For the first half of 2011 top health plans saw a combined net increase of over 2 million members from December 2010. While aggregated fully-insured business continued to experience losses, the administrative services only (ASO) segment gained over 2.6 million members during the period from December 2010 to June 2011. Commercial, Senior and Medicaid segments all saw enrollment growth during the first six months of 2011. As employers, consumers and government entities bear more of the medical costs and financial risks associated with health care, the leading health plans continue to see year-over-year profitability improvement.

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