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

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.

AIS’s Directory of Health Plans: 2008 CD Database

Is Perfect for Marketing, Market Research and Analysis!

• 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.

Table of Contents

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

• U.S. Health Plans Ranked by Total Enrollment
• Top 50 PPO Networks by Number of Lives
• Health Plan and Network Subsidiaries and Affiliates, by Owner
• Percentage of National Health Plan Enrollment by Sector (Medicare, Medicaid, Commercial)
• Percentage of Commercial Health Plan Enrollment by Plan Type (HMO, PPO, POS, Indemnity, Medicare Supplement, Other)
• Percentage of National Health Plan Enrollment by Tax Status (For-Profit vs. Not-for-Profit)
• 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 Listed 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 Companies

Field Lists

Health Insurance Companies (573 Records)

1. Company Name
2. Company Address
3. Business Telephone
4. Other Telephone (Automated)
5. Company Fax
6. Company Owner
7. Company URL
8. Profit Status of Company
9. Private/Public Status of Company
10. Stock Symbol
11. CEO of Company
12. President of Company
13. Operations Head
14. Finance Head
15. Medical Head
16. Legal Head
17. Provider Relations Head
18. Sales and Marketing Head
19. Member Relations Head
20. Pharmacy Head
21. Specialty Pharmacy Head
22. Public Relations Head
23. HMO Enrollment
24. POS Enrollment
25. PPO Enrollment
26. Indemnity Enrollment
27. Medicare Enrollment
28. Medicaid Enrollment
29. Other Public Program (i.e. CHIP) Enrollment
30. CDH Enrollment
31. Medicare Supplement Enrollment
32. Other Enrollment
33. TOTAL Enrollment
34. Fully Insured Enrollment
35. Self Funded Enrollment
36. State Service Area
37. PBM Contracted
38. Total Enrollment by State
39. NCQA Accreditation status, if applicable, by type of plan offered

PPO Networks (181 Records)

1. Company Name
2. PPO Network Name
3. Company Address
4. Business Telephone
5. Other Telephone (Automated)
6. Company Fax
7. Company Owner
8. Company URL
9. Profit Status of Company
10. Private/Public Status of Company
11. Stock Symbol
12. CEO of Company
13. President of Company
14. Operations Head
15. Finance Head
16. Medical Head
17. Legal Head
18. Provider Relations Head
19. Sales/Marketing Head
20. Member Relations Head
21. Pharmacy Head
22. Public Relations Head
23. Information Systems Manager
24. PPO Enrollment
25. CDH Enrollment
26. TOTAL Enrollment
27. Dependent Factor
28. Total Physicians
29. Total Hospitals
30. PBM
31. Number of Employer Clients
32. Number of Payer Clients
33. Average Benefit In Network
34. Average Benefit Out of Network
35. Case Management Fee per Hour
36. Utilization Management Fee Per Member Per Month (PMPM)
37. Network Access Fee
38. Average Savings from Utilizing Network
39. State Service Area
40. Services Offered
    • Utilization Management
    • Workers' Compensation
    • Case Management
    • Pharmacy Network
    • Claims Repricing
    • Claims Processing
    • Network Available for Lease
    • Disease Management
41. Enrollment by State

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.

International orders will be fulfilled in PDF format via email.