Health maintenance organizations: serving L.A. County; ranked by number of Southern California members.EXECUTIVE SUMMARY RISING medical costs did not stop membership from increasing among 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 ranked by 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, membership. Overall enrollment in the 10 largest HMO plans surpassed 10 million in the region, up 147,000 from the previous year. Kaiser continues to lead the list with 3.1 million of its 8.4 million total members in Southern California, including 1.5 million in L.A. County. It operates 11 hospitals and 130 medical office buildings in the region. Three companies were responsible for the vast majority of membership gains, reporting increases of 50,000 or greater. Cigna Healthcare of Southern California, No. 7 this year, reported the largest gain. It increased membership by 57,633 bringing its total to just over 300,000 members. 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' , No. 6 this year, reported just fewer than 500,000 members in Southern California, a 54,292-member increase from the previous year. The San Francisco-based firm has 279 hospitals and 29,515 doctors in 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). affiliated af·fil·i·ate v. af·fil·i·at·ed, af·fil·i·at·ing, af·fil·i·ates v.tr. 1. To adopt or accept as a member, subordinate associate, or branch: with its plans. The third highest membership gain was made by PacifiCare/Secure Horizons, which increased membership by 50,000 to 1.4 million members. Blue Cross of California, No. 2 this year, has 2.8 million members based on Business Journal estimates. The Wellpoint Noun 1. wellpoint - a perforated tube driven into the ground to collect water from the surrounding area well point tube, tubing - conduit consisting of a long hollow object (usually cylindrical) used to hold and conduct objects or liquids or gases Health Networks Inc:-owned company refused to disclose local enrollment figures, but reported 7.6 million members enrolled statewide. THE PACESETTER 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
KAISER Foundation Health Plan Inc. remains the largest commercial HMO in southern California, with 3.1 million members, up 14,605 from the previous year. The Oakland-based noon-profit organization is in the process of launching products geared toward small businesses. One of its first offerings is a lower-premium, higher-deductible health plan that was rolled out in late 2004. The program grew by 71,000 members locally last year and by 200,000 across its system. Kaiser also is planning to roll out a health savings account A Health Savings Account (HSA) is a tax-advantaged medical savings account available to taxpayers in the United States who are enrolled in a High Deductible Health Plan (HDHP). The funds contributed to the account are not subject to federal income tax at the time of deposit. product and possibly a self-funding self-funding, n the method of providing employee benefits in which the sponsor does not purchase conventional insurance but rather elects to pay for the claims directly, generally through the services of a third-party administrator. plan. On the patient side Kaiser successfully implemented a trial of its electronic health records program in the Tri-Central region, which covers Baldwin Park Baldwin Park, city (1990 pop. 69,330), Los Angeles co., S Calif., a suburb of Los Angeles, in the fertile San Gabriel valley; settled 1870, inc. 1956. Its industries include metal fabrication, printing, and plastics manufacturing. and the South Bay areas. The program put 1,100 doctors on-line. "To get this size of a deployment Installing, setting up, testing and running. This military term, which means the placement of troops and equipment in the field, is widely used with computers as an alternate to the word "implementation. was challenging and it was successful," said Dr. Benjamin 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. , president of the Southern California region. The electronic health records program will be fully deployed over the next two years and will allow patients more access to their personal health records on the Internet Internet Publicly accessible computer network connecting many smaller networks from around the world. It grew out of a U.S. Defense Department program called ARPANET (Advanced Research Projects Agency Network), established in 1969 with connections between computers at the . Kaiser also has numerous facilities undergoing major renovations as required by state law passed after the Northridge Earthquake The Northridge earthquake occurred on January 17, 1994 at 4:31 AM Pacific Standard Time in the city of Los Angeles, California. The earthquake had a "strong" moment magnitude of 6. in 1994. Projects include the West L.A. campus, the Panorama City campus. and the L.A. Medical Center, scheduled to open in 2007; its Downey Downey, city (1990 pop. 91,444), Los Angeles co., S Calif., a residential and industrial suburb between Los Angeles and Long Beach; inc. 1957. Its many manufactures include metal products, rubber goods, communications equipment, and dairy products. Hospital should open in 2008. Kaiser has smaller offices in South L.A. that it expects to start running by early 2007 but has had difficulty finding desirable offices. "It's it's 1. Contraction of it is. 2. Contraction of it has. See Usage Note at its. it's it is or it has it's be ~have not easy to find available space in the county to do these projects," Chu said. Opened in 1945, the health plan grew out of industrial health care programs for Kaiser steel Kaiser Steel was an American corporation, whose assets included a former steelmaking plant, located in Fontana, California, and an iron ore mine at nearby Eagle Mountain, California. It was founded by Henry J. workers during the '30s and '40s. Kaiser reported companywide revenues of $28 billion in 2004. Last year's revenue figures were not available.
Rank HMO (Ranking in 2005) Enrollment (1)
* name (current/year ago)
* address * So. California (2)
* 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 (4) (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
Ranks 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 HealthNet 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
29,515/29,126 NA PPO Plan
7 302/302 NA/18,100 Connecticut
46,654/46,654 NA General Life
Insurance Co.
8 270/263 22,500/19,900 Aetna Open
46,182/45,917 NA Choice PPO
9 NA/NA NA/NA none
NA/NA NA
10 250/250 NA/NA Great-West
26,000/26,000 NA Healthcare 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 Aetna Inc.
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 Tap Local Executive
* name
* title
* phone
1 Dr. Benjamin K. Chu
president, So. Cal. region
(800) 464-4000
2 David Helwig
ceo, president
(800) 999-3643
3 James Frey
ceo
(714) 952-1121
4 Stephen Lynch
president, Reg. Health Plans
(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 Deliv.
(925) 948-4700
9 Jay B. Davis
exec. vice president
(562) 424-6200
10 Susan Hallett
regional president
(818) 539-9000
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) Business Journal estimate.
(4) 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]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.
Researched by David Nusbaum
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