AIS's Directory of Health Plans 2008 Author:Atlantic Information Services NOTE: The 2009 Edition is now available for purchase also. AIS's Directory of Health Plans can help you locate health plan industry players and track business trends with enrollment data and contact information for health plans and primary care preferred provider networks operating in the U.S. Includes data records for 573 health insuran... more »ce companies and 181 PPO networks.This resource can help you:
-Conduct market share analysis,
-Find out who does what at health care companies,
-Research a health plan or provider network and find out what they do and how big they are,
-Establish enrollment benchmarks,
-Identify potential partners and clients,
-Compare network access fees, and
-Get data on recent mergers and acquisitions.Listings cover:
-National & state-level enrollment data by company,
-National enrollment by type of product,
-Contact information,
-Types of products offered (HMO, PPO, POS, FFS, CDH, Medicare, Medicaid, and others),
-Key executives by job function (in 12 categories), and
-Contact and ownership information.
See selected data fields below.Table of Contents
Chapter 1: Highlights
-U.S. Health Plans Ranked by Total Enrollment
-Top 50 PPO Networks by # of Lives
-Health Plan and Network Subsidiaries and Affiliates, by Owner
-% of National Health Plan Enrollment by Sector
-% of Commercial Health Plan Enrollment by Plan Type
-% of National Health Plan Enrollment by Tax Status
-Top 10 HMO Plans by Enrollment
-Top 10 PPO Plans by Enrollment
-Top 10 POS Plans by Enrollment
-Top 10 Managed Indemnity Plans by Enrollment
-Top 10 Medicare Plans by Enrollment
-Top 10 Medicaid Plans by Enrollment
-Top 10 For-Profit Companies by Enrollment
-Top 10 Not-for-Profit Companies by Enrollment
-Health Plans by Contracted or Affiliated PBM
Chapter 2: Directory of Health Insurance Companies
Chapter 3: Directory of Preferred Provider Networks
Chapter 4: Health Plan Enrollment by State
Index of CompaniesData Fields for Health Insurance Companies:
-Company Name
-Address
-Phone
-Fax
-Company Owner
-URL
-Profit Status
-Private/Public Status
-Stock Symbol
-CEO
-President
-Operations Head
-Finance Head
-Medical Head
-Legal Head
-Provider Relations Head
-Sales/Marketing Head
-Member Relations Head
-Pharmacy Head
-Specialty Pharmacy Head
-PR Head
-Information Systems Manager
-HMO Enrollment
-POS Enrollment
-PPO Enrollment
-Indemnity Enrollment
-Medicare Enrollment
-Medicaid Enrollment
-CDH Enrollment
-Medicare Supplement Enrollment
-TOTAL Enrollment
-Fully Insured Enrollment
-Self-Funded Enrollment
-State Service Area
-PBM Contracted
-Total Enrollment by State
-NCQA Accreditation status Data Fields for PPO Networks:
-Company Name
-PPO Network Name
-Address
-Phone
-Fax
-Company Owner
-CEO
-President
-Operations Head
-Finance Head
-Medical Head
-Legal Head
-Provider Relations Head
-Sales/Marketing Head
-Member Relations Head
-Pharmacy Head
-PR Head
-Information Systems Manager
-PPO Enrollment
-CDH Enrollment
-TOTAL Enrollment
-Dependent Factor
-Total Physicians
-Total Hospitals
-PBM
-# Employer Clients
-# Payer Clients
-Average Benefit in Network
-Average Benefit out of Network
-Case Mgmt Fee/Hour
-Utilization Mgmt Fee PMPM
-Network Access Fee
-Average Savings from Utilizing Network
-State Service Area
-Services Offered (Utilization Mgmt, Workers Comp, Case Mgmt, Pharmacy Network, Claims Repricing, Claims Processing, Network Available for Lease, Disease Mgmt)« less