| Health Care Service Corporation | 948 | 450 | -498 |
| Centene Corporation | 1,731 | 1,387 | -344 |
| Blue Cross Blue Shield of Michigan Mutual Ins. Co. | 299 | 106 | -193 |
| UnitedHealth Group, Inc. | 2,597 | 2,457 | -140 |
| Group 1001 | 138 | 0 | -138 |
| CVS Health Corporation | 2,083 | 1,960 | -123 |
| Molina Healthcare, Inc. | 75 | 0 | -75 |
| Humana Inc. | 2,655 | 2,598 | -57 |
| Elevance Health, Inc. | 952 | 896 | -56 |
| Blue Cross Blue Shield of Kansas | 51 | 6 | -45 |
| CHRISTUS Health | 44 | 0 | -44 |
| Aware Integrated, Inc. | 66 | 35 | -31 |
| Trinity Health Corporation | 162 | 135 | -27 |
| BlueCross BlueShield of Alabama | 93 | 67 | -26 |
| Medica Holding Company | 149 | 126 | -23 |
| Horizon Mutual Holdings, Inc | 21 | 0 | -21 |
| Aspirus, Inc. | 21 | 0 | -21 |
| Sanford Health | 133 | 113 | -20 |
| EmblemHealth, Inc. | 24 | 7 | -17 |
| Blue Cross Blue Shield of Nebraska | 76 | 61 | -15 |
| Cambia Health Solutions, Inc. | 31 | 18 | -13 |
| Providence St Joseph Health | 13 | 0 | -13 |
| PacificSource | 27 | 16 | -11 |
| Perennial Consortium, LLC | 47 | 37 | -10 |
| BMC Health System, Inc. | 10 | 0 | -10 |
| Baylor Scott & White Health | 50 | 41 | -9 |
| Health First Shared Services, Inc. | 13 | 4 | -9 |
| Presbyterian Healthcare Services | 8 | 0 | -8 |
| Elderplan, Inc. | 8 | 0 | -8 |
| HealthPartners, Inc. | 34 | 27 | -7 |
| Point32Health, Inc. | 17 | 10 | -7 |
| Memorial Hermann Health System | 6 | 0 | -6 |
| Kaiser Foundation Health Plan, Inc. | 123 | 118 | -5 |
| MEDICAL MUTUAL OF OHIO | 43 | 38 | -5 |
| Intermountain Health Care, Inc. | 33 | 28 | -5 |
| Allina Health and Aetna Insurance Holding Company | 20 | 15 | -5 |
| Curana Health Holdings, LLC | 8 | 3 | -5 |
| McLaren Health Care Corporation | 60 | 57 | -3 |
| BlueCross BlueShield of South Carolina (BCBSSC) | 30 | 29 | -1 |
| Aultman Health Foundation | 11 | 10 | -1 |
| Central Mass Health Holding LLC | 1 | 0 | -1 |
| Sharp Healthcare | 1 | 0 | -1 |
| Clover Health Holdings, Inc. | 203 | 203 | +0 |
| Highmark Health | 142 | 142 | +0 |
| The Health Plan of West Virginia, Inc. | 132 | 132 | +0 |
| CuraCor Solutions Corp. | 100 | 100 | +0 |
| BlueCross BlueShield of Tennessee | 98 | 98 | +0 |
| Risant Health, Inc. | 96 | 96 | +0 |
| Network Health, Inc. | 72 | 72 | +0 |
| Corewell Health | 68 | 68 | +0 |
| Guidewell Mutual Holding Corporation | 67 | 67 | +0 |
| Louisiana Health Service & Indemnity Company | 64 | 64 | +0 |
| USAble Mutual Insurance Company | 62 | 62 | +0 |
| MVP Health Care, Inc. | 55 | 55 | +0 |
| Group Health Cooperative of Eau Claire | 50 | 50 | +0 |
| Lifetime Healthcare, Inc. | 48 | 48 | +0 |
| Triton Health Systems, L.L.C. | 40 | 40 | +0 |
| Troy Holdings, Inc. | 35 | 35 | +0 |
| General Catalyst Group Management Holdings LP | 33 | 33 | +0 |
| Thomas Jefferson University | 28 | 28 | +0 |
