1997 DIRECTORY OF MANAGED CARE PROVIDERS (ARIZONA PART 2)

Eye Care Plan
of America
7776 S. Pointe Parkway W., Suite 150, Phoenix, Ariz. 85044-5424; 602-414-0300; fax: 602-414-1383
Specialty: vision
Staff/Facilities
Primary practitioners14,500
Ownership: First American Health Concepts Inc.
Operational date: August 1981.
For profit.
Service area: Nationwide, Puerto Rico, Virgin Islands.
Services: Vision. Services available unbundled. May be customized to meet employer specifications.
Compensation: Compensated by employers/payers, fully insured; charges flat fee per employee.
UR: Retrospective review, case management. UR provided by the PPO.
Officers: John R. Raycraft, president/CEO; Jim Hyman, director-managed care.
Contact: Jim Hyman, 602-414-1226.
FOCUS Healthcare Management Inc.
7101 Executive Center Drive, Suite 375, Brentwood, Tenn. 37207; 800-873-0055 or 615-377-9936; fax: 615-661-4042
Specialty: workers compensation
Staff/Facilities*
Primary practitioners488
Specialists2,128
Hospitals5
Total Users33,815
Operational date: June 1996.
Service area: Arizona: statewide.
**Includes leased providers/facilities.
See FOCUS Healthcare Management Inc. consolidated listing under Tennessee.
HealthCare COMPARE Corp.
3200 Highland Ave., Downers Grove, Ill. 60515; 630-241-7900; fax: 630-241-7856
Staff/Facilities
Primary practitioners*1,331
Specialists2,310
Hospitals**37
Service area: Arizona: statewide.
**Includes some specialists. ***Includes specialty hospitals.
See HealthCare COMPARE Corp./The AFFORDABLE Medical Networks consolidated listing under Illinois.
Health Management Network*
1600 W. Broadway Road, Suite 385, Tempe, Ariz. 85282; 602-921-8944;
fax: 602-894-5230
Staff/Facilities
Primary practitioners4,700
Board-certified77%
Specialists11,500
Hospitals217
Users: Group Health
Employer/payer groups1,494
Single coverage126,000
Family coverage124,000
Employees & dependents491,000
Users: Workers Compensation
Employer/payer groups17
Single coverage6,200
Total Users497,200
Ownership: HMA Inc.
Operational date: October 1988.
For profit.
Service area: Alabama, Arizona, California, Colorado, Florida, Georgia, Illinois, Iowa, Louisiana, Mississippi, Missouri, New Mexico, Nevada and Utah.
Services: General medical, dental, mental health, workers compensation. Services available unbundled. May be customized to meet employer specifications. Individual enrollment is allowed.
Compensation: Negotiates hospital charges by per diem, discount off customary rates; is compensated by employers/payers, insurers, TPAs; charges flat fee per employee, by percent of savings.
UR: Standard procedures. UR provided by the PPO.
Officers: James D. Dyer, CEO; Richard Easton, CFO; Edie Faust, vp-operations; Mark D. Dyer, vp-commercial division; Chad Olson, manager-sales/marketing.
Contact: Mark D. Dyer, 602-921-8944.
**Figures are consolidated, including all PPO plans in this organization.
HealthPartners Health Plans Inc.
3141 N. Third Ave., Phoenix, Ariz. 85013; 602-664-2600; fax: 602-264-2034
Staff/Facilities
Primary practitioners1,141
Board-certified85%
Specialists2,759
Hospitals36
Pharmacies363
Primary care locations1,030
Users
Medicare23,638
Total245,165
Revenues
First-half 1997$142,391,251
1996$166,075,111Parent: HealthPartners of Arizona Inc.
Operational date: August 1986.
Licensed in: Arizona.
NCQA one year accredited.
Model type: Mixed.
For profit.
Service area: Arizona: statewide.
Member of ReliaStar in all states. Contracts with Avesis for vision, Arizona Chiropractic for chiropractic and CONTACT for mental health/substance abuse in Arizona.
Services: General medical, vision, prescription drug, mental health, alternative medicine, chiropractic. May be customized to meet employer specifications.
Rating options: Community rating by class; adjusted community rating.
Offers self-insured products.
Point-of-service contracts: 5% of members are enrolled.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries. Individual enrollment is allowed.
Officers: Paul Zucarrelli, president/CEO; Tom Sounhein, COO; Kirk LaPlante, vp-finance; Tom Perrotta, vp-marketing; Dr. Jay Mayes, vp-medical management north; Dr. H. William Buchsbaum, vp-medical management south.
Contact: Rick Shuckerow, 602-664-2714.
HealthPartners Insurance Co. Inc.
