Health maintenance organizations: serving L.A. County; ranked by number of Southern California members.EXECUTIVE SUMMARY COMMERCIAL enrollment in the 10 largest HMO HMO health maintenance organization. HMO n. A corporation that is financed by insurance premiums and has member physicians and professional staff who provide curative and preventive medicine within certain financial, plans 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, held steady over the past year at 7.6 million. 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, enrollment dropped by 384,600 members, or 13.1 percent for the like period. 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 over the rest of the list. PacifiCare moved into the second
spot by adding 350,000 Southern California members, switching positions
with last year's No. 2 Blue Cross 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). , which lost 150,000
members in the region.Cigna HealthCare, No. 7 last year, held onto its ranking despite a 138,300-member decline in Southern California. Just 25,000 members separate it from No. 8 Aetna Aetna, volcano: see Etna, Italy. Health of California Inc. Cigna's membership fell by 16 percent nationally in 2004 and 8 percent to 9 percent in January January: see month. . The company expects this trend to reverse following a reorganization The process of carrying out, through agreements and legal proceedings, a business plan for winding up the affairs of, or foreclosing a mortgage upon, the property of a corporation that has become insolvent. designed to counter rising medical and administrative costs administrative costs, n.pl the overhead expenses incurred in the operation of a dental benefits program, excluding costs of dental services provided. . Cigna expects membership in California to grow for the remainder of 2005 according to according to prep. 1. As stated or indicated by; on the authority of: according to historians. 2. In keeping with: according to instructions. 3. Gwyn Gwyn or Gwynne , Eleanor Known as "Nell." 1650?-1687. English actress. She was the lover of Charles II after c. 1668. Noun 1. Dilday, director of public relations public relations, activities and policies used to create public interest in a person, idea, product, institution, or business establishment. By its nature, public relations is devoted to serving particular interests by presenting them to the public in the most . Woodland Hills-based Health Net of California and Glendale-based Great-West Healthcare of California Inc. gained 20,000 and 2,000 members, respectively. THE PACESETTER KAISER FOUNDATION HEALTH PLAN INC. Kaiser health plan remains the largest commercial HMO in Southern California, accounting for 37.8 percent of the aggregate enrollment on the list. The Oakland-based non-profit organization A non-profit organization (abbreviated "NPO", also "non-profit" or "not-for-profit") is a legally constituted organization whose primary objective is to support or to actively engage in activities of public or private interest without any commercial or monetary profit purposes. reported 2.6 million Southern California commercial enrollees, holding steady from the previous year. In 2004, Kaiser offered a new HMO plan targeted at new and enrolled members. The plan features a lower-premium policy that carries higher deductibles. "The new plan is for people who are willing to assume a risk in the cost of their health care," said Kaiser spokesman Jim Anderson Jim Anderson can refer to:
Kaiser is currently working on its electronic medical records system. The project, called KP HealthConnect HealthConnect is Australia’s planned system of electronic health records. The aim of HealthConnect is to improve quality and safety in health care by ensuring important clinical information is available in a high standard, when and where it is needed. , will eventually hold all patient medical records electronically and will be accessible at any Kaiser location. "The project will be phased in over the next few years" Anderson Anderson, river, Canada Anderson, river, c.465 mi (750 km) long, rising in several lakes in N central Northwest Territories, Canada. It meanders north and west before receiving the Carnwath River and flowing north to Liverpool Bay, an arm of the Arctic said. Major construction projects continue throughout Southern California and Los Angeles. Locally, the Los Angeles Medical Center, West Los Angeles
