1997 DIRECTORY OF MANAGED CARE PROVIDERS

Minnesota
The Araz Group
8500 Normandale Lake Blvd., Suite 2050, Bloomington, Minn. 55437; 612-896-1260; fax: 612-896-4888
Staff/Facilities
Primary practitioners2,543
Board-certified85%
Specialists2,646
Hospitals117
Pharmacies18,000
Users: Group Health
Employer/payer groups669
Users: Workers Compensation
Employer/payer groups21,000
Total Users263,000
Operational date: 1982.
For profit.
Service area: Iowa: 25 counties; Minnesota: 70 counties; Nebraska: 22 counties; North Dakota: Barnes, Cass, Foster, Grand Forks, Pembina, Ramsey, Ransom, Richland, Walsh and Ward counties; South Dakota: 40 counties; Wisconsin: Ashland, Burnett, Dane, Douglas, Dunn, Eau Claire, La Crosse, Milwaukee, Pierce, Polk, Sawyer, St. Croix, Washburn and Winnebago counties.
Contracts with America's Health Plan nationwide; Associates for Health Care in Wisconsin; CAPP CARE nationwide; DPS for prescription drug nationwide; WPPN in Wisconsin.
Services: General medical, mental health, workers compensation. May be customized to meet employer specifications.
Compensation: Negotiates hospital charges by per diem, discount off customary rates; is compensated by employers/payers, providers, insurers; charges flat fee per employee, by percent of savings.
UR: Standard procedures excluding discharge planning, second surgical opinion and hospital bill audits. UR provided by the PPO.
Officers: Nazie Eftekhari, CEO; Bill Sangster, CFO; Larry Seidenfeld, executive vp; Amir Eftekhari, vp-sales; Dr. Brian Ebling.
Contact: Kris Nicol, sales consultant.
Beech Street Corp.
173 Technology, Irvine, Calif. 92618; 800-233-2478 or 714-727-1353; fax: 714-727-1319
Staff/Facilities
Primary practitioners4
Specialists15
Hospitals8
Users: Group Health
Single coverage6,055
Family coverage21,299
Employees & dependents55,041
Users: Workers Compensation
Single coverage21,282
Total Users76,323
Operational date: 1990.
Service area: Minnesota: Anoka, Carver, Cottonwood, Dakota, Grant, Hennepin, Nicollet, Olmsred, Ramsey, Sherburne, St. Louis, Stearns, Traverse and Wright counties.
See Beech Street Corp. consolidated listing under California.
CNA Managed Care-Minneapolis/St. Paul
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Primary practitioners678
Specialists1,267
Hospitals19
Primary care locations17Service area: Minnesota: Minneapolis/St. Paul.
See CNA Managed Care POS consolidated listing under Illinois.
CNA Managed Care-Minneapolis/St. Paul
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners2,469
Hospitals26
Service area: Minnesota: Minneapolis/St. Paul.
See CNA Managed Care PPO consolidated listing under Illinois.
CAPP CARE Inc.
West Tower, 4000 MacArthur Blvd., Suite 10000, Newport Beach, Calif. 92660; 800-937-2277; fax: 714-251-2222
Staff/Facilities
Primary practitioners*198
Board-certified56.5%
Patients/practitioner79.7
Hospitals7
Service area: Minnesota: Anoka, Benton, Carver, Dakota, Hennepin, Isanti, McLeod, Ramsey, Scott, Sherburne, Stearns, Washington and Wright counties.
**Includes specialists.
See CAPP CARE Inc. 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 practitioners446
Service area: Minnesota: statewide.
See ChiroSource Inc. consolidated listing under California.
CorVel Corp.
1920 Main St., Suite 1090, Irvine, Calif. 92714; 714-851-1473; fax: 714-851-1469
Staff/Facilities
Primary practitioners1,509
Board-certified86%
Specialists3,878*
Hospitals74
Service area: Minnesota.
**Includes ancillary providers.
See CorVel Corp. consolidated listing under California.
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 practitioners116
Specialists621
Hospitals2
Total Users11,271
Operational date: March 1997.
Service area: Minnesota: 56 counties.
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*1,217
Specialists1,519
Hospitals**41
Service area: Minnesota: 72 counties.
**Includes some specialists.
***Includes specialty hospitals.
See HealthCare COMPARE Corp./The AFFORDABLE Medical Networks consolidated listing under Illinois.
