Health maintenance organizations: serving L.A. County; ranked by number of Southern California members. (The List).EXECUTIVE SUMMARY THE list of Health Maintenance shrinks to 10 this year, including only HMOs with commercial patients and the L.A. Care Health Plan, which contracts out to private HMOs for programs such as Medi-Cal Medi-Cal is the name of the Medicaid program in the State of California. It is jointly administered by the California State Department of Health Services and the Centers for Medicare and Medicaid Services (CMS), operating as a Medical Assistance Program under Title XIX of the and Healthy Families. Excluded were HMOs whose entire enrollment was related to public health programs to prevent double counting Double counting may refer to:
Total enrollment last year at the Top 10 HMOs with operations 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 increased by 140,000, or 1.7 percent, to 8.7 million enrollees. The seven health plans reporting enrollment figures for L.A. County saw a 9.1 percent gain for the year. Kaiser is again No. 1, adding 48,250 enrollees, to its 3.1 million 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, . 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). reported the biggest increase in Southern California enrollment, adding 203,000 members, or 20.3 percent, for a total of 1.2 million Southern California members. Blue Cross also reached $17.3 billion in revenues in 2002, an increase of 39.5 percent. Despite a slight dip dip, in agriculture, method of treating animals (chiefly livestock) infested with skin parasites such as mites, ticks, and warbles. The animal is dipped into or forced to swim through a tank filled with an insecticide solution. in Southern California enrollment, No. 8 CIGNA CIGNA CG (Connecticut General Life Insurance Company) INA (Insurance Company of North America) made wide gains in L.A. County membership, adding more than 170,000 members, 76.7 percent, for a total of 393,000 members. Aetna Aetna, volcano: see Etna, Italy. , which slid three spots to No. 8, saw the largest decrease. The health plan lost 202,000 enrollees, 36.5 percent, to 351,000 in Southern California. In L.A. County, its enrollment slipped by 62,000, to 118,000. 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 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
Antonym: dec. . KAISER Foundation Health Plans Inc. is again the 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, in Southern California, with enrollment of 3.1 million, more than twice that of No. 2 Blue Cross of California. Kaiser's growth in enrollment came both in Southern California and company wide. It added 48,000 enrollees, or 1.6 percent, to its Southern California commercial membership. Companywide, Kaiser added 5.8 percent, or 347,000, to reach 6.3 million commercial members. Oakland-based Kaiser grew out of industrial health care programs for workers at the Kaiser companies during the 1930s and '40s, with enrollment opened to the public in 1945. The health plan 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). , with a heavy concentration in California. The non-profit uses an integrated model for health care, contracting with Kaiser Foundation Hospitals and medical groups to provide service throughout its regional networks. The number of hospitals and physicians 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 the plan held steady for the year. Kaiser reported net income of $161 million for the third quarter ended Oct. 31, down from $198 million in the like year-earlier quarter. Third quarter revenues were $5.7 billion vs. $4.9 billion. Company officials expressed concern about maintaining year-to-date Year-to-date (YTD) The period beginning at the start of the calendar year up to the current date. margins, citing increased cost trends in medical services, workers compensation and other insurance costs. [GRAPH graph, figure that shows relationships between quantities. The graph of a function y=f (x) is the set of points with coordinates [x, f (x)] in the xy-plane, when x and y are numbers. OMITTED]
Rank Company (Rank in 2002) Enrollment
* name (current/year ago) (1)
* address * So. California (2)
* L.A. County
* companywide
1 Kaiser Foundation Health Plan Inc. 3,124/3,076
(1) NA/NA
393 E. Walnut St. 6,299/5,952
Pasadena 91188
2 Blue Cross of California (2) 1,202/998
21555 Oxnard St. 569/490
Woodland Hills 91367 1,633/1,409
3 PacifiCare (3) 1,058/1,103
5995 Plaza Drive 490/510
Cypress 90630 2,300/2,500
4 Health Net of California (4) 950/860
21281 Burbank Blvd. 400/380
Woodland Hills 91367 2,000/same
5 L.A. Care Health Plan (6) (4) 824/758
555 W. Fifth St., 29th Floor 824/758
Los Angeles 90013 824/758
6 Blue Shield of California HMO (7) 445/462
6701 Center Drive West 211/215
Los Angeles 90045 577/684
7 CIGNA HealthCare of California (8) 443/453
400 N. Brand Blvd. 394/223
Glendale 91203 683/667
8 Aetna Inc. (5) 351/553
2409 Camino Ramon 118/181
San Ramon 94583 13,700/17,200
9 Universal Care Inc. (9) 319/306
1600 E. Hill St. 208/NA
Signal Hill 90755 319/306
10 One Health Plan of California Inc. 36/40
(14) NA/NA
655 N. Central Ave., Suite 1900 56/68
Glendale 91203
Rank Company (Rank in 2002) California Affiliates
* name (current/year ago)
