The HMO/PPO Directory (2010 Edition)

Published by: Grey House Publishing Inc

Published: Sep. 1, 2009 - 600 Pages

Table of Contents

Introduction

Article: Health Plan Industry Trends

User Guide

State Statistics & Rankings

HMO/PPO Profiles

State Profiles and Listings by State

HMO Index

PPO Index

Other Providers Index

Personnel Index

Membership Enrollment Index

Glossary of Terms

Industry Web Sites

Abstract

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 1,000 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

• 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

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

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