Waxaa jira shirkado caymis caafimaad oo badan oo Maraykanka ah. Dad badan oo ka shaqeeya degaan yar oo gobolka ka mid ah, halka kuwo kale ay bukaanka u hayaan bukaanka. Waxaa sidoo kale jira Medicaid iyo Medicare.
Waxaa jira lix ka mid ah shirkadaha caymiska caafimaadka ee ugu weyn: WellPoint, CIGNA, Aetna, Humana, United Healthcare iyo BlueCross BlueShield, inkastoo ugu dambeyntii ay ka shaqeyso dawlad-goboleed.
Shanta shirkadood ee caymiska caafimaadka ugu weyn ayaa ku sigtay in ka badan kala bar dadka caymiska ah ama in ka badan 100 milyan oo qof. Halkan waxaan ku eegaynaa shanta shirkadood ee caymiska caafimaadka ee ugu waaweyn.
WellPoint, Inc.
WellPoint waxay leedahay 34 milyan oo xubnood oo ka mid ah qorsheyaasha caafimaadka ee la xiriiiray iyo in ka badan 70 milyan oo caymis ah marka ay ka mid yihiin xayeysiintooda. Tani waxay ka dhigaysaa WellPoint shirkada caymiska caafimaadka ugu weyn marka loo eego xubinimada.
WellPoint waxaa laga sameeyay iskudhafka WellPoint Health Networks Inc. iyo Anthem, Inc., 2004.
WellPoint waxay xarunteedu tahay Indianapolis, Indiana. Waa liisanka madaxbannaan ee Blue Cross iyo Blue Shield Association oo xubno ka ah California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, iyo Wisconsin.
Qorshaha WellPoint wuxuu ku shaqeeyaa sida Anthem Blue Cross, Anthem Blue Cross iyo Blue Shield, Blue Cross iyo Blue Shield ee Georgia, Boqortooyada Midoobey Blue Blue Blue, ama Blue Blue Empire (ama adeega New York).
WellPoint waxay sidoo kale u adeegtaa macaamiisha dalka oo idil sida UniCare.
Mid ka mid ah sagaal qof oo Maraykan ah ayaa ku jira caymiska WellPoint.
Qorshayaasha daryeelka managedPoint ee WellPoint waxaa ka mid ah: Ururada bixiya adeeg bixiyayaasha (PPOs); hay'adaha dayactirka caafimaadka, (HMOs); qorshooyinka adeegga (POS); Qorshooyinka lacag-bixinta dhaqanka iyo qorshooyinka kale ee isku-dhafan, oo ay ku jiraan qorshooyinka caafimaadka ee loo yaqaan "consumer-driven" (CDHPs); iyo cisbitaal kaliya iyo alaabooyinka yar yar.
Shirkadu sidoo kale waxay ka kooban tahay adeegyada daryeelka maareysan ee macaamiisha is-maalgaliya, oo ay ku jiraan farsamooyinka qaansheegadka, hoos-u-dhigista, joojinta caymiska lumay, adeegyadda garsoorka, helitaanka shabakada bixiyaha, maamulka qiimaha daaweynta, maamulka cudurada, barnaamijyada fayoqabka iyo adeegyada kale ee maamulka.
Shirkadaha saamileyda ah waxay bixiyaan adeegyo khaas ah iyo alaabooyin kale iyo adeegyo ay ka mid yihiin faa'iidooyinka caymiska nolosha iyo naafada, ilkaha, aragtida, adeegga caafimaadka ee dabeecadda, maaraynta faa'idada shucaaca, hagid daryeelka caafimaadka shakhsi ahaaneed, caymiska daryeelka muddada dheer, iyo kharashka dabacsan xisaabaadka.
Shirkadda Caymiska Caafimaadka CIGNA
Xarunta dhexe ee Philadelphia, Pa., Taariikhda CIGNA waxay dib u furtaa in ka badan 125 sano. Dakhliga shirkadda (laga bilaabo December 2011) waa $ 21.3 bilyan.
CIGNA waxay haysataa 11.4 milyan caymiska Maraykanka iyo 7,6 milyan oo kale oo ka baxsan Maraykanka (29 dal oo kala duwan), waxaana lagu darayaa Tirada 129 ee liiska Fortune 500.
Sannadkii 2010, CIGNA waxay baartaa 119 milyan oo sheegasho caafimaad.
CIGNA wuxuu leeyahay saddex qaybood:
- CIGNA HealthCare waxay u fidisaa qorshe caafimaad iyo adeegyo labada shirkadood iyo shakhsiyaadka, oo bixinaya caymiska caafimaadka, ilkaha, dabeecadda, farmashiyaha, iyo daryeelka caafimaadka indhaha.
- CigNA Group Caymiska waa mid ka mid ah bixiyeyaasha ugu sareeya ee naafada naafada ah, caymiska nolosha iyo shilalka ee Maraykanka.
- CIGNA International waxay bixisaa caymiska nolosha, shilalka iyo caymiska caafimaadka iyo sidoo kale daryeelka caafimaad ee khaaska ah iyo faa'idooyinka caymiska shaqaalaha ee la xidhiidha shaqaalaynta shirkadaha caalamiga ah ee ku saleysan dibadda.
