Thursday, February 23, 2012

AIS's Directory of Health Plans: 2011 (Paperback) newly tagged "insurance"




AIS s Directory of Health Plans is well-regarded throughout the industry for providing enrollment data in a consistent, comparable manner & for being a thorough & definitive tool to calculate health plan market share. The completely updated 2011 edition covers all companies operating in the U.S. as of year-end 2010. More than a simple phone book kind of directory, the listings cover:
*National & state-level enrollment data by company
*National enrollment by company, by sector
*Company contact information & ownership information
*Types of primary care products offered
*Key executives by job function

AIS s Directory of Health Plans not only provides enrollment data, but also gives you charts, graphs, & tables to help you answer these vital questions:
*Where do you & your competitors stand nationwide in regards to enrollment & market share?
*Who are the largest PPO networks & where do they operate?
*What are the top health plans by plan model type?
*What PBMs are contracted or affiliated with which health plans?

Table of Contents
Ch 1: Highlights From AIS s Database of Health Plans
Ch 2: Directory of Health Insurance Companies
Ch 3: Directory of Preferred Provider Networks
Ch 4: Health Plan Enrollment by State
Index of Companies

Data Fields
*Executives by job function CEO, President, Operations, Finance, Medical, Legal, Provider Relations, Marketing, Member Relations, Pharmacy, Specialty Pharmacy, Public Relations, Information Systems, Purchasing
*Company information Company Name, Network Name, Parent/Owner, Profit Status, Private/Public, Stock Symbol, Aliases, Contracted PBM(s), States Served, Address, URL, Telephone, Fax
*Enrollment data Total Medical, Total Fully Funded, 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, PACE Program (new!), Medicaid HMO, SCHIP & Other Public-Sector (expanded data), Unspecified Risk, Total Shared-Risk, Total Self-Funded, Commercial Non-Risk, Public-Sector Non-Risk, CDH, Individual (non-Group), Other, Enrollment specific to each state, D.C. & Puerto Rico
*Enrollment Specific to Each State
*Network information (PPO networks) Lives With Network Access, Claims Processed per Year, Dependent Factor, No. Employer Clients, No. Payer Clients, Avg. Benefit In Network, Avg. Benefit Out-of-Network, Total Physicians, Total Hospitals, States Served
*Services offered & fees (PPO networks) 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, Avg. Savings


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