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You are here > Home > Reading Lists > Directories, Data & Benchmarks > Directory of Health Plans

AIS's Directory of Health Plans

6th Edition, 577 pages  
ASIN: 1933801522  
978-1933801520
AIS Health / Atlantic Information Services, Inc 

(click Amazon button below for the best available price for this up-to-date resource)

 

 

AIS is pleased to introduce you to AIS's Directory of Health Plans. We've combined our most popular directories, AIS's HMO Directory and AIS's PPO Resource Guide and Directory to create one all-encompassing resource.

 

This directory is the most comprehensive resource available on the U.S. managed care market. It contains over 633 managed care organizations (MCO), over 201 preferred provider networks (PPO) and 6 consumer-directed health (CDH) plan companies operating in the country as of the end of last year. By combining the various types of managed care players into a single directory and compiling their enrollment data in a consistent format, AIS has developed a thorough and definitive tool for calculating managed care market share. Here's what you'll get:

  • A complete directory of MCOs operating in the U.S. that offer some type of risk-based, primary care, health insurance product.

  • Enrollment for the over 350 HMOs, over 250 PPOs, over 225 POS and 170 FFS products marketed by these MCOs.

  • A complete directory of companies that have primary care PPO networks, but do not offer an insurance product.

  • A section on the new consumer-directed health (CDH) plans.

  • A valuable listing of health plan enrollment by state.

  • A convenient index of companies listed.

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, with more than 3,400 listed

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.

You'll keep this directory at hand, to use when you need to:

  • See how the economic downturn has affected your competitors and partners by tracking changes in commercial and public-sector membership,

  • Conduct accurate market share analysis,

  • Research a health plan or provider network and find out what they do and how big they are,

  • Identify potential business partners and clients, and

  • Conduct accurate market share analysis;

  • Find out who does what — and who to contact — at health care companies;

  • Quickly look up any managed care organization 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;

  • Compare network access fees and identify PPO networks that provide the services you need;

  • Much more!

This directory is 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. Contents of your book include:

  • Highlights From AIS's Database of Health Plans

    • U.S. Health Plans Ranked by Total Health

    • Top 50 PPO Networks by Number of Lives

    • Health Plan and Network Subsidiaries and Affiliates, by Owner

    • Percentage of National Enrollment by Sector - Medicare, Medicaid, Commercial

    • Percentage of Commercial Enrollment by Plan Type - HMO, PPO, POS, Indemnity, 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 Medicare Plans by Enrollment

    • Top 10 Medicaid Plans by Enrollment

    • Top 5 For-Profit Companies by Enrollment

    • Top 5 Not-for-Profit Companies by Enrollment

    • Health Plans Listed by Contracted or Affiliated PBM

  • Directory of Health Insurance Companies

  • Directory of Preferred Provider Networks

  • Health Plan Enrollment by State

"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."  --J.D. Power and Associates

"America's Health Insurance Plans (AHIP) the national trade association representing health plans has selected AIS's Directory of Health Plans as the official directory resource of AHIP Solutions." --America's Health Insurance Plans (AHIP)

"AIS's Directory of Health Plans once again provides health plan accreditation status... for health plans that have received the seal of approval from the National Committee for Quality Assurance (NCQA)."  --National Committee for Quality Assurance (NCQA)

 

Click one of the following to view samples of previous editions this directory:

Atlantic Information Services, Inc. (AIS) is a publishing and information company that has been serving the health care industry for more than 15 years. It develops highly targeted news, data and strategic information for managers in hospitals, managed care plans, medical group practices, pharmaceutical companies and other health care organizations. AIS products include print and electronic newsletters, looseleafs, books, strategic reports, and databases. AIS is located in downtown Washington, D.C., three blocks from The White House.

Please note: This directory is published annually. When you purchase this directory, you will receive the current year edition of this directory. Your purchase is provided to you as a subscription to ensure that you will be provided the most current edition.

(information from the publisher)

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