Health maintenance organizations: serving L.A. County; ranked by number of Southern California members.EXECUTIVE SUMMARY THE commercial membership rolls of the 10 largest health maintenance organizations operating in Southern California Southern California, also colloquially known as SoCal, is the southern portion of the U.S. state of California. Centered on the cities of Los Angeles and San Diego, Southern California is home to nearly 24 million people and is the nation's second most populated region, came in just below 8.1 million. Except for No. 9 Universal Care, commercial enrollment decreased by 3.7 percent from the year previous. In L.A. County, commercial enrollment fell 5.6 percent for the like period. Despite the dips, there was no movement among the Top 10, as Kaiser Foundation The mission of the Kaiser Foundation is to assist individuals and communities in preventing and reducing the harm associated with problem substance use and addictive behaviours. External links
adj. Of considerable size; fairly large. siz  a·ble·ness n. lead.
Seven firms reported declines in Southern California enrollment, with No. 8 Aetna Aetna, volcano: see Etna, Italy. Health of California California (kăl'ĭfôr`nyə), most populous state in the United States, located in the Far West; bordered by Oregon (N), Nevada and, across the Colorado River, Arizona (E), Mexico (S), and the Pacific Ocean (W). Inc. showing the largest. Aetna shed shed rural building used for agricultural pursuits. shed hands miscellaneous workers in a shearing shed at shearing time, i.e. persons other than the shearers, wool classers. more than 75,000 members, for approximately ap·prox·i·mate adj. 1. Almost exact or correct: the approximate time of the accident. 2. 275,600 commercial members. Companywide, Aetna's 2003 enrollment fell to 13 million, a decline of 700,000 members from 2002. Company officials said the losses were part of a strategy to focus on more profitable business in 2003. For the coming year, the company expects to recoup recoup To sell an asset at a price sufficient to recover the original outlay or to offset a previous loss. those members through new product offerings. CIGNA CIGNA CG (Connecticut General Life Insurance Company) INA (Insurance Company of North America) HealthCare also reported declines in enrollment, shedding shedding, n See exfoliation. shedding 1. exfoliation of entire skin, called also ecdysis, exuviate. 2. falling out of haircoat. 3. putting animals into a shed. 4. 13.4 percent in Southern California, to 384,000 members, the majority of which are in Los Angeles Los Angeles (lôs ăn`jələs, lŏs, ăn`jəlēz'), city (1990 pop. 3,485,398), seat of Los Angeles co., S Calif.; inc. 1850. County. Companywide, CIGNA was hit even harder, with commercial enrollment declining more than a third, to 415,000 members. Gainers included No. 6 Blue Shield of California Blue Shield of California is a not-for-profit health insurance provider headquartered in San Francisco, California. An independent licensee of the Blue Cross and Blue Shield Association, Blue Shield of California is an incorporated, wholly owned subsidiary of California Physicians' and No. 4 Health Net of California. Blue Shield Blue Shield A US not-for-profit health care insurer that is a reimbursement intermediary for physicians. Cf Blue Cross. added 22,000 members in Southern California.--Nicole Taylor Taylor, city (1990 pop. 70,811), Wayne co., SE Mich., a suburb of Detroit adjacent to Dearborn; founded 1847 as a township, inc. as a city 1968. A small rural village until World War II, it developed significantly in the second half of the 20th cent. THE TRENDS Rise Recedes Southern California enrollment at Kaiser Foundation Health Plan is lower. [GRAPHIC OMITTED] Costs Increase Average monthly worker contributions for HMOs. [GRAPHIC OMITTED] THE PACESETTER KAISER FOUNDATION HEALTH PLAN INC. DESPITE a small decline in enrollment, Kaiser Foundation Health Plan Inc. still leads the pack, accounting for more than a third of the aggregate enrollment on the list. Kaiser reported slightly less than 3.1 million Southern California commercial enrollees, down 73,000, or 2.3 percent, from the year before. Companywide, the Oakland-based non-profit saw similar losses, shedding 115,000 members or 1.8 percent, for a total of 6.2 million members. Company spokesman Jim Anderson Jim Anderson can refer to:
