAP enrollment declined slightly in. Enrollment in the other products did not change significantly since FY12 Q2. % 1,534 (6%) 1,499 (5%) 1,629 (6%) 1,587 (6%) FY11 Q4 FY12 Q1 FY12 Q2 VP Non-Group YAP CP BE 6

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