Health maintenance organizations: serving L.A. County; ranked by number of Southern California members.
HEALTH MAINTENANCE ORGANIZATIONS
Serving L.A. County; ranked by number of Southern California Memebers
Rank HMO (Ranking in 2005) Enrollment (1)
* name (current/year ago)
* HMO * So. California (2)
* address * L.A. County
* companywide
1 Kaiser Foundation Health Plan Inc. (1) 3,125.1/3,110.5
393 E. Walnut St. 1,498.8/NA
Pasadena 91188 8,445.2/8,404.9
2 Blue Cross of California (3) 2,800.0 (3) /NA
21555 Oxnard St. NA/NA
Woodland Hills 91367 NA/NA
3 PacifiCare/Secure Horizons (2) 1,350/1,300
5995 Plaza Drive 255/245
Cypress 90630 3,300/3,200
4 HealthNet of California (4) 812/837
21281 Burbank Blvd. 331/350
Woodland Hills 91367 1,600/1,600
5 L.A. Care Health Plan (5) 765/769.7
555 W. Fifth St., 29th Floor 765/769.7
Los Angeles 90013 765/769.7
6 Blue Shield of California (6) 499.5/445.2
6701 Center Drive West 221.3/196.8
Los Angeles 90045 763.4/684.7
7 CIGNA HealthCare of California (7) 303.3/245.7
400 N. Brand Blvd. 302.3/210.5
Glendale 91203 NA/9,700
8 Aetna Health of California Inc. (8) 200.2/220
2625 Shadelands Dr. NA/92.3
Walnut Creek 94598 14,590/13,600
9 Universal Care Inc. (9) 159.7 (3) /159.7
1600 E. Hill St. NA/60.6
Long Beach 90755 159.7 (3) /159.7
10 Great-West Healthcare of Calif. Inc. 38/38
(10) 19/19
655 N. Central Ave., Suite 1900 59/59
Glendale 91203
Rank California Revenues PPO
Affiliates (in millions)
(current/year ago) * companywide
* hospitals (2005/2004)
* physicians * % spent on
medical care
1 28/NA NA/$28,000 Dual Choice
9,211/9,044 92%
2 NA/406 NA/20,800 NA
NA/29,615 NA
3 235/235 14,000/12,000 PacifiCare
31,000/30,000 85
4 268/256 11,900/11,600 Health Net Life
38,000/34,500 82.5 Insurance Co.
5 82/80 946/924 N/A
9,450/9,575 945
6 279/280 NA/7 Shield Spectrum PPO
29,515/29,126 NA Plan
7 302/302 NA/18,100 Connecticut General
46,654/46,654 NA Life Insurance Co.
8 270/263 22,500/19,900 Aetna Open Choice
46,182/45,917 NA PPO
9 NA/NA NA/NA none
NA/NA NA
10 250/250 NA/NA Great-West Healthcare
26,000/26,000 NA PPO
Rank Profile Structure
* year established * plan model
* headquarters * status
* enrollment phone * parent company
1 1945 group
Oakland non-profit
(800) 464-4000 Kaiser Permanente
2 1986 contractual
Thousand Oaks profit
(800) 999-3643 WellPoint Health Networks Inc.
3 1978 contractual
Cypress profit
(800) 624-8822 PacifiCare Health Systems
4 1979 contractual
Woodland Hills profit
(800) 522-0088 Health Net Inc.
5 1997 mixed
Los Angeles non-profit
(888) 452-5437 same
6 1990 mixed
San Francisco non-profit
(800) 499-3899 same
7 1929 contractual
Philadelphia profit
(800) 832-3211 Cigna Corp.
8 1981 mixed
Hartford, Conn. profit
(800) 323-9930 Aetnalnc.
9 1983 mixed
Signal Hill profit
(800) 635-6668 same
10 1994 contractual
Glendale profit
(818) 409-0880 Great-West Life & Annuity Insurance Co.
Rank Top Local Executive
* name
* Top Local Executive
* title
* phone
1 Dr. Benjamin K. Chu
president, So. Cal. regio
(800) 464-4000
2 David Helwig
ceo, president
(800) 999-3643
3 James Frey
ceo
(714) 952-1121
4 Stephen Lynch
president, Reg. Health P
(818) 676-6775
5 Howard A. Kahn
ceo
(213) 694-1250
6 Christopher Ciano
general manager
(415) 229-5000
7 Christopher De Rosa
president, gen. manager
(818) 500-6687
8 Curtis Terry
reg. head, Health Care D
(925) 948-4700
9 Jay B. Davis
exec. vice president
(562) 424-6200
10 Susan Hallett
regional president
(818) 539-9000
NA--Not Available
Note: The information on this list was provided by representatives of
the health plans themselves. HMOs are ranked by current commercial
enrollment. L.A. Care Health Plan was the only non-commercial health
plan to be included in order to prevent double counting of enrollment
in government programs.
To the best of our knowledge, this information is accurate as of press
time. While every effort is made to ensure the accuracy and
thoroughness of the list, omissions and typographical errors sometimes
occur. Please send corrections or additions on company letterhead to
the Research Department, Los Angeles Business Journal, 5700 Wilshire
Blvd., Suite 170, Los Angeles 90036. [c] 2006 Los Angeles Business
Journal. This list may not be reprinted in whole or in part without
prior written permission from the editor. Reprints are available from
Wright's Reprints, (877) 652-5295.
(1) In thousands.
(2) Southern California is defined as Los Angeles, Orange, Ventura, San
Bernardino, Riverside, Imperial and San Diego counties.
(3) Business Journal estimate.
(4) Enrollment figures for Medi-Cal, Healthy Families, California Kids,
Healthy Kids and In-Home Supportive Services.
Researched by David Nusban
Reprinted from the February 20, 2006 issue
COPYRIGHT 2007 CBJ, L.P.
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2007, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.
|
Reader Opinion