The Southern California office also has new leadership. Dr. Benjamin K. Chu Chu or Ch'u One of the states contending for power in China, 770–221 BC. Chu emerged in the 8th century BC in the Yangtze River (Chang Jiang) valley. , formerly head of the New York New York, state, United States New York, Middle Atlantic state of the United States. It is bordered by Vermont, Massachusetts, Connecticut, and the Atlantic Ocean (E), New Jersey and Pennsylvania (S), Lakes Erie and Ontario and the Canadian province of Health and Hospitals Corp., was hired to run Kaiser's Southern California operations. He joins the organization this month as president of the Southern California region, an area that spans from Bakersfield Bakersfield, city (1990 pop. 174,820), seat of Kern co., S central Calif., at the southern end of the San Joaquin valley; inc. 1898. It is an oil, mining, and agricultural center and one of the fastest-growing U.S. cities. to San Diego San Diego (săn dēā`gō), city (1990 pop. 1,110,549), seat of San Diego co., S Calif., on San Diego Bay; inc. 1850. San Diego includes the unincorporated communities of La Jolla and Spring Valley. Coronado is across the bay. . Opened in 1945, the health plan grew out of industrial health care programs for Kaiser workers during the 1930s and '40s. Kaiser reported companywide revenues of $25.3 billion in 2003. Last year's revenue figures will be available next month. [GRAPHIC OMITTED]
Enrollment (1)
(current/year ago)
Rank HMO (Rank in 2004) * So. California (2)
* name * L.A. County
* address * companywide
1 Kaiser Foundation 2,625.7/2,651.5
Health Plan Inc. (1) N/A/N/A
393 E. Walnut St. 6,218.7/6,218.7
Pasadena 91188
2 PacifiCare/Secure 1,300/950
Horizons (3) 245/450
5995 Plaza Drive 3,200/2,700
Cypress 90630
3 Blue Cross of California (2) 1,001/1,154.6
21555 Oxnard St. 498/546.1
Woodland Hills 91367 1,317/1,522.7
4 Health Net of California (4) 837/805
21281 Burbank Blvd. 350/337
Woodland Hills 91367 1,600/1,500
5 L.A. Care Health Plan (5) (5) 769.7/780.3
555 W. Fifth St., 29th Floor 769.7/780
Los Angeles 90013 769.7/780.3
6 Blue Shield of California (6) 445.2/467.9
6701 Center Drive West 196.8/216.9
Los Angeles 90045 684.7/696.3
7 Cigna Healthcare (7) 245.7/384
400 N. Brand Blvd. 210.5/326
Glendale 91203 9,700/NA
8 Aetna Health of 220/275.6
California Inc. (8) 92.3/92.9
2409 Camino Ramon 13,600/13,000
San Ramon 94583
9 Universal Care (9) 159.7/159.7
1600 E. Hill St. 60.6/60.6
Signal Hill 90755 159.7/159.7
10 Great-West Healthcare of 38/36
California Inc. (10) 19/17
655 N. Central Ave., 59/59
Suite 1900
Glendale 91203
California
Affiliates
Rank HMO (Rank in 2004) (current/year ago)
* name * hospitals
* address * physicians
1 Kaiser Foundation 76/76
Health Plan Inc. (1) 13,977/13,574
393 E. Walnut St.
Pasadena 91188
2 PacifiCare/Secure 235/228
Horizons (3) 30,000/30,000
5995 Plaza Drive
Cypress 90630
3 Blue Cross of California (2) 406/411
21555 Oxnard St. 29,615/28,489
Woodland Hills 91367
4 Health Net of California (4) 256/275
21281 Burbank Blvd. 34,500/33,000
Woodland Hills 91367
5 L.A. Care Health Plan (5) (5) 80/90
555 W. Fifth St., 29th Floor 9,575/9,619
Los Angeles 90013
6 Blue Shield of California (6) 280/295
6701 Center Drive West 29,126/28,083
Los Angeles 90045
7 Cigna Healthcare (7) 302/NA
400 N. Brand Blvd. 46,654/NA
Glendale 91203
8 Aetna Health of 263/241
California Inc. (8) 45,917/31,212
2409 Camino Ramon
San Ramon 94583
9 Universal Care (9) NA/170
1600 E. Hill St. NA/24,000
Signal Hill 90755
10 Great-West Healthcare of 250/250
California Inc. (10) 26,000/26,000
655 N. Central Ave.,
Suite 1900
Glendale 91203
Revenues
(in millions)
* companywide
Rank HMO (Rank in 2004) (2004/2003)
* name * % spent on
* address medical care
1 Kaiser Foundation N/A/$25,300
Health Plan Inc. (1) 97.4%
393 E. Walnut St.
Pasadena 91188
2 PacifiCare/Secure $12,000/11,000
Horizons (3) 84.5
5995 Plaza Drive
Cypress 90630
3 Blue Cross of California (2) 20,800,/20,300
21555 Oxnard St. N/A
Woodland Hills 91367
4 Health Net of California (4) 11,600/11,100
21281 Burbank Blvd. N/A
Woodland Hills 91367
5 L.A. Care Health Plan (5) (5) 924/979.6
555 W. Fifth St., 29th Floor 94.0
Los Angeles 90013
6 Blue Shield of California (6) N/A/6,202.7
6701 Center Drive West 81.3
Los Angeles 90045
7 Cigna Healthcare (7) 18,100/18,808
400 N. Brand Blvd. N/A
Glendale 91203
8 Aetna Health of 19,900/18,000
California Inc. (8) NA
2409 Camino Ramon
San Ramon 94583
9 Universal Care (9) NA/460
1600 E. Hill St. NA
Signal Hill 90755
10 Great-West Healthcare of N/A/120
California Inc. (10) N/A
655 N. Central Ave.,
Suite 1900
Glendale 91203
Rank HMO (Rank in 2004) PPO
* name
* address
1 Kaiser Foundation Dual Choice
Health Plan Inc. (1)
393 E. Walnut St.
Pasadena 91188
2 PacifiCare/Secure PacifiCare
Horizons (3)
