Medi-Cal Enrollment Report Fiscal Year Comparison

Medi-Cal Enrollment Report Fiscal Year Comparison November 30, 2018 8-Jan-19

Total Medi-Cal Enrollment Fiscal Year Comparison November 2018 12/31/2017 1/31/2018 2/28/2018 3/31/2018 4/30/2018 5/31/2018 6/30/2018 7/31/2018 8/31/2018 % of current enrollment Change in Enrollment - December 2017 to present (Change last year vs. prior month) Alameda Alliance for Health 258,014 259,039 257,946 258,118 257,843 257,504 256,611 256,280 256,871 256,415 258,810 258,138 81% 124 0.05% Blue Cross of California 62,059 61,880 60,907 60,931 60,529 60,055 59,623 59,172 59,054 58,941 59,291 58,857 19% -3,202-5.40% Contra Costa Health Plan 178,241 179,613 179,468 180,112 180,519 180,096 178,996 178,635 178,357 177,538 179,041 178,613 87% 372 0.21% Blue Cross of California 27,607 27,587 27,374 27,300 27,127 27,001 26,758 26,462 26,258 26,064 26,246 26,083 13% -1,524-5.81% Kern Family Health Care 247,623 250,384 250,932 252,806 254,095 253,679 253,868 253,079 252,207 251,099 252,741 252,196 78% 4,573 1.81% Health Net 74,246 74,728 74,457 74,541 74,229 73,531 73,093 72,318 71,552 70,871 71,160 70,561 22% -3,685-5.18% CalViva Health 357,429 357,305 356,519 357,397 357,878 358,564 358,129 357,180 357,350 356,246 359,349 359,083 71% 1,654 0.46% Blue Cross of California 147,350 147,518 146,038 145,985 146,223 146,272 146,380 146,042 146,341 146,114 147,014 146,806 29% -544-0.37% L.A. Care Health Plan 2,029,252 2,040,429 2,056,640 2,050,394 2,051,782 2,052,609 2,052,928 2,050,323 2,046,829 2,040,656 2,055,011 2,053,425 68% 24,173 1.18% Health Net 998,452 999,698 1,003,515 996,742 993,119 990,171 988,280 984,597 980,739 975,255 982,110 978,165 32% -20,287-2.07% Inland Empire Health Plan 1,208,533 1,214,885 1,213,226 1,212,264 1,212,269 1,213,457 1,213,619 1,211,951 1,213,288 1,211,104 1,218,133 1,222,532 89% 13,999 1.15% Molina Health Care of California 160,812 160,811 159,160 157,967 156,735 155,825 154,821 153,513 152,818 151,908 152,239 151,768 11% -9,044-5.94% San Francisco Health Plan 130,786 131,232 129,450 129,173 128,789 127,899 127,675 127,437 127,575 127,321 128,086 128,239 87% -2,547-1.99% Blue Cross of California 18,861 19,101 18,984 18,983 18,849 18,793 18,752 18,728 18,844 18,813 18,896 18,918 13% 57 0.30% Santa Clara Family Health Plan 252,479 253,158 252,116 250,768 247,944 248,225 247,055 245,557 245,668 243,829 245,837 244,862 78% -7,617-3.10% Blue Cross of California 72,617 72,371 71,765 71,300 70,475 70,357 69,980 69,228 68,878 68,241 68,803 68,332 22% -4,285-6.23% Community Health Group 274,443 274,360 273,336 272,281 271,836 270,963 270,118 267,704 265,652 263,742 266,223 264,890 38% -9,553-3.59% Aetna, United, Hnet, KPCal, Molina, & Care1s 433,515 435,743 437,359 438,650 439,944 440,227 441,451 439,142 437,185 435,863 440,005 439,280 62% 5,765 1.31% Health Plan of San Joaquin 215,922 216,023 215,326 214,835 215,100 215,645 215,634 215,101 215,175 214,603 216,073 215,758 91% -164-0.08% Health Net 21,264 21,219 21,040 20,859 20,819 20,929 20,921 