AIS's Directory of Health Plans is the most effective resource available to track all of the health plan players and new business trends. This edition contains the most up-to-date enrollment data and contact information for health plans and primary care preferred provider networks operating in the U.S.

Whether you’re a health care provider, health plan, health care supplier or vendor, this directory will help you:

• Conduct accurate market share analysis
• Find out who does what –– and who to contact –– at health care companies
• Quickly look up any health plan or provider network and find out what they do, where they are and how big they are
• Get enrollment benchmarks for comparison to your own business
• Identify potential business partners and clients
• Compare network access fees and identify PPO networks that provide the services you need
• Get the latest data available on recent mergers, acquisitions and other shifts in the industry

AIS’s Directory of Health Plans is used by J.D. Power and Associates to calculate market share statistics in their annual J.D. Power and Associates National Health Insurance Plan Satisfaction Study. And, for the fifth year in a row, America’s Health Insurance Plans (AHIP) — the national trade association representing health plans — has selected AIS’s Directory of Health Plans as an official directory resource of AHIP Solutions.

The listings cover:

• National and state-level enrollment data by company National enrollment by type of product Company contact information Types of primary care products offered Key executives
• Complete NCQA accreditation status for all accredited commerical, Medicare and Medicaid plans

Each company record lists contact and ownership information. In addition, key executives at each company are listed by job function. Enrollment is also included for each record, broken out by category. (See below for lists of fields in each section.)

• MCO and PPO network files in multiple file formats for easy data manipulation
• Easy-to-pull mailing lists with complete job function and contact information
• On-screen field definitions so that you can quickly identify the information you need to find, along with detailed table relationships
• MCOs by state containing the full listing of each MCO operating in each state — only on the CD
• Parent organizations with full listings for corporate headquarters executives, enrollment data and more — only on the CD

(CD buyers also get a free copy of the print edition. Multi-user licenses also are available — call Bailey Sterrett, (202) 775-9008, ext. 3034, for details.)

Make sure you're included in the next edition of AIS’s Directory of Health Plans. Companies offering fully insured health plans and/or primary care provider networks, click here to fill out an online survey.

Table of Contents

Chapter 1: Highlights From AIS's Database of Health Plans

Methodology

All known health insurers and PPO networks operating as of Jan. 1, 2008, that we believe fit the criteria of this database are included. Inclusion in the database is not optional. All companies were surveyed by AIS staff researchers between October and December of 2007. Organizations were contacted by mail, fax or email and were offered options to fill out an online or paper form, or to provide information via email, fax, mail or telephone. Data provided directly by the companies via the survey is deemed to be the most accurate and up-to-date information on that company. For companies that do not return a survey response, or where blanks are left on survey responses, we endeavor to complete the company record through other available means.

Fully insured HMO enrollment, when not provided by the company, is from third-quarter 2007 state department of insurance filings where available. In the few states that do not release quarterly statements, annual statements for 2006 were used to supplement the survey research for HMOs operating in those states.

Medicare enrollment, when not provided by the company, was updated from the Centers for Medicare and Medicaid Services (CMS) records from October 2007.

Medicaid enrollment, when not provided by the company, was taken from state reports ranging in date from September to December 2007.

Data from company web sites, SEC filings, company press releases and published news reports were used to supplement the records.

 

Written By

AIS's Directory of Health Plans is published by Atlantic Information Services, Inc. (AIS), an objective publisher of news, data and information for health care managers. The research is conducted by in-house researchers who work exclusively for AIS.

 

Written For

Providers, suppliers, vendors, sales reps, market researchers, and anyone else who needs to keep an eye on health care players and business trends.

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AIS Guarantee

Order this comprehensive resource for a 30-day risk-free inspection and see its value for yourself. If within 30 days you are not 100% satisfied, you may return it to AIS and receive a full, prompt refund. For CD purchasers, refunds will not be made once the seal on the CD package has been broken. Please review your copy of the print edition prior to breaking the seal.

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Shipping Information

This item is shipped via UPS. Please give us your street address when you order (UPS does not deliver to PO boxes.) You should receive your order within 5-7 business days. Shipping cost is $5 per item.

Rush orders: Please call us at 800-521-4323 to place a rush order. We will overnight your order for an additional charge of $30, or you can give us your FedEx or UPS account number and we will charge the shipping to your account. Rush orders placed after 3:00pm EST will not be shipped out until the next business day.

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For further information call 800-521-4323 or e-mail customerserv@aispub.com