* address * hospitals
* physicians
1 Kaiser Foundation Health Plan Inc. 76/same
(1) 7,372/7,436
393 E. Walnut St.
Pasadena 91188
2 Blue Cross of California (2) 198/195 (3)
21555 Oxnard St. 16,781/17.180
Woodland Hills 91367
3 PacifiCare (3) 300/same
5995 Plaza Drive 31,000/same
Cypress 90630
4 Health Net of California (4) 375/365
21281 Burbank Blvd. 31,133/32,697
Woodland Hills 91367
5 L.A. Care Health Plan (6) (4) 102/108
555 W. Fifth St., 29th Floor 9,543/8,430
Los Angeles 90013
6 Blue Shield of California HMO (7) 295/288
6701 Center Drive West 27,493/26,652
Los Angeles 90045
7 CIGNA HealthCare of California (8) 232/same
400 N. Brand Blvd. 30,378/29,595
Glendale 91203
8 Aetna Inc. (5) 255/261
2409 Camino Ramon 26,950/30,309
San Ramon 94583
9 Universal Care Inc. (9) 178/177
1600 E. Hill St. 24,000/20,000
Signal Hill 90755
10 One Health Plan of California Inc. 212/214
(14) 25,500/25,700
655 N. Central Ave., Suite 1900
Glendale 91203
Rank Company (Rank in 2002) Revenues
* name (in millions)
* address * companywide
(2002/2001)
* % spent on
medical care
1 Kaiser Foundation Health Plan Inc. NA/$7,048.08
(1) 97.3
393 E. Walnut St.
Pasadena 91188
2 Blue Cross of California (2) 17,300/12,400
21555 Oxnard St. NA
Woodland Hills 91367
3 PacifiCare (3) 11,000/11,800
5995 Plaza Drive 87.3
Cypress 90630
4 Health Net of California (4) 10,200/10,100
21281 Burbank Blvd. 87.8
Woodland Hills 91367
5 L.A. Care Health Plan (6) (4) 930/809
555 W. Fifth St., 29th Floor 93.7
Los Angeles 90013
6 Blue Shield of California HMO (7) NA/4,372.7
6701 Center Drive West 87
Los Angeles 90045
7 CIGNA HealthCare of California (8) NA/NA
400 N. Brand Blvd. NA
Glendale 91203
8 Aetna Inc. (5) 19,900/25,200
2409 Camino Ramon NA
San Ramon 94583
9 Universal Care Inc. (9) 459.1/NA
1600 E. Hill St. 90.9
Signal Hill 90755
10 One Health Plan of California Inc. NA/140.2
(14) NA
655 N. Central Ave., Suite 1900
Glendale 91203
Rank Company (Rank in 2002) PPO
* name
* address
1 Kaiser Foundation Health Plan Inc. Dual Choice
(1)