| MHH Healthcare, L.P. | 26 | 26 | +0 |
| CareFirst, Inc. | 25 | 25 | +0 |
| Universal Health Services, Inc. | 23 | 23 | +0 |
| CAPITAL BLUE CROSS | 21 | 21 | +0 |
| Visiting Nurse Service of New York | 20 | 20 | +0 |
| LifeBridge Health, Inc. | 20 | 20 | +0 |
| CoxHealth | 17 | 17 | +0 |
| Ultimate Healthcare Holdings, LLC | 16 | 16 | +0 |
| Martin's Point Health Care, Inc. | 16 | 16 | +0 |
| University of Wisconsin Hospitals and Clincs Autho | 14 | 14 | +0 |
| Champion Health Plans-USA, LLC. | 13 | 13 | +0 |
| Fallon Community Health Plan, Inc. | 12 | 12 | +0 |
| Independence Health Group, Inc. | 12 | 12 | +0 |
| Blue Cross and Blue Shield of Massachusetts, Inc. | 11 | 11 | +0 |
| Healthfirst, Inc. | 11 | 11 | +0 |
| ATRIO Health Plans | 11 | 11 | +0 |
| Athena Healthcare Holdings, LLC | 10 | 10 | +0 |
| Eternal Health of Delaware, Inc. | 10 | 10 | +0 |
| Mass General Brigham Incorporated | 9 | 9 | +0 |
| DOCTORS HEALTHCARE PLANS, INC. | 8 | 8 | +0 |
| Independent Health Association, Inc. | 8 | 8 | +0 |
| Village Care of New York, Inc. | 8 | 8 | +0 |
| Astiva Health Holdings Incorporated | 6 | 6 | +0 |
| Hawaii Medical Service Association | 5 | 5 | +0 |
| Blue Cross & Blue Shield of Rhode Island | 5 | 5 | +0 |
| Clever Care Health Plan, Inc. | 5 | 5 | +0 |
| New York City Health and Hospitals Corporation | 5 | 5 | +0 |
| Denver Health and Hospital Authority | 4 | 4 | +0 |
| BayCare Health System, Inc. | 4 | 4 | +0 |
| Baystate Health, Inc. | 4 | 4 | +0 |
| Elite Health Systems, Inc. | 3 | 3 | +0 |
| Blue Cross Blue Shield of Arizona | 3 | 3 | +0 |
| Chinese Hospital Association | 3 | 3 | +0 |
| El Paso County Hospital District | 2 | 2 | +0 |
| Bexar County Hospital District | 1 | 1 | +0 |
| Banner Health | 1 | 1 | +0 |
| Montage Health | 1 | 1 | +0 |
| The Regents of the University of California | 1 | 1 | +0 |
| LMC Family Holdings, LLC | 1 | 1 | +0 |
| Imperial Health Plan of California | 50 | 51 | +1 |
| SCAN Group | 33 | 34 | +1 |
| MedCare Partners Holding, LLC | 0 | 1 | +1 |
| UPMC Health System | 63 | 65 | +2 |
| St Francis Health System & St John Health System | 38 | 40 | +2 |
| Johns Hopkins Healthcare LLC | 18 | 20 | +2 |
| California Physicians' Service | 14 | 16 | +2 |
| Henry Ford Health System | 58 | 61 | +3 |
| Verda Healthcare, Inc. | 6 | 9 | +3 |
| MultiCare Health Systems | 0 | 3 | +3 |
| West Virginia United Health System, Inc. | 51 | 56 | +5 |
| SIHO Holding, Inc. | 28 | 34 | +6 |
| St. Luke's Health System, Inc. | 0 | 7 | +7 |
| Alignment Healthcare USA, LLC | 45 | 54 | +9 |
| Zing Health Consolidator, Inc | 52 | 63 | +11 |
| Gemstone Holdings, Inc. | 24 | 35 | +11 |
| Muscogee Creek Nation | 0 | 11 | +11 |
| Lumeris Group Holdings Corporation | 72 | 94 | +22 |
| Singh Holdings LLC | 71 | 116 | +45 |
| Devoted Health, Inc. | 999 | 1,341 | +342 |