Welcome to Clarivate Bi-annual National Medical and Pharmacy Census
Collaborating with Clarivate on the census ensures that your company and its relative standing in markets across the country are represented accurately.
What happens after you fill out the census?
Participating in the Census allows an accurate view of your organization—not only in how Managed Care Organizations are represented within our products, but also in the analysis on individual markets and the players within them. We will help you ensure that you are represented as you should be and are associated to each geographic market component in which you have an impact.
Your participation is vital, and in our effort to continue to strengthen our relationship, we have developed a sampling of our Market Intelligence products for your involvement in the Census process:
- For providing state level data you will receive a sample that includes a payer directory and state level reported Commercial, Medicare, and Medicaid enrollment totals.
- For providing county level medical enrollment you will receive a sample that calculates your county level market share in each county that you reported fully insured medical enrollment for.
About us
Clarivate is the authoritative source for managed care data, analysis, and news. We analyze health plans, specific geographic healthcare markets, and the managed Medicare and Medicaid markets. For more information on—and insight from—Clarivate, feel free to visit our website.
About our products
Our product suite encompasses market-specific data and analytical tools, expert insight, and thought leadership across the United States healthcare industry. We perform in-depth analysis of managed care to educate our clients on the trends, shifts and impacts within a given geographic region and within the healthcare market as a whole.
About our clients
Our customer base includes national health benefits consultants, pharmaceutical companies and companies in the merger/acquisition market. Managed care executives use our products as reference sources for tracking managed care market penetration.
Meet our team
Chelsea Ferguson
Meagan Jones
Julia Lawson
Imane Bahanni
Frequently asked questions
The analyst assigned to your company is available to help answer questions. Simply reply to the census invitation email to contact your analyst. If you didn’t receive or can’t find the invitation email, click here to send a question to our analyst team.
The census process occurs every January and July.
Enrollment numbers, pharmacy benefit data and general company information. All data should be as of July 1, 2025 for the July 2025 census.
Health insurance exchange (HIX) enrollment data should include premium paid HIX enrollment as of July 1, 2025. Include all “On-Exchange” Bronze, Silver, Gold, Platinum, Catastrophic individual marketplace, and Small Business Health Options Program (SHOP) plans, as well as CDHP HIX enrollment.
Download the commercial plan spreadsheet or copy raw data pulls into a separate excel for convenience. Email the file[s] to the analyst who sent your census invite, or send them to census@clarivate.com.
Once you complete the Census, you can receive a sampling of HLI Market Intelligence products. Based upon your level of participation, you gain access to a variety of detailed state or county level insights into your unique market.
This is a great opportunity for you to “tell your story” and highlight your organization’s capabilities. Just let us know who else we should talk to—and please feel free to send us relevant updates so we can review them for inclusion in our reporting.
As of January 2025, we have added a section to report Level Funded health plan enrollment. Plans for level-funded health insurance include aspects of fully insured and self-insured policies. Employers fund stop-loss insurance, a claims account, and the third-party vendor’s management of the health plan. The employer also assumes some of the risk in level-funded plans. If you were reporting level-funded enrollment in Fully insured or Self-Insured HMO, PPO, POS, Indemnity in prior census cycles, please continue to do so and give a separate breakout in the new Level Funded section.
We have also added a question relating to Value-Based Care Enrollment. This section of the census asks you provide the percentage (%) of enrollment in alternative payment models, the percentage (%) of enrollment in downside-risk alternative payment models, the percentage (%) of enrollment aligned/assigned to a primary-care provider participating in a downside-risk alternative payment model, and the percentage (%) of aligned/assigned to a specialist participating in a downside-risk alternative payment model by Total Enrollment, Commercial, Medicare and Medicaid, if applicable.
Please reach out to the analyst that sent your census invite if extra insight or guidance is needed.
