Printed from BusinessInsurance.com

1997 DIRECTORY OF MANAGED CARE PROVIDERS (FLORIDA)

Posted On: Dec. 28, 1997 12:00 AM CST

USA H&W Network
7301 N. 16th St., Suite 201, Phoenix, Ariz. 85020; 602-371-3860; fax: 602-371-3889
Staff/Facilities
Primary practitioners6,300
Specialists11,873
Hospitals136
Users: Group Health
Single/family coverage263,058
Employees & dependents605,033
Total Users605,033
Operational date: March 1988.
Service Area: Florida: 56 counties.
See USA H&W Network consolidated listing under Arizona.
USA Workers' Injury Network
916 S. Capital of Texas Highway, Austin, Texas 78746; 512-306-0201; fax: 512-328-6785
Specialty: workers compensation
Staff/Facilities
Primary practitioners1,415
Specialists5,877
Hospitals108
Users: Workers Compensation
Single coverage376,584
Total Users376,584
Operational date: March 1988.
Service area: Florida: 56 counties.
See USA Workers' Injury Network consolidated listing under Texas.
United HealthCare of Florida Inc.-Miami
75 Valencia Ave., Coral Gables, Fla. 33134; 305-274-0605; fax: 305-598-5063
Staff/Facilities
Primary practitioners930
Board-certified59%
Specialists2,740
Hospitals36
Pharmacies200
Users
Employer/payer groups92
Total Users5,365
Operational date: June 1986.
Licensed in: Florida.
Model type: IPA.
Service area: Florida: Broward, Dade and Palm Beach counties.
Services: General medical, prescription drug, mental health/substance abuse.
Rating options: Adjusted community rating, experience rating.
Contact: Lawrence Kissner, vp-sales/marketing.
See United HealthCare Corp. HMO consolidated listing under Minnesota.
United HealthCare
of Florida Inc.-Orlando
800 N. Magnolia Ave., Suite 600, Orlando, Fla. 32803; 407-872-1000;
fax: 407-423-2232
Staff/Facilities
Primary practitioners384
Board-certified63%
Specialists1,113
Hospitals16
Pharmacies411
Users
Employer/payer groups54
Total Users3,065
Operational date: February 1986.
Licensed in: Florida.
Model type: IPA.
Service area: Florida: Brevard, Lake, Orange, Osceola, Seminole and Volusia counties.
Services: General medical, prescription drug, mental health/substance abuse.
Rating options: Adjusted community rating, experience rating.
Offers self-insured products.
Contact: Andria Herr, vp-sales.
See United HealthCare Corp. HMO consolidated listing under Minnesota.
United HealthCare
of Florida Inc.South Florida
75 Valencia Ave., Coral Gables, Fla. 33134; 305-441-1140; fax: 305-447-3292
Staff/Facilities
Primary practitioners1,503
Specialists3,130
Hospitals49
Pharmacies375
Users
Employer/payer groups1,796
Total Users310,209
Operational date: January 1970.
Federally qualified.
Licensed in: Florida.
Model type: Mixed.
Service area: Florida: Broward and Dade counties.
Services: General medical, prescription drug, mental health/substance abuse.
Contact: Lawrence Kissner, vp-sales/marketing.
See United HealthCare Corp. HMO consolidated listing under Minnesota.
United HealthCare
of Florida Inc.-Tampa
4350 W. Cypress St., Ninth Floor, Tampa, Fla. 33607; 813-357-5000;
fax: 813-357-5032
Staff/Facilities
Primary practitioners871
Board-certified47%
Specialists1,939
Hospitals31
Pharmacies639
Users
Employer/payer groups82
Total Users7,948
Operational date: June 1995.
Licensed in: Florida.
NCQA one year accredited.
Model type: IPA.
Service area: Florida: Charlotte, Desoto, Hernando, Hillsborough, Lee, Manatee, Pasco, Pinellas, Polk and Sarasota counties.
Services: General medical, prescription drug, mental health/substance abuse, workers compensation.
Rating options: Adjusted community rating, experience rating.
Offers self-insured products.
Contact: Tim Love, vp-marketing.
See United HealthCare Corp. HMO consolidated listing under Minnesota.
United HealthCare
of Florida Inc.-Tampa
4350 W. Cypress St., Ninth Floor, Tampa, Fla. 33607; 813-357-5000;
fax: 813-357-5032
Staff/Facilities
Primary practitioners752
Board-certified79%
Specialists1,569