HealthPartners
8100 34th Ave. S., Bloomington,
Minn. 55425; 612-883-6000
Staff/Facilities
Primary practitioners3,050
Specialists2,430
Hospitals100
Pharmacies500
Primary care locations380
Users
Employer/payer groups4,441
Single coverage158,421
Family coverage126,983
Employees & dependents626,976
Medicare36,961
Medicaid41,542
Total**745,410
Revenues
First-half 1997$475,232,000
1996$1,200,000,000Operational date: August 1957.
Federally qualified.
Licensed in: Minnesota.
NCQA fully accredited.
Model type: Group/Staff.
Not for profit.
Service area: Minnesota: 67 counties; North Dakota: Barnes, Cass, La Moure, Logan, McHenry, Ransom, Richland, Sargent, Steele, Stutsman and Traill counties; Wisconsin: Buffalo, Dunn, Pepin, Pierce, Polk and St. Croix counties.
Member of The HMO Group*. Has a strategic alliance with ReliaStar.
Services: General medical, dental, vision, prescription drug, mental health, health promotion.
Rating options: Adjusted community rating.
Offers self-insured products.
Point-of-service contracts: 22% of members are enrolled.
Non-federally qualified programs.
Officers: George Halvorson, president/CEO; Mary Brainerd, executive vp-care delivery; Kirby Erickson, executive vp-administration/health; Dr. George Isham, medical director/chief health officer; Kathy Cooney, senior vp/CFO; Andrea Walsh, senior vp/corporate counsel/public & legal affairs.
**Not used to gain access to other states.
***Includes Central Minnesota group health plan and Aetna Managed Choice.
Mayo Health Plan
21 First Street S.W., Suite 401, Rochester, Minn. 55902; 507-266-5108; fax: 507-266-0616
Staff/Facilities
Primary practitioners1,817
Specialists5,426
Hospitals27
Primary care locations80
Users
Employer/payer groups19
Single coverage968
Family coverage747
Employees & dependents4,298
Medicare545
Total4,813
Revenues
First-half 1997$4,079,000
1996$8,459,000Parent: Mayo Foundation.
Operational date: July 1986.
Licensed in: Minnesota.
Model type: IPA.
Not for profit.
Service area: Minnesota: Dakota, Dodge, Faribault, Fillmore, Freeborn, Goodhue, Houston, Martin, Mower, Olmsted, Rice, Steele, Wabasha, Waseca and Winona counties.
Contracts with PCS Health Systems for prescription drug.
Services: General medical.
Rating options: Adjusted community rating.
Offers self-insured products.
Point-of-service contracts: 40% of members are enrolled.
Officers: Dr. Robert Tompkins, chairman; Dr. Robert Heise, vice chairman; Marie Brown, secretary; Mark Matthias, treasurer; Shirley Weis, director.
Contact: Julie Rae Brown, marketing services representative.
Medica Choice
5601 Smetana Drive, Minnetonka, Minn. 55343; 612-992-2900; fax: 612-992-3700
Staff/Facilities
Primary practitioners3,304
Board-certified80%
Specialists4,566
Hospitals148
Pharmacies996
Primary care locations824
Users
Employer/payer groups10,362
Medicare*75,158
Medicaid*79,691
Total*1,038,612
Revenues
First-half 1997$299,305,000
1996$571,422,165Parent: Allina Health System.
Operational date: December 1974.
Licensed in: Minnesota and North Dakota.
NCQA fully accredited.
Model type: IPA.
Not for profit.
Service area: Minnesota: 65 counties; North Dakota: Barnes, Cass, Dickey, Lamoure, Ransom, Richland, Sargent, Stutsman and Trail counties.
Contracts with United Behavioral Health for mental health/chemical dependency and Diversified Pharmaceutical Services for pharmacy in Minnesota and North Dakota.
Services: General medical, dental, vision, prescription drug, mental health, workers compensation. Services available unbundled. May be customized to meet employer specifications.
Rating options: Adjusted community rating.
Offers self-insured products.
Point-of-service contracts: 78% of members are enrolled.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries. Individual enrollment is allowed.
Officers: David R. Strand, president; Stanley W. Hamilton, vp-finance and administration; Dr. John Kleinman, system vp-clinical services; James W. Eppel, Jr., vp-commercial markets; Susan Garrison, vp-network services.
