The HMO/PPO Directory 2012 Edition

• Publication date: October 2011

The HMO/PPO Directory is a comprehensive source that provides detailed information about Health Maintenance Organizations and Preferred Provider Organizations nationwide, including key contacts. This edition details more information about more managed healthcare organizations than ever before. Our editorial department has spent thousands of hours updating and enhancing the directory - contacting the organizations listed, adding new data fi...

The HMO/PPO Directory is a comprehensive source that provides detailed information about Health Maintenance Organizations and Preferred Provider Organizations nationwide, including key contacts. This edition details more information about more managed healthcare organizations than ever before.

Our editorial department has spent thousands of hours updating and enhancing the directory - contacting the organizations listed, adding new data fields and researching new organizations. This dynamic industry offers challenges associated with tracking new entries, mergers, acquisitions, divestures and health plans that no longer exist. We have captured all of the changes that have taken place this past year, accurately representing the HMO/PPO industry. In fact, we have spoken to or heard from each and every one of the organizations listed in the HMO/PPO Directory. This kind of aggressive editorial effort has never been completed in the past for this directory and we are very excited about the resulting quality of information in this new edition.

Within the HMO/PPO Profiles, over 1,100 HMOs, PPOs and affiliated companies are listed, arranged alphabetically by state. You'll find important, detailed information including:

Contact Information - including name, address, e-mail, phone and fax numbers
Key Contacts - President, CEO, CFO, Medical Director, Purchasing, Marketing and more
Employer References
Member Enrollment
Geographical Area served
Number of Affiliated Physicians and Hospitals
Federal Qualifications
Nonprofit or For Profit Status
Year Founded
Health Plan Type and Model (HMO Network)
Subscriber Fees
Subscriber Deductibles
Subscriber Co-payments
Maximum Home Health/Nursing Home Coverage
Cost Containment Procedures
Physician Network Qualifications
Average Claim Compensations
Number of Patient complaints
Annual Revenue/Net Income Figures

The HMO/PPO Directory makes it easy to find information:

To ensure ease-of-use, organizations are listed by State, then alphabetically by Health Plan Name
Entries are comprehensive and organized in a useful, compact format

Plus, five easy-to-use, cross-referenced indexes will put this vast array of information at your fingertips - fast!

HMO Alphabetical Index
PPO Alphabetical Index
Other Providers Alphabetical Index
Personnel Index
Membership Enrollment Index

This is the only source that provides you with all the facts on more than 1,100 Health Maintenance Organizations, Preferred Provider Organizations and Affiliated companies. The HMO/PPO Directory is the most comprehensive resource on the market place today.

Managed Care Industry

Table of Contents

Introduction vii
User Guideix
User Key . xi
Summary of New Health Reform Law . xiii
Implementation Timeline for Key Medicare Provisions of the 2010
Health Care Reform Law, 2010-2015 . xxvii
State Statistics & Rankings
Health Insurance Coverage2
Managed Care Organizations Ranked by Total Enrollment15
Managed Care Organizations Ranked by State Enrollment 35
HMO/PPO Profiles
State Profiles and Listings by State 49
Appendices
Appendix A: Glossary of Terms485
Appendix B: Industry Web Sites . 493
Indexes
Plan Index 497
Personnel Index 509
Membership Enrollment Index. 549
Primary Care Physician Index . 557
Referral/Specialty Physician Index . 563