20,843 20,819 20,731 20,815 20,698 9% -566-2.72% Health Plan of San Joaquin 128,812 129,515 129,471 128,086 127,559 127,568 126,841 127,079 127,067 126,904 127,499 127,778 66% -1,034-0.81% Health Net 72,932 72,918 72,270 70,380 69,374 68,767 67,552 67,105 66,744 66,176 66,357 65,949 34% -6,983-10.52% Marin, Mendocino, Napa, Solano, Sonoma, Yolo, Del Norte, Humbolt, Lake, Lassen, Modoc, Shasta, Siskiyou, Trinity Counties Partnership HealthPlan of California 567,861 564,155 564,715 563,510 562,033 560,845 559,449 557,311 555,755 554,391 554,006 554,075 100% -13,786-2.49% Merced, Monterey, Santa Cruz Counties Central California Alliance for Health 350,278 349,223 351,043 350,721 350,033 349,969 349,044 347,650 347,515 346,337 343,405 342,068 100% -8,210-2.39% Orange County CalOptima 767,433 761,832 763,533 763,456 766,373 760,074 756,881 752,890 750,995 750,174 747,843 745,722 100% -21,711-2.90% Santa Barbara & San Luis Obispo CenCal Health 179,637 177,878 178,304 178,145 178,186 177,949 177,298 177,079 176,436 176,308 175,614 176,074 100% -3,563-2.03% San Mateo County Health Plan of San Mateo 109,842 110,306 109,427 109,322 109,488 108,685 106,818 107,810 106,742 106,716 105,624 103,994 100% -5,848-5.54% Ventura County Gold Coast Health Plan 202,817 199,704 200,428 200,351 199,595 199,797 198,722 197,684 197,621 196,939 196,817 196,909 100% -5,908-3.00% Total Enrollment Medi-Cal Statewide * 10,562,912 10,581,559 10,591,284 10,573,093 10,565,071 10,550,074 10,530,535 10,492,738 10,474,500 10,441,624 10,496,836 10,481,687 In 36 LHPC Counties 9,549,117 9,562,615 9,574,749 9,555,377 9,548,745 9,535,456 9,517,297 9,487,900 9,470,335 9,439,299 9,483,048 9,469,773-79,344-0.84% LHPC Plans only 7,459,402 7,469,041 7,481,880 7,471,739 7,471,322 7,463,528 7,449,686 7,430,750 7,421,103 7,400,322 7,430,112 7,424,356-35,046-0.47% % LHPC in 36 LHPC Counties 78.12% 78.11% 78.14% 78.19% 78.24% 78.27% 78.28% 78.32% 78.36% 78.40% 78.35% 78.40% % LHPC Statewide 70.62% 70.59% 70.64% 70.67% 70.72% 70.74% 70.74% 70.82% 70.85% 70.87% 70.78% 70.83% *2-plan, Imperial/San Benito, Regional, GMC, & COHS Data source: DHCS Medi-Cal Managed Care Enrollment Report

November 2018 Total Medi-Cal Disenrollment 12/31/2017 1/31/2018 2/28/2018 3/31/2018 4/30/2018 5/31/2018 Alameda Alliance for Health 356 352 346 381 328 283 291 318 304 308 400 266 49.9% 3,933 (134) -33.5% Blue Cross of California 347 367 302 341 354 349 312 322 307 239 359 267 50.1% 3,866 (92) -25.6% Contra Costa Health Plan 174 220 197 216 146 224 230 195 211 159 228 168 55.1% 2,368 (60) -26.3% Blue Cross of California 227 219 186 223 177 211 175 201 163 129 176 137 44.9% 2,224 (39) -22.2% Kern Family Health Care 159 206 193 238 209 217 204 218 240 206 243 139 25.4% 2,472 (104) -42.8% Health Net 436 460 495 537 481 502 428 425 457 360 401 409 74.6% 5,391 8 2.0% CalViva Health 389 630 428 400 312 366 298 333 394 339 375 355 46.2% 4,619 (20) -5.3% Blue Cross of California 491 612 1,078 826 565 520 441 515 562 422 518 413 53.8% 6,963 (105) -20.3% L.A. Care Health