3141 N. Third Ave., Phoenix, Ariz. 85013; 602-664-2600; fax: 602-264-2034
Staff/Facilities
Primary practitioners1,141
Board-certified85%
Specialists2,759
Hospitals36
Users: Group Health
Total Users12,186
Ownership: HealthPartners of Arizona Inc.
Operational date: 1987.
For profit.
Service area: Arizona: statewide.
Contracts with Arizona Chiropractic for chiropractic, Avesis for vision and CONTACT for mental health/substance abuse in Arizona.
Services: General medical, vision, prescription drug, mental health, chiropractic. May be customized to meet employer specifications.
Compensation: Negotiates hospital charges by per diem; is compensated by employers/payers; charges flat fee per employee.
UR: Standard procedures. UR provided by the PPO.
Officers: Paul Zucarrelli, president/CEO; Tom Sounhein, COO; Kirk LaPlante, vp-finance; Tom Perrotta, vp-marketing; Dr. Jay Mayes, vp-medical management North; Dr. H. William Buchsbaum, vp-medical management South.
Contact: Rick Shuckerow, vp-sales/service, 602-664-2714.
Independent Chiropractic Physicians Inc.
8229 N. 53rd St., Paradise Valley, Ariz. 85253; 602-991-7131; fax: 602-991-7187
Specialty: chiropractic
Staff/Facilities
Primary Practitioners110
Operational date: 1991.
For profit.
Service area: Arizona: statewide.
Services: Chiropractic. Services available unbundled. May be customized to meet employer specifications.
Compensation: Negotiates hospital charges by discount off customary rates; is compensated by providers; charges a monthly fee per doctor.
UR: Precertification, retrospective review and case management. UR provided by the PPO.
Contact: Dr. Alan M. Immerman, president.
Intergroup
of Arizona Inc.
2800 N. 44th St., Suite 900; Phoenix, Ariz. 85008; 602-553-4948;
fax: 602-912-8140
Staff/Facilities
Primary practitioners944
Board-certified85%
Patients/practitioner368
Specialists2,724
Hospitals49
Pharmacies294
Primary care locations513
Users
Employer/payer groups2,300
Single coverage62,878
Family coverage67,447
Employees & dependents273,014
Medicare46,152
Total341,683Parent: Foundation Health Systems Inc.
Operational date: June 1981.
Federally qualified.
Licensed in: Arizona.
NCQA fully accredited.
Model type: Mixed.
Service area: Arizona: Apache, Coconino, Cochise, Gila, Greenlee, Graham, La Paz, Maricopa, Mohave, Navajo, Pima, Pinal, Santa Cruz and Yuma counties.
Services: General medical, dental, vision, prescription drug, mental health, workers compensation. Services available unbundled. May be customized to meet employer specifications.
Rating options: Community rating by class.
Offers self-insured products.
Point-of-service contracts: 0.78% of members are enrolled.
Non-federally qualified programs.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries. Individual enrollment is allowed.
Officers: Ed Munno, president/COO; Benny Price, senior vp-operations; Dr. Ross Henderson, vp-medical affairs; Radovan Bursac, vp/actuary; Jerry Kertesz, vp-marketing/sales.
Contact: Dan Borbas, manager-marketing analysis.
See Foundation Health Systems consolidated listing under California.
Intergroup
of Arizona Inc.
2800 N. 44th St., Suite 900; Phoenix, Ariz. 85008; 602-553-4948;
fax: 602-912-8140
Staff/Facilities
Primary practitioners1,077
Board-certified85%
Patients/practitioner..35
Specialists3,069
Hospitals49
Pharmacies294
Users
Employer/payer groups18
Single coverage97
Family coverage63
Employees & dependents384
Total Users384
Ownership: Foundation Health Systems Inc.
Operational date: July 1991.
Service area: Arizona: Apache, Cochise, Coconino, Gila, Graham, Greenlee, La Paz, Maricopa, Mohave, Navajo, Pima, Pinal, Santa Cruz and Yuma counties.
Services: General medical, dental, vision, prescription drug, mental health, vision. Services available unbundled. May be customized to meet employer specifications.
Compensation: Negotiates hospital charges by per diem, discount off customary rates; is compensated by employers/payers; charges premium based on community rating by class methodology.
UR: Standard procedures.
UR provided by the PPO, by outside contractors.
Officers: Ed Munno, president/COO; Benny Price, senior vp-operations; Dr. Ross Henderson, vp-medical affairs; Radovan Bursac, vp/actuary; Jerry Kertesz, vp-marketing/sales; .
Contact: Dan Borbas.
See Foundation Health Systems consolidated listing under California.