1997 DIRECTORY OF MANAGED CARE PROVIDERS (CALIFORNIA)

Chiropractic Health Plan of California*
P.O. Box 190, Clayton, Calif. 94517; 510-672-0106; fax: 510-672-6657
Specialty: chiropractic
Staff/Facilities
Primary practitioners1,422
Users
Employer/payer groups**NA
Operational date: October 1986.
For profit.
Service area: California, Texas, Nevada.
Services: Workers compensation, chiropractic. Services available unbundled. May be customized to meet employer specifications.
Compensation: Charges per provider per month.
UR: Retrospective review, treatment preauthorization and concurrent case management. UR provided by the PPO.
Officers: Dr. Ronald S. Cataldo, president/medical director; Jeanette M. Cataldo, CEO/CFO; Ronald Cataldo Jr., Todd Cataldo, vps.
Contact: Ronald Cataldo Jr.
**Figures are consolidated, including all PPO plans in this organization.
***Chiropractic Health Plan of California provides chiropractic services for: The AFFORDABLE Medical Network, America's Health Plan, Benefit Panel Services (BPS Access), ChiroSource, First Integrated Health, Guardian Resources Inc., HealthCore Medical Solutions, HealthStar, Heller & Associates, Managed Care Inc., Preferred Health Network, Private Healthcare Systems, PPO/Comp Alliance (One Source), Trustmark.
Chiropractic Health Plan of California
P.O. Box 190, Clayton, Calif. 94517; 510-672-0106; fax: 510-672-6657
Specialty: chiropractic
Staff/Facilities
Primary practitioners954
Service area: California: statewide.
Contracts with ChiroSource Inc. for chiropractic services in all states excluding California, Nevada and Texas.
See Chiropractic Health Plan of California PPO consolidated listing under California.
ChiroSource Inc.*
P.O. Box 130, Clayton, Calif. 94517; 510-672-5333; fax: 510-672-6657
Specialty: chiropractic
Staff/Facilities
Primary practitioners1,703
Users
Employer/payer groups**NA
Operational date: May 1997.
For profit.
Service area: Nationwide, excluding California, Nevada and Texas.
Contracts with Chiropractic Health Plan of California in California, Nevada and Texas.
Services: Workers compensation, chiropractic. Services available unbundled. May be customized to meet employer specifications.
Compensation: Compensated by providers, insurers; charges per provider per month.
UR: Retrospective review, case management, treatment pre-authorization, concurrent case management. UR provided by the PPO.
Officers: Dr. Ronald S. Cataldo, president/CEO; Jeanette M. Cataldo, CFO; Ron Cataldo Jr., vp; Todd Cataldo, vp.
Contact: Ron Cataldo Jr.
**Figures are consolidated, including all PPO plans in this organization.
***ChiroSource Inc. provides chiropractic services for: The AFFORDABLE Medical Networks, America's Health Plan, Benefit Panel Services (BPS Access), First Integrated Health, Guardian Resources Inc., HealthCore Medical Solutions, HealthStar Inc., Heller & Associates, Managed Care Inc., Preferred Health Network, Private Healthcare Systems, PPO/Comp Alliance (One Source), Trustmark.
CIGNA HealthCare
of California Inc.-San Diego
9808 Scranton Road, Suite 400, San Diego, Calif. 92121; 619-547-5402; fax: 619-455-0963
Staff/Facilities
Primary practitioners1,369
Board-certified77.8%
Patients/practitioner51.6
Specialists3,047
Hospitals29
Pharmacies458
Users
Employer/payer groups539
Medicare1,609
Total72,274Operational date: July 1977.
Federally qualified.
Licensed in: California.
NCQA fully accredited.
Model type: IPA.
Service area: California: San Diego County.
Point-of-service contracts: 20.7% of members are enrolled.
Non-federally qualified programs.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries. Individual enrollment is allowed.
Officers: Donna DeFrank, general manager/executive director; Dr. Anthony Lunares, medical director; April McIntyre, sales director/manager; Marta Meester, provider relations manager; Dana Wahlquist, member services manager.
Contact: Robert J. Lebeda.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CIGNA HealthCare
of California Inc.-San Francisco
1999 Harrison St., Suite 1000, Oakland, Calif. 94612-3508; 510-273-8400; fax: 510-273-8400
Staff/Facilities
Primary practitioners2,291
Board-certified82.7%
Patients/practitioner64.7
Specialists4,698
Hospitals73
Pharmacies1,790
Users
Employer/payer groups803
Medicare1,040
Total149,391Operational date: August 1987.
Licensed in: California.
NCQA fully accredited.
Model type: IPA.
Service area: California: 21 counties.
Point-of-service contracts: 58.4% of members are enrolled.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries. Individual enrollment is allowed.
Officers: Dr. Gifford Boyce-Smith, general manager/medical director; John Bell, sales director/manager/market manager; Caryle Voss, Medicare sales manager; Paul Brown, new business manager/director; David Koury, provider relations manager.
Contact: Vincent Roux.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CIGNA HealthCare
of California Inc.-Southern California
505 N. Brand Blvd., Suite 500, Glendale, Calif. 91203; 818-500-6262; fax: 818-500-6540
Staff/Facilities
Primary practitioners3,268
Board-certified81.3%
Patients/practitioner15
Specialists7,443
Hospitals131
Pharmacies3,094
Users
Employer/payer groups1,778
Medicare16,317
Total437,262Operational date: January 1985.
Federally qualified.
Licensed in: California.
NCQA fully accredited.
Model type: Group/IPA/Staff/Network.
Service area: California: Fresno, Inyo, Kern, Los Angeles, Mono, Orange, Riverside, San Bernardino, San Luis Obispo, Santa Barbara and Ventura counties.
Point-of-service contracts: 28.4% of members are enrolled.
Non-federally qualified programs.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries. Individual enrollment is allowed.
Officers: Jacqueline Meaney, assistant vp-network development; Bud Volberding, executive director/general manager; Dr. Chuie Yuen, medical director; Robert Harrison, vp-sales; Paul Sontag, director-client services.
Contact: Patricia Behary.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CIGNA PPO-California
505 N. Brand Blvd., Suite 500, Glendale, Calif. 91203; 818-500-6262; fax: 818-500-6540
Staff/Facilities
Primary practitioners8,449
Board-certified79.1%
Patients/practitioner33.9
Specialists17,516
Hospitals279
Users: Group Health
Employer/payer groups1,061
Total Users286,748
Operational date: November 1985.
Service area: California: 41 counties.
Officers: Bud Volberding, executive director/general manager; Dr. Chuie Yuen, medical director; Randy Matthews, planning/analysis-medical economics.
Contact: Andrew Green, 860-726-3586.
See CIGNA HealthCare PPO consolidated listing under Connecticut.