Plan 2,693 3,282 2,913 3,229 2,899 3,088 2,911 3,053 3,288 2,589 3,260 2,619 49.1% 35,824 (641) -19.7% Health Net 3,050 3,377 3,565 3,509 3,571 3,125 2,897 2,987 3,056 2,404 3,280 2,714 50.9% 37,535 (566) -17.3% Riverside,San Bernardino Counties Inland Empire Health Plan 1,398 1,503 1,182 1,470 1,213 1,388 1,579 1,427 1,562 1,337 1,740 1,277 51.7% 17,076 (463) -26.6% Molina Health Care of California 1,386 1,693 1,586 1,628 1,428 1,443 1,345 1,407 1,459 1,155 1,529 1,193 48.3% 17,252 (336) -22.0% San Francisco Health Plan 134 175 130 171 112 97 125 127 164 126 131 84 49.4% 1,576 (47) -35.9% Blue Cross of California 75 105 85 115 95 71 107 63 105 98 96 86 50.6% 1,101 (10) -10.4% Santa Clara Family Health Plan 357 387 344 436 334 400 461 402 354 308 450 321 53.3% 4,554 (129) -28.7% Blue Cross of California 321 407 298 338 321 288 273 279 268 269 346 281 46.7% 3,689 (65) -18.8% Community Health Group 491 657 525 532 430 552 489 526 527 422 579 449 23.4% 6,179 (130) -22.5% Aetna, Hnet, KPCal, Molina, Care1st, United 1,586 2,001 1,961 1,838 1,640 1,271 1,135 1,579 1,703 1,295 1,599 1,470 76.6% 19,078 (129) -8.1% Health Plan of San Joaquin 168 168 164 159 170 159 145 172 172 171 195 176 68.2% 2,019 (19) -9.7% Health Net 162 172 149 192 145 159 113 126 155 81 110 82 31.8% 1,646 (28) -25.5% Health Plan of San Joaquin 146 137 110 110 99 149 105 122 137 95 165 119 36.8% 1,494 (46) -27.9% Health Net 421 292 304 368 273 263 267 269 277 170 285 204 63.2% 3,393 (81) -28.4% 6/30/2018 7/31/2018 8/31/2018 Percent of Disenrollment Total Disenrollment (Since Dec. 2017) Change in Monthly Disenrollment Monthly Percent Change in Disenrollment Data source: COPS-17 Two-Plan Model & GMC Statewide 19,519 22,510 21,047 22,034 19,034 18,874 18,552 18,819 19,548 15,872 20,891 17,000 233,700 (3891) -18.6% In 14 LHPC Counties 14,967 17,422 16,541 17,257 15,302 15,125 14,331 15,066 15,865 12,682 16,465 13,229 184,252 (3236) -19.7% LHPC Plans only 6,465 7,717 6,532 7,342 6,252 6,923 6,838 6,893 7,353 6,060 7,766 5,973 82,114 (1793) -23.1%

Monthly Choice vs Default Enrollment as % of Total Enrollment November 2018 Choice through % of choice = LI * Def. Enrlmt through % Total Enrollment = Default ** Choice through % of choice = LI * Def. Enrlmt through % Total Enrollment = Default ** Alameda Alliance for Health 2,486 80% 1,322 35% 3,163 81% 1,529 33% 2,613 82% 1,676 39% Blue Cross of California 606 585 49% 751 513 41% 593 578 49% Contra Costa Health Plan 1,651 80% 835 34% 2,077 82% 1,007 33% 1,690 82% 1,077 39% Blue Cross of California 421 124 23% 453 132 23% 363 144 28% Kern Family Health Care 2,219 83% 806 27% 2,820 85% 1,029 27% 2,298 85% 1,389 38% Health Net 443 566 56% 490 672 58% 400 448 53% CalViva Health 2,287 63% 1,093 32% 2,931 65% 1,345 31% 2,196 63% 1,672 43% Blue Cross of California 1,354 793 37% 1,583 786 33% 1,312 685 34% L.A. Care Health Plan 15,214 73% 8,781 37% 18,604 73% 11,273 38% 15,334 72% 12,497 45% Health Net 5,719 4,969 46% 6,900 4,551 40% 5,924 5,266 47% Inland Empire Health Plan 11,181 89% 