**Total for Medica Choice, Medica Premier and Medica Primary.
Medica Premier
5601 Smetana Drive, Minnetonka, Minn. 55343; 612-992-2900; fax: 612-992-3700
Staff/Facilities
Primary practitioners2,554
Board-certified80%
Specialists4,562
Hospitals148
Pharmacies996
Primary care locations574
Users
Employer/payer groups424
Medicare*75,158
Medicaid*79,691
Total*1,038,612
Revenues
First-half 1997$55,362,000
1996$103,592,281Parent: Allina Health System.
Operational date: June 1993.
Licensed in: Minnesota.
NCQA fully accredited.
Model type: IPA.
Not for profit.
Service area: Minnesota: 65 counties.
Contracts with United Behavioral Health for mental health/chemical dependency and Diversified Pharmaceutical Services for pharmacy in Minnesota.
Services: General medical, dental, vision, prescription drug, mental health, workers compensation. Services available unbundled. May be customized to meet employer specifications.
Adjusted community rating.
Offers self-insured products.
Point-of-service contracts: 15% of members are enrolled.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries. Individual enrollment is allowed.
Officers: David R. Strand, president; Stanley W. Hamilton, vp-finance and administration; Dr. John Kleinman, system vp-clinical services; James W. Eppel Jr., vp-commercial markets; Susan Garrison, vp-network services.
**Total for Medica Choice, Medica Premier and Medica Primary.
Medica Primary
5601 Smetana Drive, Minnetonka, Minn. 55343; 612-992-2900; fax: 612-992-3700
Staff/Facilities
Primary practitioners727
Board-certified80%
Specialists2,437
Hospitals36
Pharmacies996
Primary care locations127
Users
Employer/payer groups716
Medicare*75,158
Medicaid*79,691
Total*1,038,612
Revenues
First-half 1997$25,137,000
1996$62,452,473Parent: Allina Health System.
Operational date: December 1973.
Licensed in: Minnesota.
NCQA fully accredited.
Model type: IPA.
Not for profit.
Service area: Minnesota: Anoka, Carver, Chisago, Dakota, Goodhue, Hennepin, Ramsey, Scott and Washington counties.
Contracts with United Behavioral Health for mental health/chemical dependency and Diversified Pharmaceutical Services for pharmacy in Minnesota.
Services: General medical, dental, vision, prescription drug, mental health, workers compensation. Services available unbundled. May be customized to meet employer specifications.
Community rating by class.
Offers self-insured products.
Point-of-service contracts: 6% of members are enrolled.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries. Individual enrollment is allowed.
Officers: David R. Strand, president; Stanley W. Hamilton, vp-finance and administration; Dr. John Kleinman, system vp-clinical services; James W. Eppel, Jr., vp-commercial markets; Susan Garrison, vp-network services.
**Total for Medica Choice, Medica Premier and Medica Primary.
Medica SelectCare
5601 Smetana Drive, Minnetonka, Minn. 55343; 612-992-2900; fax: 612-992-3700
Staff/Facilities
Primary practitioners2,227
Board-certified80%
Specialists4,943
Hospitals81
Users: Group Health
Employer/payer groups1,850
Employees & dependents173,500
Total Users205,000
Ownership: Allina Health System.
Operational date: February 1983.
Not for profit.
Service area: Minnesota: 61 counties; North Dakota: Barnes, Burleigh, Cass, Grand Forks, LaMoure, Logan, Mountrail, Ransom, Richland, Stutsman, Traill and Ward counties; South Dakota: Lincoln, Minnehaha and Pennington counties; Wisconsin: 22 counties.
Services: General medical, vision, mental health.
Compensation: Negotiates hospital charges by per diem, DRGs, discount from billed charges; is compensated by employers/payers, providers, insurers, TPAs; charges flat fee per employee, by percent of savings.
UR: Standard procedures excluding second surgical opinion. UR provided by the PPO.
Officers: David R. Strand, president; Stanley W. Hamilton, vp-finance/administration; Dr. John Kleinman, system vp-clinical services; James W. Eppel, Jr., vp-commercial markets; Susan Garrison, vp-network services.
Contact: Mary Lee, director-sales, 800-371-1613.
MultiPlan Inc.
115 Fifth Ave., New York, N.Y. 10003; 212-780-2000; fax: 212-843-3517
Staff/Facilities
Primary practitioners*NA
Specialists*NA
Hospitals17
Users: Group Health
Employer/payer groups16
Employees & dependents388,143
Service area: Minnesota: 32 counties.