Aetna
Aetna waxaa la aasaasay sannadkii 1853 ee Hartford, Conn., Waxayna bixisaa daryeelka caafimaadka, ilkaha, farmashiyaha, nolosha kooxeed, iyo caymiska naafada, iyo manfacyada shaqaalaha. Waxay leedahay qiyaastii 18 milyan oo xubnood oo caafimaad, 13.5 milyan oo xubnood oo ilkaha ah iyo 8.5 milyan oo farmashiyeyaal ah.
Caymisku wuxuu bixiyaa macaashka ayadoo loo marayo loo shaqeeyayaasha dhamaan 50 dawladood, oo leh alaabooyin iyo adeegyo loogu talagalay qaas ahaan kuwa yaryar, dhexdhexaad ah iyo kuwo badan oo loo shaqeeyaha qaranka.
Aetna waxay sidoo kale u adeegtaa ka-faa'iideysteyaasha Medicare iyo Medicaid suuqyada qaarkood. Dakhliga Aetna ee sannadkii 2010 wuxuu ahaa $ 34,246 million, hoos ugu dhacday 1.5% sanadki hore.
Humana
Waxa la asaasay 1961-dii oo xarunteedu tahay Louisville, Ky., Humana wuxuu bilaabay inuu noqdo guri kaligeed oo kalkaalis ah wuxuuna ku koray in ka badan 100 cusbitaal ka hor inta uusan ku lug lahayn faa'idooyinka caafimaadka.
Humana waxay leedahay 10.2 milyan oo xubnood oo caafimaad ah, waana lambar 73 liiska magacyada Fortune magazine ee shirkadaha ugu waawayn Maraykanka, ee ku jira dakhliga sannadka.
Humana waxay bixisaa adeegyo iyo qorshooyin kala duwan oo ay ka mid yihiin:
- Humana Medicare Plans, oo loogu talagalay macaamiisha u qalma Medicare
- Humana One, caymis shakhsiyeed oo leh qorshooyin kala duwan
- Humana One Dental & Vision
- Humana Hal One Life and Supplemental Caymiska, oo bixisa qorshooyin nololeed oo kali ah, isbitaal bixinta, iyo siyaasado loogu talagalay cudurro gaar ah. HumanaDental, loo shaqeeyayaasha
- HumanaVisionCare
Bixiyaha daryeelka caafimaad wuxuu sidoo kale bixiyaa maamulaha gargaarka farmashiyaha, Humana Pharmacy Solutions, kaas oo ay taageerayaan shirkad Fortune 100 ah oo ka mid ah midka ugu sarreeya ee PBM ee qaranka.
Hadafka Humana Pharmacy Solutions 'ayaa ah in xubnaha ay u helaan daawada ay u baahan yihiin iyagoo bixinaya talooyin ku saabsan daawooyinka la xaqiijiyay, daawooyinka loo yaqaan' therapeutically toxic drugs 'kuwaas oo keenaya qiimo fiican xubinta iyo loo shaqeeyaha.
United Healthcare
UnitedHealthcare waa qayb ka mid ah hawlaha UnitedHealth Group, oo ah halista ugu weyn ee caafimaadka Mareykanka. Shirkadda waxaa la aasaasay sanadkii 1977-kii iyada oo loo marayo dib u habeynta Charter Med Inc., oo la aasaasay 1974.
Shirkadu waxay bixisaa badeecooyin iyo adeegyo qiyaastii 70 milyan oo Mareykan ah iyo barnaamijyadeeda maareynta daawooyinka ayaa bixiya daroogo dheeraad ah oo la heli karo daawooyinka 13 milyan oo qof.
United Healthcare waxay leedahay saddex qaybood:
- UnitedHealth Career-ka Shaqsiyaadka iyo Shakhsiyaadka waxay bixiyaan qorshooyin faa'iido iyo adeegyo xeeladaysan oo ku salaysan saldhig u qalanta shaqooyinka waaweyn, goobaha kala duwan iyo kuwa qaran waxayna isku duba ridaan faa'iidooyinka daryeelka caafimaadka ee shabakada iyo adeegyada iyaga oo ka wakiil ah shaqaale yaryar oo loo shaqeeyo oo dhexdhexaad ah, iyo sidoo kale shaqsiyaadka, ardayda iyo qoysas.
- UnitedHealth Care Medicare & Hawlgabku waa ganacsiga ugu weyn ee qaranka ee loogu talagalay in lagu daboolo baahiyaha sii kordhaya ee waayeelka.
- UnitedHealthcare Community & State waxay u fududeyneysaa oo maamushaa adeegyada daryeelka caafimaadka ee loogu talagalay barnaamijyada dawladda iyo barnaamijka Medicaid iyo ka-faa'iideystayaasha.
Dakhliga shirkadda ee rubuca koowaad ee sannadkan ayaa ahaa $ 25,432 milyan, tan iyo markii ay ahayd $ 23,193 million rubucii hore ee 2010.
United Healthcare ayaa ku jirta kaalinta 22aad ee liiska Fortune 500 oo ku saleysan dakhliyada. Waxa kale oo ay heshay darajada No. 1 ee Innovation ee Caymiska iyo Managed Care ee liiska Fortune magazine ee 2011 ee Shirkadaha Ugu Qanacsan Caalamka.