Kaiser is retrofitting two hospitals in Los Angeles County, rebuilding its flagship This article is about the lead ship, store, or product of a group. For other uses, see Flagship (disambiguation). A flagship is the ship used by the commanding officer of a group of naval ships. Kaiser Permanente Kaiser Permanente is an integrated managed care organization, based in Oakland, California, founded in 1945 by industrialist Henry J. Kaiser and physician Sidney R. Garfield. Los Angeles Medical Center on Sunset Boulevard Sunset Boulevard is a street in the western part of Los Angeles County, California, that stretches from Figueroa Street in downtown Los Angeles to the Pacific Coast Highway at the Pacific Ocean in the Pacific Palisades. and the Kaiser Permanente Panorama City Medical Center. The Los Angeles Medical Center, where Kaiser does its most sophisticated procedures for Southern California, is scheduled to open in 2006 with 456 beds. The project has a price tag of $428 million. The Panorama City rebuild, costing $267 million, broke ground last fall, with an anticipated completion in 2007. The new facility will have 218 beds. Opened in 1945, the health plan grew out of industrial health care programs for workers at the Kaiser companies during the 1930s and '40s. It now operates in nine states and the District of Columbia District of Columbia, federal district (2000 pop. 572,059, a 5.7% decrease in population since the 1990 census), 69 sq mi (179 sq km), on the east bank of the Potomac River, coextensive with the city of Washington, D.C. (the capital of the United States). , using an integrated group model to deliver health care throughout its regional networks. Kaiser reported net income of $235 million for the third quarter ended Oct. 31, up from $137 million in the like year-earlier quarter. Third quarter revenues were $6.4 billion vs. $5.6 billion in the third quarter of 2002. --Nicole Taylor
Rank Company (Rank in 2003) Enrollment (1) California
* name (current/year ago) Affiliates
* address * So. California (2) (current/Year ago)
* L.A. County * hospitals
* companywide * physicians
1 Kaiser Foundation 3,057.8/3,130.5 76/76
Health Plan Inc. (1) NA/NA 8,485/7,372
393 E. Walnut St. 6,218.7/6,333.4
Pasadena 91188
2 Blue Cross of 1,154.6/1,201.3 406/411
California (2) 546.1/569.3 29,615/28,489
21555 Oxnard St. 1,522.7/1,633.3
Woodland Hills 91367
3 PecifiCare/Secure 950/1,000 300/300
Horizons (3) 450/475 33,600/33,600
29219 Canwood St., 2,700/3,000
Suite 200
Agoura Hills 91301
4 Health Net of 805/800 275/375
California (4) (4) 337/339 33,000/31,133
21281 Burbank Blvd. 1,500/1,600
Woodland Hills 91367
5 L.A. Care Health 796.9/824.4 95/102
Plan (5) (5) 796.9/824.4 7,221/9,543
555 W. Fifth St., 796.9/824.4
29th Floor
Los Angeles 90013
6 Blue Shield of 467.9/445.5 267/295
California (6) 216.9/210.9 28,083/27,493
6701 Center Drive West 696.3/577.4
Los Angeles 90045
7 CIGNA HeafthCare (7) 384/443.2 NA/232
400 N. Brand Blvd. 326/393.7 23,000/30,378
Glendale 91203 415/683.2
8 Aetna Health of 275.6/351.1 241/255
California Inc. (8) 92.9/118 31,212/26,950
2409 Camino Ramon 13,000/13,700
San Ramon 94583
9 Universal Care 159.7/NA 170/178
Inc. (9) (6) 60.6/NA 24,000/24,000
1600 E. Hill St. 159.7/NA
Signal Hill 90755
10 Great-West Healthcare 33/35.6 256/212
of California NA/NA 26,000/25,500
Inc. (10) (7) 53.8/59
655 N. Central Ave.,
Suite 1900
Glendale 91203
Rank Company (Rank in 2003) Revenues PPO
* name (in millions)
* address * companywide
(2003/2002)
* % sent on
medical care
1 Kaiser Foundation NA/$7,957.5 Dual Choice
Health Plan Inc. (1) 97.4%
393 E. Walnut St.
Pasadena 91188
2 Blue Cross of $20,300/17,300 Prudent Buyer
California (2) NA
21555 Oxnard St.
Woodland Hills 91367
3 PecifiCare/Secure 11,000/11,000 PacifiCare
Horizons (3) 84.1
29219 Canwood St.,
Suite 200
Agoura Hills 91301
4 Health Net of 11,100/10,200 Health Net Life
California (4) (4) 85.2 Insurance Co.
