1997 DIRECTORY OF MANAGED CARE PROVIDERS

Illinois
Admar Med Network
1551 N. Tustin Ave., Suite 300, Santa Ana, Calif. 92705; 714-953-9600; fax: 714-953-6309
Staff/Facilities*
Primary practitioners3,704
Specialists6,806
Hospitals103
Users
Employees & dependents205,880
Operational date: September 1991.
Service area: Illinois: 54 counties.
**Includes leased providers/facilities.
See Admar Med Network consolidated listing under California.
AMERICAID Illinois Inc.
20 N. Wacker Drive, Suite 2920, Chicago, Ill. 60606; 312-214-0400;
fax: 312-214-0424
Staff/Facilities
Primary practitioners371
Board-certified52%
Specialists519
Hospitals20
Pharmacies806
Primary care locations742
Users
Medicaid2,724
Revenues
First-half 1997$1,743,418
1996$1,877,332Operational date: May 1996.
Licensed in: Illinois.
Service area: Illinois: Cook County.
Officers: Michael L. Cotton, president/CEO; Dr. Arthur G. Jones, associate medical director; Theodore M. Wille, COO; Kathleen K. Toth, vp-finance.
See AMERICAID Community Care Inc. consolidated listing under Virginia.
AnciCare PPO
3700 Lakeside Drive, Suite 401, Miramar, Fla. 33027-3225; 800-414-4674;
fax: 305-826-7482
Specialty: workers compensation/medical diagnostic imaging
Staff/Facilities
Primary practitioners36
Hospitals20
Service area: Illinois: Cook, DuPage, Effingham, Lake, Madison and St. Clair counties.
See AnciCare PPO consolidated listing under Florida.
Beech Street Corp.
173 Technology, Irvine, Calif. 92618; 800-233-2478 or 714-727-1353; fax: 714-727-1319
Staff/Facilities
Primary practitioners4,359
Specialists12,493
Hospitals134
Users: Group Health
Single coverage40,030
Family coverage148,352
Employees & dependents381,240
Users: Workers Compensation
Single coverage111,732
Total Users492,972
Operational date: 1989.
Service area: Illinois: 90 counties.
See Beech Street Corp. consolidated listing under California.
Behavioral Health Systems Inc.
485 S. Frontage Road, Suite 305, Burr Ridge, Ill. 60521; 630-655-4440;
fax: 630-655-4558
Specialty: mental health/substance abuse
Staff/Facilities
Primary practitioners410
Hospitals50
Users: Group Health
Employer/payer groups27
Total Users165,000
Operational date: November 1985.
For profit.
Service area: Illinois: 26 counties; Indiana: Jasper, Lake, Newton and Porter counties; Ohio: cities of Cleveland and Toledo.
Services: Mental health, substance abuse. 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, insurers, TPAs, other managed care vendors; charges flat fee per employee, per member per month.
UR: Standard procedures, excluding second surgical opinion. UR provided by the PPO.
Officers: Dr. Anthony M. D'Agostino, president/CEO/medical director; Dr. Cullen R. Schwemer, vp; Dr. Harold F. McGrath, secretary/treasurer; Robert L. Rogers, COO.
Contact: Robert L. Rogers.
Blue Advantage
300 E. Randolph, Chicago, Ill. 60601; 312-653-7181; fax: 312-938-3868
Staff/Facilities
Primary practitioners1,454
Board-certified93%
Patients/practitioner30
Specialists2,611
Hospitals130
Pharmacies2,300
Primary care locations691
Users
Employer/payer groups609
Single coverage18,175
Family coverage13,079
Employees & dependents61,517
Total61,517
Revenues
First-half 1997$33,760,531
1996$46,013,085Parent: Health Care Service Corp. (Blue Cross & Blue Shield of Illinois).
Operational date: June 1994.
Licensed in: Illinois.
Model type: Network.
Not for profit.
Service area: Illinois: 90 counties; Indiana: Benton, Daviess, Fountain, Gibson, Green, Jasper, Knox, Lake, LaPorte, Montgomery, Newton, Parke, Pike, Porter, Posey, Starke, Sullivan, Tippecanoe, Vermilion and Warren counties; Kentucky: Livingston and Union counties; Missouri: Bollinger, Cape Girardeau, Franklin, Jefferson, Perry, St. Charles, St. Francois, St. Louis and St. Genevieve counties and the city of St. Louis; Wisconsin: Kenosha, LaFayette, Milwaukee, Racine, Rock, Walworth and Waukesha counties.
Member of HMO Blue USA.
Services: General medical, vision, prescription drug, mental health. May be customized to meet employer specifications.
Rating options: Community rating by class; adjusted community rating.
Offers self-insured products.
Officers: R. McCaskey, president/CEO; M. Seibold, senior vp-marketing/health care management; R. Allegretti, vp-sales/HMO products/administration; F. Nicholson, vp-provider contracts/reimbursement; Dr. K.D. Reed, HMO medical director.
Contact: Steve Hamlin.
Blue Choice
300 E. Randolph, Chicago, Ill. 60601; 312-653-7181; fax: 312-938-3868
Staff/Facilities
Primary practitioners2,675
Board-certified96%
Patients/practitioner74.6
Specialists4,086
Hospitals127
Pharmacies2,400
Users
Employer/payer groups57
Employees & dependents230,831
Total230,831
Revenues
First-half 1997$94,108,000
1996$170,357,000Parent: Health Care Service Corp. (Blue Cross & Blue Shield of Illinois).
Operational date: August 1991.
Licensed in: Illinois.
NCQA fully accredited.
Model type: Mixed.
Not for profit.
Service area: Illinois: 22 counties; Indiana: Lake, La Porte and Porter counties; Missouri: Jefferson, St. Clair and St. Louis counties and the city of St. Louis.
Member of Consortium Health Plans and Blue Cross & Blue Shield.
Contracts with Dental Network of America for dental in Illinois; Green Spring for mental health/substance abuse in Illinois; Wellpoint for prescription drug in Illinois.
Services: General medical, dental, prescription drug, mental health. Services available unbundled. May be customized to meet employer specifications.
Offers self-insured products.
Officers: Raymond McCaskey, president/CEO; Michael Siebold, senior vp-marketing/health care management; Paul Boulis, vp-national/major accounts; Dr. William Rollow, medical director; Therese Rotz, director.
Contact: Steve Hamlin.