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  • Publisher: Atlantic Information Services
  • Published: 2010
  • Language: English
  • Product Type: Directories
  • Format: Softcover

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AIS's Directory of Health Plans: 2010 (CD-ROM version)

By Atlantic Information Services

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2010 Edition is now available

AIS’s Directory of Health Plans: 2010 is well-regarded throughout the industry for providing enrollment data in a consistent, comparable manner and for being a thorough and definitive tool to calculate health plan market share. The completely updated 2010 edition, covering all companies operating in the U.S. as of year-end 2009, is now available for purchase. The listings in AIS’s Directory of Health Plans cover:

  • National and state-level enrollment data by company
  • National enrollment by type of product
  • Company contact information and ownership information
  • Types of primary care products offered
  • Key executives by 14 job functions

This extensive, proprietary database of information can help you in evaluating health care market trends. You can use the data in AIS’s Directory of Health Plans to:

  • Discover which health plans offer certain types of plan models — and in what states — so you can gauge your competitors’ strengths and identify where your opportunities for market expansion lie.
  •  Gain insight into the increasing diversity of health plan models as benefit designs adapt to meet marketplace demands.
  • Create targeted mailing lists and develop call lists to network and generate leads for prospective new partners.
  • Determine which PPO networks may best serve your benefit design offerings.
  • Track shifts in branding as organizations have started to position themselves as national brands versus state or local entities, and as integrations, mergers and acquisitions change the competitive landscape.
  • Develop benchmarks for determining the prevalence of certain type of plan models and create projections about which areas are likely to grow.

AIS’s Directory of Health Plans not only provides enrollment data, but also gives you charts, graphs, and tables to help you answer these vital questions:

  • Where do you and your competitors stand nationwide in regards to enrollment and market share?
  • Who are the largest PPO networks and where do they operate?
  • What are the top health plans by plan model type?
  • Which plans have gained NCQA accreditation status for quality of care and service?
  • What PBMs are contracted or affiliated with which health plans?

Also Available as a Convenient CD Database

AIS’s Directory of Health Plans comes in two versions — a printed book version and a CD database (which comes with a free copy of the book) to best suit your needs. The CD contains all of the data in the book in multiple file formats (Excel, Access, dBase and ASCII), so you can easily create the specific kind of analysis you want. The CD also has all of the contact information electronically in mailing lists, so you can quickly select targets based on job function, company or state. Plus, the CD also contains a PDF version of the book for fast keyword searching.

EXCLUSIVE CD BONUS! The CD database version of AIS's Directory of Health Plans: 2010 contains additional enrollment details for large multi-state health plans that can be used for market analysis. From data independently researched by AIS staff, this information is available only on the CD version!

The data tracked in AIS’s Directory of Health Plans include:
For Health Insurance Companies

  • Company information — Company Name, Company Owner, Profit Status, Private/Public, Stock Symbol, Aliases, Contracted PBM, States Served
  • Contact information — Address, URL, Telephone, Fax
  • Executives by job function — CEO, President, Operations, Finance, Medical, Legal, Provider Relations, Marketing, Member Relations, Pharmacy, Specialty Pharmacy, Public Relations, Information Systems, Purchasing
  • Enrollment data — Total Medical, Total Fully Insured, Commercial Risk, Commercial Risk HMO, Commercial Risk POS, Commercial Risk PPO, Commercial Risk FFS/Indemnity, Medicare Supplement, Public Sector Risk, Total Medicare, Medicare Coordinated Care, Medicare PFFS, Medicaid HMO (Risk), SCHIP and Other Public-Sector, Other/Unspecified Risk, Total Shared-Risk, Total Self-Funded, Commercial Non-Risk, Public-Sector Non-Risk, CDH (HRA-Based Plans, HSA-Qualified Plans), Individual (non-Group), Fully Capitated, Partially Capitated, Non-Capitated, Other For PPO Networks
  • Company information — Network Name, Company Name, Parent/Owner, Profit Status, Private/Public, Stock Symbol, Contracted or Affiliated PBM(s)
  • Contact information — Address, URL, Telephone, Fax
  • Executives by job function — CEO, President, Operations, Finance, Medical, Legal, Provider Relations, Marketing, Member Relations, Pharmacy, Public Relations, Information Systems, Purchasing
  • Network information — Lives With Network Access, Claims Processed per Year, Dependent Factor, Number of Employer Clients, Number of Payer Clients, Average Benefit In Network, Average Benefit Out-of-Network, Total Physicians, Total Hospitals, States Served Enrollment specific to each state, the District of Columbia and Puerto Rico
  • Services offered and fees — Utilization Management, Workers' Compensation, Disease Management, Case Management, Pharmacy Network, Claims Repricing, Claims Processing, Available for Lease, CM Fee Per Hour, UM Fee PMPM, Network Access Fee, Average Savings