21281 Burbank Blvd.
Woodland Hills 91367
5 L.A. Care Health 979.6/930 none
Plan (5) (5) 93
555 W. Fifth St.,
29th Floor
Los Angeles 90013
6 Blue Shield of NA/4,624.4 Shield Spectrum
California (6) 83.4 PPO Plan
6701 Center Drive West
Los Angeles 90045
7 CIGNA HeafthCare (7) 18,808/19,348 Connecticut General
400 N. Brand Blvd. 82.6 Life Insurance Co.
Glendale 91203
8 Aetna Health of 18,000/19,900 Aetna Open Choice
California Inc. (8) NA PPO
2409 Camino Ramon
San Ramon 94583
9 Universal Care 460/459.1 none
Inc. (9) (6) 87
1600 E. Hill St.
Signal Hill 90755
10 Great-West Healthcare NA/112 Great-West PPO
of California NA
Inc. (10) (7)
655 N. Central Ave.,
Suite 1900
Glendale 91203
Rank Company (Rank in 2003) Profile
* name * year established
* address * headquarters
* enrollment phone
1 Kaiser Foundation 1945 (3)
Health Plan Inc. (1) Oakland
393 E. Walnut St. (800) 464-4000
Pasadena 91188
2 Blue Cross of 1986
California (2) Thousand Oaks
21555 Oxnard St. (800) 999-3643
Woodland Hills 91367
3 PecifiCare/Secure 1978
Horizons (3) Cypress
29219 Canwood St., (800) 624-8822
Suite 200
Agoura Hills 91301
4 Health Net of 1979
California (4) (4) Woodland Hills
21281 Burbank Blvd. (800) 522-0088
Woodland Hills 91367
5 L.A. Care Health 1997
Plan (5) (5) Los Angeles
555 W. Fifth St., (888) 452-2273
29th Floor
Los Angeles 90013
6 Blue Shield of 1990
California (6) San Francisco
6701 Center Drive West (800) 499-3899
Los Angeles 90045
7 CIGNA HeafthCare (7) 1929
400 N. Brand Blvd. Philadelphia
Glendale 91203 (800) 832-3211
8 Aetna Health of 1981
California Inc. (8) Hartford, Conn.
2409 Camino Ramon (800) 323-9930
San Ramon 94583
9 Universal Care 1983
Inc. (9) (6) Signal Hill
1600 E. Hill St. (800) 635-6668
Signal Hill 90755
10 Great-West Healthcare 1994
of California Glendale
Inc. (10) (7) (818) 409-0881
655 N. Central Ave.,
Suite 1900
Glendale 91203
Rank Company (Rank in 2003) Structure
* name * plan model
* address * status
* parent company
1 Kaiser Foundation group
Health Plan Inc. (1) non-profit
393 E. Walnut St. Kaiser Permanente
Pasadena 91188
2 Blue Cross of contractual
California (2) profit
21555 Oxnard St. WellPoint Health Networks Inc.
Woodland Hills 91367
3 PecifiCare/Secure contractual
Horizons (3) profit
29219 Canwood St., PacifiCare Health Systems
Suite 200
Agoura Hills 91301
4 Health Net of contractual
California (4) (4) profit
21281 Burbank Blvd. Health Net Inc.
Woodland Hills 91367
5 L.A. Care Health contractual
Plan (5) (5) non-profit
555 W. Fifth St., same
29th Floor
Los Angeles 90013
6 Blue Shield of mixed
California (6) non-profit
6701 Center Drive West same
Los Angeles 90045
7 CIGNA HeafthCare (7) contractual
400 N. Brand Blvd. profit
Glendale 91203 CIGNA Corp.
8 Aetna Health of mixed
California Inc. (8) profit
2409 Camino Ramon Aetna Inc.
San Ramon 94583
9 Universal Care mixed
Inc. (9) (6) profit
1600 E. Hill St. same
Signal Hill 90755
10 Great-West Healthcare contractual
of California profit
Inc. (10) (7) Great-West Life & Annuity
655 N. Central Ave., Insurance Co.
Suite 1900
Glendale 91203
Rank Company (Rank in 2003) Top Local Executive
* name * name
* address * title
* phone
1 Kaiser Foundation Richard Cordova
Health Plan Inc. (1) president, So. Cal. region
393 E. Walnut St. (800) 464-4000
Pasadena 91188
2 Blue Cross of Ron Ragland
California (2) vice president, group sales
21555 Oxnard St. (800) 999-3643
Woodland Hills 91367
3 PecifiCare/Secure James Frey
Horizons (3) president
29219 Canwood St., (714) 952-1121
Suite 200
Agoura Hills 91301
4 Health Net of Chris Wing
California (4) (4) ceo, president
21281 Burbank Blvd. (818) 676-6775
Woodland Hills 91367
5 L.A. Care Health Howard A. Kahn
Plan (5) (5) ceo
555 W. Fifth St., (213) 694-1250
29th Floor
Los Angeles 90013
6 Blue Shield of Christopher Ciano
California (6) general manager
6701 Center Drive West (415) 229-5000
Los Angeles 90045
7 CIGNA HeafthCare (7) Peter Welch
400 N. Brand Blvd. president
Glendale 91203 (818) 500-6687
8 Aetna Health of Curtis terry
California Inc. (8) regional head, Health Care Delivery
2409 Camino Ramon (925) 543-9000
San Ramon 94583
9 Universal Care Jay B. Davis
Inc. (9) (6) exec. vice president
1600 E. Hill St. (800) 635-6668
Signal Hill 90755
10 Great-West Healthcare Susan Hallett
of California regional president
Inc. (10) (7) (818) 539-9000
655 N. Central Ave.,
Suite 1900
Glendale 91203
NA--Not Available
(1) In thousands.
(2) Southern California is defined as Los Angeles, Orange, Ventura,
San Bernardino, Riverside, Imperial and San Diego counties.
(3) Year HMO established.
(4) Enrollment figures have been adjusted to reflect commercial
enrollment only.
(5) Enrollment figures for Medi-Cal, Healthy Families, California Kids,
Healthy Kids and In-Home Supportive Services.
(6) Enrollment figures submitted last year included lines of business
other than commercial enrollment so they have not been included.
(7) Formerly One Health Plan of California Inc.
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) 2004 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.
Researched by Nicole Taylor
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