5,715 34% 13,610 90% 7,008 34% 10,905 89% 7,794 42% Molina Healthcare Partner 1,362 1,782 57% 1,515 1,852 55% 1,369 2,080 60% San Francisco Health Plan 1,086 78% 727 40% 1,329 84% 854 39% 1,012 78% 868 46% Blue Cross of California 302 168 36% 250 163 39% 284 204 42% Santa Clara Family Health Plan 2,218 81% 1,014 31% 2,732 81% 1,350 33% 2,353 81% 1,544 40% Blue Cross of California 510 529 51% 632 575 48% 540 667 55% Community Health Group 1,997 29% 889 31% 2,126 27% 1,098 34% 1,893 28% 1,005 35% Aetna Better Health of CA 285 407 59% 361 407 53% 305 434 59% Care1st Partner Plan 876 941 52% 985 1,106 53% 823 1,613 66% Health Net 646 578 47% 765 595 44% 676 623 48% Kaiser 547 0 0% 697 0 0% 571 0 0% Molina Healthcare Partner 2,183 952 30% 2,542 1,266 33% 2,094 1,494 42% United Healthcare 289 406 58% 357 438 55% 300 457 60% Health Plan of San Joaquin 1,599 91% 619 28% 2,011 91% 671 25% 1,558 90% 897 37% Health Net 153 281 65% 191 269 58% 181 268 60% Health Plan of San Joaquin 1,176 81% 311 21% 1,444 80% 342 19% 1,253 80% 255 17% Health Net 271 410 60% 357 526 60% 307 749 71% Choice through % of choice = LI * Def. Enrlmt through % Total Enrollment = Default ** Data obtained from the DHCS COPS-11 Enrollment Summary Report. This report does not include previous continuity of care members * % of choice=li calculation: LI choice / (LI choice + Commercial choice) ** % Total Enrollment = Default calculation: Default Enrollment/(Choice + Default) meaning x% of a plan's new members that month defaulted into the plan

% Comparison Choice and Default Enrollment LIs v. Commercial Plan November 2018 Choice Sep-18 Oct-18 Nov-18 Default Choice Default Choice Default Count % Count % Count % Count % Count % Count % Alameda Alliance for Health 2,486 80% 1,322 69% 3,163 81% 1,529 75% 2,613 82% 1,676 74% Blue Cross of California 606 20% 585 31% 751 19% 513 25% 593 18% 578 26% Contra Costa Health Plan 1,651 80% 835 87% 2,077 82% 1,007 88% 1,690 82% 1,077 88% Blue Cross of California 421 20% 124 13% 453 18% 132 12% 363 18% 144 12% Kern Family Health Care 2,219 83% 806 59% 2,820 85% 1,029 60% 2,298 85% 1,389 76% Health Net 443 17% 566 41% 490 15% 672 40% 400 15% 448 24% CalViva Health 2,287 63% 1,093 58% 2,931 65% 1,345 63% 2,196 63% 1,672 71% Blue Cross of California 1,354 37% 793 42% 1,583 35% 786 37% 1,312 37% 685 29% L.A. Care Health Plan 15,214 73% 8,781 64% 18,604 73% 11,273 71% 15,334 72% 12,497 70% Health Net 5,719 27% 4,969 36% 6,900 27% 4,551 29% 5,924 28% 5,266 30% Inland Empire Health Plan 11,181 89% 5,715 76% 13,610 90% 7,008 79% 10,905 89% 7,794 79% Molina Health Care 1,362 11% 1,782 24% 1,515 10% 1,852 21% 1,369 11% 2,080 21% San Francisco Health Plan 1,086 78% 727 81% 1,329 84% 854 84% 1,012 78% 868 81% Blue Cross of California 302 22% 168 19% 250 16% 163 16% 284 22% 204 19% Santa Clara Health Plan 2,218 81% 1,014 66% 2,732 81% 1,350 70% 2,353 81% 1,544 70% Blue Cross of California 510 19% 529 34% 632 19% 575 30% 540 19% 667 30% Community Health Group 1,997 29% 889 21% 2,126 27% 1,098 22% 1,893 28% 1,005 