Hospitals31
Pharmacies639
Total Users100,952
Operational date: June 1995.
Licensed in: Florida.
Model type: IPA.
Service area: Florida: Charlotte, Desoto, Hernando, Hillsborough, Lee, Manatee, Pasco, Pinellas, Polk and Sarasota counties.
Services: General medical, prescription drug, mental health/substance abuse.
Rating options: Adjusted community rating, experience rating.
Offers self-insured products.
Contact: Tim Love, vp-marketing.
See United HealthCare Corp. HMO consolidated listing under Minnesota.
United HealthCare Insurance Co.Jacksonville
7077 Bonneval Road, Suite 103, Jacksonville, Fla. 32216-6189; 904-296-1332; fax: 904-296-2649
Staff/Facilities
Primary practitioners248
Board-certified64%
Specialists846
Hospitals12
Users:
Employer/payer groups469
Total Users14,054
Operational date: January 1986.
Service area: Florida: Alachua, Baker, Bradford, Clay, Columbia, Duval, Flagler, Marion, Nassau, Putnam, St. Johns and Union counties.
Services: General medical, prescription drug, mental health/substance abuse.
Contact: Andria Herr, vp-sales.
See United HealthCare Corp. PPO consolidated listing under Minnesota.
United HealthCare Insurance Co.-Miami
75 Valencia Ave., Coral Gabels, Fla. 33134; 305-271-6067; fax: 305-271-1556
Staff/Facilities
Primary practitioners1,415
Board-certified58%
Specialists4,324
Hospitals33
Users:
Employer/payer groups1,306
Total Users46,870
Service area: Florida: Broward, Dade, Martin, Palm Beach and St. Lucie counties.
Services: General medical, prescription drug, mental health/substance abuse.
Contact: Lawrence Kissner, vp-sales/marketing.
See United HealthCare Corp. PPO consolidated listing under Minnesota.
United HealthCare Insurance Co.-Orlando
800 N. Magnolia Ave., Suite 600, Orlando, Fla. 32803; 407-872-1000;
fax: 407-423-2232
Staff/Facilities
Primary practitioners571
Board-certified65%
Specialists1,831
Hospitals22
Pharmacies385
Users:
Employer/payer groups635
Total Users22,904
Operational date: January 1986.
Service area: Florida: Brevard, Indian River, Lake, Orange, Osceola, Seminole and Volusia counties.
Services: General medical, prescription drug, mental health/substance abuse.
Contact: Andria Herr, vp-sales.
See United HealthCare Corp. PPO consolidated listing under Minnesota.
United HealthCare Insurance Co.-Tampa
4350 W. Cypress St., Ninth Floor, Tampa, Fla. 33607; 813-357-5000;
fax: 813-357-5032
Staff/Facilities
Primary practitioners1,016
Board-certified48%
Specialists2,762
Hospitals31
Users:
Employer/payer groups1,105
Total Users45,869
Operational date: June 1995.
Service area: Florida: Charlotte, Desoto, Hernando, Hillsborough, Lee, Manatee, Pasco, Pinellas, Polk and Sarasota counties.
Services: General medical, prescription drug, mental health/substance abuse.
Contact: Lawrence Kissner, vp-sales/marketing.
See United HealthCare Corp. PPO consolidated listing under Minnesota.
Volusia Health Network
111 N. Frederick St., Daytona Beach, Fla. 32114-3414; 904-258-4896; fax: 904-255-6130
Staff/Facilities
Primary practitioners170
Board-certified90%
Patients/practitioner750
Specialists300
Hospitals3
Pharmacies20
Users: Group Health
Employer/payer groups15
Employees & dependents26,000
Ownership: Halifax Community Health System.
Operational date: March 1983.
Not for profit.
Service area: Florida: Flagler, Seminole and Volusia counties.
Services: General medical, prescription drug, mental health, chiropractic. Services available unbundled. May be customized to meet employer specifications.
Compensation: Negotiates hospital charges by per diem, discount off customary rates, DRGs; is compensated by employers/payers; charges flat fee per employee.
UR: Standard procedures. UR provided by the PPO.
Officers: John C. Yanes, executive director/president; Edward Heverin, CFO/treasurer; Ron Rees, vp; Dr. Alvin Smith, medical director; Dr. Lane Jennings, assistant medical director.
Contact: John C. Yanes.