393 E. Walnut St.
Pasadena 91188
2 Blue Cross of California (2) Prudent Buyer
21555 Oxnard St.
Woodland Hills 91367
3 PacifiCare (3) PacificCare
5995 Plaza Drive
Cypress 90630
4 Health Net of California (4) Health Net Lfe
21281 Burbank Blvd. Insurance Co.
Woodland Hills 91367
5 L.A. Care Health Plan (6) (4) none
555 W. Fifth St., 29th Floor
Los Angeles 90013
6 Blue Shield of California HMO (7) Blue Shield PPO
6701 Center Drive West Plan
Los Angeles 90045
7 CIGNA HealthCare of California (8) Connecticut General
400 N. Brand Blvd. Life Insurance Co.
Glendale 91203
8 Aetna Inc. (5) Aetna
2409 Camino Ramon
San Ramon 94583
9 Universal Care Inc. (9) none
1600 E. Hill St.
Signal Hill 90755
10 One Health Plan of California Inc. Great-West Life
(14) PPO
655 N. Central Ave., Suite 1900
Glendale 91203
Rank Company (Rank in 2002) Profile
* name * year established
* address * headquarters
* enrollment phone
1 Kaiser Foundation Health Plan Inc. 1945
(1) Oakland
393 E. Walnut St. (800) 464-4000
Pasadena 91188
2 Blue Cross of California (2) 1986
21555 Oxnard St. Thousand Oaks
Woodland Hills 91367 (800) 999-3643
3 PacifiCare (3) 1978
5995 Plaza Drive Cypress
Cypress 90630 (800) 624-8622
4 Health Net of California (4) 1979
21281 Burbank Blvd. Woodland Hills
Woodland Hills 91367 (800) 522-0088
5 L.A. Care Health Plan (6) (4) 1997
555 W. Fifth St., 29th Floor Los Angeles
Los Angeles 90013 (888) 839-9909
6 Blue Shield of California HMO (7) 1990
6701 Center Drive West San Francisco
Los Angeles 90045 (800) 499-3899
7 CIGNA HealthCare of California (8) 1929
400 N. Brand Blvd. Glendale
Glendale 91203 (800) 832-3211
8 Aetna Inc. (5) 1986
2409 Camino Ramon Hartford, Conn.
San Ramon 94583 (800) 756-7039
9 Universal Care Inc. (9) 1983
1600 E. Hill St. Signal Hill
Signal Hill 90755 (800) 635-6668
10 One Health Plan of California Inc. 1994
(14) Glendale
655 N. Central Ave., Suite 1900 (818) 409-0881
Glendale 91203
Rank Company (Rank in 2002) Structure
* name * plan model
* address * status
* parent company
1 Kaiser Foundation Health Plan Inc. group
(1) non-profit
393 E. Walnut St. Kaiser Permanente
Pasadena 91188
2 Blue Cross of California (2) network model
21555 Oxnard St. profit
Woodland Hills 91367 WellPoint Health Networks Inc.
3 PacifiCare (3) contractual
5995 Plaza Drive profit
Cypress 90630 Pacificare Health Systems
4 Health Net of California (4) contractual
21281 Burbank Blvd. profit
Woodland Hills 91367 Health Net Inc.
5 L.A. Care Health Plan (6) (4) contractual
555 W. Fifth St., 29th Floor non-profit
Los Angeles 90013 same
6 Blue Shield of California HMO (7) mixed
6701 Center Drive West non-profit
Los Angeles 90045 same
7 CIGNA HealthCare of California (8) contractual
400 N. Brand Blvd. profit
Glendale 91203 CIGNA Corp.
8 Aetna Inc. (5) contractual
2409 Camino Ramon profit
San Ramon 94583 same
9 Universal Care Inc. (9) mixed
1600 E. Hill St. profit
Signal Hill 90755 same
10 One Health Plan of California Inc. contractual
(14) profit
655 N. Central Ave., Suite 1900 One-Benefits Inc.
Glendale 91203
Rank Company (Rank in 2002) Top Local Executive
* name * name
* address * title
* phone
1 Kaiser Foundation Health Plan Inc. Richard Cordova
(1) cdo, So. Cal. division
393 E. Walnut St. (800) 464-4000
Pasadena 91188
2 Blue Cross of California (2) Ron Ragland
21555 Oxnard St. v.p., farge group sales
Woodland Hills 91367 (800) 999-3643
3 PacifiCare (3) James Frey
5995 Plaza Drive ceo, president
Cypress 90630 (714) 952-1121
4 Health Net of California (4) Chris Wing
21281 Burbank Blvd. ceo, president
Woodland Hills 91367 (818) 676-6775
5 L.A. Care Health Plan (6) (4) Howard A. Kahn
555 W. Fifth St., 29th Floor ceo
Los Angeles 90013 (213) 694-1250
6 Blue Shield of California HMO (7) Chris Bettner
6701 Center Drive West vice president
Los Angeles 90045 (415) 229-5000
7 CIGNA HealthCare of California (8) Peter B. Welch
400 N. Brand Blvd. president, market leader
Glendale 91203 (818) 500-6687
8 Aetna Inc. (5) Ken Lautsch
2409 Camino Ramon dir. of business development
San Ramon 94583 (213) 988-4000
9 Universal Care Inc. (9) Howard E. Davis
1600 E. Hill St. ceo, president
Signal Hill 90755 (800) 635-6668
10 One Health Plan of California Inc. R. Swanberg/L. Taylor
(14) med. dir./Interim exec. dir.
655 N. Central Ave., Suite 1900 (818) 539-900
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 countries.
(3) Hospitals and physicians information for southern California only.
(4) Enrollment figures for Medi-Cal, Healthy Families and
CaliforniaKids.
Note: The information on this list was supplied by representatives of
the health plans themselves. HMOs are ranked by current commercial
enrollment. L.A. Health Care 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 affort 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] 2003 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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