18% Aetna Better Health of CA 285 4% 407 10% 361 5% 407 8% 305 5% 434 8% Care1st Partner Plan 876 13% 941 23% 985 13% 1,106 23% 823 12% 1,613 29% Health Net 646 9% 578 14% 765 10% 595 12% 676 10% 623 11% Kaiser 547 8% 0 0% 697 9% 0 0% 571 9% 0 0% Molina Healthcare Partner 2,183 32% 952 23% 2,542 32% 1,266 26% 2,094 31% 1,494 27% United Healthcare 289 4% 406 10% 357 5% 438 9% 300 5% 457 8% Health Plan of San Joaquin 1,599 91% 619 69% 2,011 91% 671 71% 1,558 90% 897 77% Health Net 153 9% 281 31% 191 9% 269 29% 181 10% 268 23% Health Plan of San Joaquin 1,176 81% 311 43% 1,444 80% 342 39% 1,253 80% 255 25% Health Net 271 19% 410 57% 357 20% 526 61% 307 20% 749 75% Data Source: DHCS COPS-11 Enrollment Summary Report

Cal MediConnect Enrollment November 2018 12/31/2017 1/31/2018 2/28/2018 3/31/2018 4/30/2018 5/31/2018 6/30/2018 7/31/2018 8/31/2018 % of current enrollment Change in Enrollment - December 2017 to present (Change last year vs. prior month) L.A. Care Health Plan 15,344 14,937 15,000 14,979 14,936 15,022 15,189 15,309 15,450 15,638 15,806 15,888 46% 544 3.44% Care 1st 3,404 3,268 3,200 3,155 3,089 3,066 3,052 3,017 3,002 2,990 2,947 2,918 15% -486-16.49% CareMore 3,592 3,543 3,507 3,497 3,439 3,427 3,406 3,381 3,366 3,326 3,314 3,270 11% -322-9.72% Health Net 12,120 11,699 11,542 11,415 11,197 11,093 10,944 10,838 10,710 10,589 10,460 10,279 38% -1,841-17.60% Molina 2,673 2,619 2,589 2,571 2,536 2,527 2,500 2,479 2,476 2,454 2,432 2,380 6% -293-12.05% Orange County CalOptima (OneCare Connect) 15,110 14,805 14,734 14,617 14,527 14,533 14,535 14,409 14,386 14,370 14,349 14,252 100% -858-5.98% Inland Empire Health Plan 24,896 24,376 24,547 24,599 24,459 24,646 24,872 25,091 25,344 25,535 25,708 25,798 87% 902 3.51% Molina 4,554 4,399 4,331 4,282 4,191 4,176 4,121 4,067 4,012 3,977 3,940 3,881 13% -673-17.08% Community Health Group (CommuniCare) 5,525 5,461 5,560 5,602 5,643 5,716 5,766 5,785 5,820 5,861 5,924 5,974 43% 449 7.58% Care 1st 2,356 2,331 2,233 2,201 2,183 2,165 2,154 2,154 2,144 2,138 2,140 2,141 27% -215-10.05% Health Net 2,127 2,059 1,921 1,840 1,785 1,773 1,750 1,719 1,688 1,668 1,650 1,629 11% -498-30.18% Molina 4,687 4,550 4,449 4,390 4,364 4,366 4,383 4,363 4,356 4,344 4,326 4,280 32% -407-9.41% San Mateo County Health Plan of San Mateo (CareAdvantage) 9,168 9,055 9,046 9,010 8,914 8,951 8,926 8,940 8,921 8,948 8,919 8,931 100% -237-2.66% Santa Clara Family Health Plan 7,194 7,110 7,140 7,100 7,037 7,087 7,147 7,170 7,222 7,252 7,258 7,324 74% 130 1.79% Anthem Blue Cross 2,862 2,777 2,783 2,735 2,675 2,677 2,658 2,665 2,652 2,627 2,592 2,564 26% -298-11.50% Total Enrollment Cal MediConnect Statewide 115,612 112,989 112,582 111,993 110,975 111,225 111,403 111,387 111,549 111,717 111,765 111,509-4,103-3.67% LHPC Plans only 77,237 75,744 76,027 75,907 75,516 75,955 76,435 76,704 77,143 77,604 77,964 78,167 930 1.19% % LHPC Statewide 66.81% 67.04% 67.53% 67.78% 68.05% 68.29% 68.61% 68.86% 69.16% 69.46% 69.76% 70.10% Data source: Medi-Cal Managed Care Enrollment Report