AIS's Directory of Health Plans: 2010

AIS's Directory of Health Plans: 2010 is well-regarded throughout the health care business 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 2010 edition, covering all companies operating in the U.S. as of year-end 2009, covers:
-National & state-level enrollment data by company
-National enrollment by type of product
-Company contact information & ownership information
-Types of primary care products offered
-Key executives by job function

You can use the data in AIS's Directory of Health Plans to:
* Discover which health plans offer certain types of plan models & which health plans operate in each state so you can gauge your competitors strengths & 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 & develop call lists to network & generate leads for prospective new partners.
* Determine which PPO networks may best serve your benefit design offerings.
* Track shifts in br&ing as organizations have started to position themselves as national br&s versus state or local entities, & as integrations, mergers & acquisitions change the competitive landscape.
* Develop benchmarks for determining the prevalence of certain type of plan models & create projections about which areas are likely to grow.

Data Fields
Health Insurance Companies
Company information - Name, 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 & 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
Enrollment Specific to Each State, D.C. & Puerto Rico
PPO Networks
Company information - Network Name, Co. 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, D.C. & Puerto Rico
Services offered & fees - Utilization Management, Workers Comp, 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