AIS's Directory of Health Plans: 2012

The most comprehensive resource available on the U.S. health plan market with enrollment data and contact information for health plans and primary care preferred provider networks operating in the U.S. as of year-end 2011. AIS s Directory of Health Plans contains enrollment data for all types of managed care plans, including commercial HMOs/PPOs/POS, Medicare and Medicaid HMOs, SCHIP and other local community plans, managed FFS plans, and other types of primary medical insurance plans, so you can track trends in product design, funding and market sectors. More than a phone book directory, the listings include:
*National and state-level enrollment data by company
*National enrollment by company, by sector
*Company contact information and ownership information
*NCQA accreditation status
*PBMs contracted
*More than 4,000 key executives listed by 17 different job functions.

Widely used by health plans, health care consulting firms, equipment and supply vendors, pharmaceutical companies and PBMs, employers, banks and investment analysts, and health care associations, AIS s Directory of Health Plans can help you:
*Discover which health plans offer certain types of plan models and which health plans operate in each state, so you can gauge your competitors' strengths and identify where your opportunities for market expansion lie.
*Conduct accurate market research using the most currently available data.
*Create targeted mailing lists and develop call lists to network and generate leads for prospective new partners and clients.
*Determine which PPO networks may best serve your benefit design offerings.
*Track shifts in branding as organizations position themselves as national brands vs. state or local entities, and as integrations, mergers and acquisitions change the competitive landscape.
*Develop benchmarks for determining the prevalence of certain types of plan models and create projections about which areas are likely to grow.

Table of Contents
Chapter 1: Highlights From AIS s Database of Health Plans
Chapter 2: Directory of Health Insurance Companies
Chapter 3: Directory of Preferred Provider Networks
Chapter 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, Claims Management, Reimbursement, DM/Wellness
*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, Medicaid HMO, SCHIP and Other Public-Sector, Unspecified Risk, Total Shared-Risk, Total Self-Funded, Commercial Non-Risk, Public-Sector Non-Risk, Individual (non-Group), Other, Enrollment specific to each state, D.C. and 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 and 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