5995 Plaza Drive
Cypress 90630
3 Blue Cross of California (2) N/A (4)
21555 Oxnard St.
Woodland Hills 91367
4 Health Net of California (4) Health Net Life
21281 Burbank Blvd. Insurance Co.
Woodland Hills 91367
5 L.A. Care Health Plan (5) (5) N/A
555 W. Fifth St., 29th Floor
Los Angeles 90013
6 Blue Shield of California (6) Shield Spectrum
6701 Center Drive West PPO Plan
Los Angeles 90045
7 Cigna Healthcare (7) Connecticut General
400 N. Brand Blvd. Life Insurance Co.
Glendale 91203
8 Aetna Health of Aetna Open Choice
California Inc. (8) PPO
2409 Camino Ramon
San Ramon 94583
9 Universal Care (9) none
1600 E. Hill St.
Signal Hill 90755
10 Great-West Healthcare of Great-West
California Inc. (10) Healthcare PPO
655 N. Central Ave.,
Suite 1900
Glendale 91203
Profile
Rank HMO (Rank in 2004) * year established
* name * headquarters
* address * enrollment phone
1 Kaiser Foundation 1945 (3)
Health Plan Inc. (1) Oakland
393 E. Walnut St. (800) 464-4000
Pasadena 91188
2 PacifiCare/Secure 1978
Horizons (3) Cypress
5995 Plaza Drive (800) 624-8822
Cypress 90630
3 Blue Cross of California (2) 1986 (3)
21555 Oxnard St. Thousand Oaks
Woodland Hills 91367 (800) 999-3643
4 Health Net of California (4) 1979
21281 Burbank Blvd. Woodland Hills
Woodland Hills 91367 (800) 522-0088
5 L.A. Care Health Plan (5) (5) 1997
555 W. Fifth St., 29th Floor Los Angeles
Los Angeles 90013 (888) 452-5437
6 Blue Shield of California (6) 1990
6701 Center Drive West San Francisco
Los Angeles 90045 (800) 499-3899
7 Cigna Healthcare (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 (9) 1983
1600 E. Hill St. Signal Hill
Signal Hill 90755 (800) 635-6668
10 Great-West Healthcare of 1994
California Inc. (10) Glendale
655 N. Central Ave., (818) 409-0880
Suite 1900
Glendale 91203
Structure
Rank HMO (Rank in 2004) * plan model
* name * status
* address * parent company
1 Kaiser Foundation group
Health Plan Inc. (1) non-profit
393 E. Walnut St. Kaiser Permanente
Pasadena 91188
2 PacifiCare/Secure contractual
Horizons (3) profit
5995 Plaza Drive PacifiCare
Cypress 90630 Health Systems
3 Blue Cross of California (2) contractual
21555 Oxnard St. profit
Woodland Hills 91367 WellPoint Health
Networks Inc.
4 Health Net of California (4) contractual
21281 Burbank Blvd. profit
Woodland Hills 91367 Health Net Inc.
5 L.A. Care Health Plan (5) (5) mixed
555 W. Fifth St., 29th Floor non-profit
Los Angeles 90013 same
6 Blue Shield of California (6) mixed
6701 Center Drive West non-profit
Los Angeles 90045 same
7 Cigna Healthcare (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 (9) mixed
1600 E. Hill St. profit
Signal Hill 90755 same
10 Great-West Healthcare of contractual
California Inc. (10) profit
655 N. Central Ave., Great-West Life
Suite 1900 & Annuity
Glendale 91203 Insurance Co.
Top Local
Executive
Rank HMO (Rank in 2004) * name
* name * title
* address * phone
1 Kaiser Foundation Dr. Benjamin K. Chu
Health Plan Inc. (1) president,
393 E. Walnut St. So. Cal. Region
Pasadena 91188 (800) 464-4000
2 PacifiCare/Secure James Frey
Horizons (3) ceo, president
5995 Plaza Drive (714) 952-1121
Cypress 90630
3 Blue Cross of California (2) Ron Ragland
21555 Oxnard St. v.p., group sales
Woodland Hills 91367 (800) 999-3643
4 Health Net of California (4) Stephen Lynch
21281 Burbank Blvd. president, Reg.
Woodland Hills 91367 Health Plans
(818) 676-6775
5 L.A. Care Health Plan (5) (5) Howard A. Kahn
555 W. Fifth St., 29th Floor ceo
Los Angeles 90013 (213) 694-1250
6 Blue Shield of California (6) Christopher Ciano
6701 Center Drive West general manager
Los Angeles 90045 (415) 229-5000
7 Cigna Healthcare (7) Bill Corba
400 N. Brand Blvd. general
Glendale 91203 manager, So. Cal.
(818) 500-6687
8 Aetna Health of Curtis Terry
California Inc. (8) reg. head, Health
2409 Camino Ramon Care Deliv.
San Ramon 94583 (925) 543-9000
9 Universal Care (9) Jay B. Davis
1600 E. Hill St. exec. vice president
Signal Hill 90755 (800) 635-6668
10 Great-West Healthcare of Susan Hallett
California Inc. (10) regional president
655 N. Central Ave., (818) 539-9000
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) Blue Cross offers several different PPO plans for
individuals, small groups and large employers.
(5) Enrollment figures for Medi-Cal, Healthy Families,
California Kids, Healthy Kids and In-Home Supportive
Services.
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] 2005 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 David Nusbaum
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