**Practitioner network not yet established.
See MultiPlan Inc. consolidated listing under New York.
National Ear Care Plan
6825 E. Tennessee Ave., Suite 415, Denver, Colo. 80224-1632; 303-399-1212; fax: 303-399-7719
Specialty: hearing
Staff/Facilities
Primary practitioners22
Service area: Minnesota: 21 cities.
See National Ear Care Plan consolidated listing under Colorado.
National Preferred Provider Network Inc.
419 E. Main St., Middletown, N.Y. 10940; 914-343-1600; fax: 914-343-6113
Staff/Facilities
Primary practitioners126
Specialists303
Hospitals24
Users: Group Health
Employer/payer groups18
Employees & dependents55,752
Total Users55,752
Service area: Minnesota.
See National Preferred Provider Network Inc. consolidated listing under New York.
Preferred Health Network
301 E. Ocean Blvd., Suite 900, Long Beach, Calif. 90802; 562-983-1616; fax: 562-436-4389
Staff/Facilities
Specialists450
Users: Group Health
Employer/payer groups312
Employees & dependents27,419
Total Users27,419
Operational date: March 1996.
Service area: Minnesota: 55 counties.
Services: General medical, vision, mental health.
See Preferred Health Network consolidated listing under California.
PreferredOne
200 S. Sixth St., Suite 300, Minneapolis, Minn. 55402; 612-623-8282; fax: 612-623-0984
Staff/Facilities
Primary practitioners4,500
Board-certified95%
Patients/practitioner147
Specialists4,400
Hospitals150
Users: Group Health
Employer/payer groups12,000
Single coverage43,592
Family coverage217,391
Employees & dependents550,000
Users: Workers Compensation
Employer/payer groups2,300
Single coverage114,000
Total Users664,000
Ownership: Fairview Hospitals/North Memorial Health Care/PreferredOne Physician Associates P.A.
Operational date: January 1984.
Not for profit.
AAHC/URAC accreditation status: Health Utilization Management Standards, Health Network Standards.
Service area: Iowa: 17 counties; Michigan: 8 counties; Minnesota: 79 counties; Montana: 9 counties; North Dakota: 16 counties; Wisconsin: 26 counties. Contracts with American Healthcare Alliance nationwide.
Services: General medical, dental, vision, prescription drug, mental health, workers compensation, chiropractic. May be customized to meet employer specifications. Individual enrollment is allowed.
Compensation: Negotiates hospital charges by per diem, discount off customary rates, DRGs; 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: Marcus Merz, president/CEO; David Olsen, executive vp/COO; Dr. Kenneth Dedeker, vp/medical director; Tina Frontera-Adson, vp-account management; Mike Umland, vp-finance/administration; Phil Griffin, vp-public policy.
Contact: Tina Frontera-Adson, 612-372-3205.
Private Healthcare Systems
9399 W. Higgins Road, Suite 500, Rosemont, Ill. 60018; 847-292-6700; fax: 847-292-6796
Staff/Facilities
Primary practitioners1,141
Board-certified90%
Specialists1,289
Hospitals24
Pharmacies698
Users: Group Health
Employees & dependents19,872
Total Users19,872
Operational date: May 1987.
Service area: Minnesota: cities of Minneapolis and St. Paul.
See Private Healthcare Systems PPO consolidated listing under Massachusetts.
Private Healthcare Systems Inc.
9399 W. Higgins Road, Suite 500, Rosemont, Ill. 60018; 847-292-6700;
fax: 847-292-6736
Staff/Facilities
Primary practitioners668
Board-certified89%
Specialists1,254
Hospitals18
Pharmacies698
Users
Employees & dependents4,355
Total4,355Service Area: Minnesota: cities of Minneapolis and St. Paul.
See Private Healthcare Systems POS consolidated listing under Massachusetts.
ProAmerica Managed Care
1250 E. Copeland Road, Arlington, Texas 76011; 800-523-3669; fax: 817-436-5391
Staff/Facilities
Primary practitioners1,990
Specialists4,737
Hospitals48
Users: Group Health
Employees & dependents11,500
Total Users11,500
Service area: Minnesota: statewide.
See ProAmerica Managed Care consolidated listing under Texas.
ReliaStar
20 Washington Ave. S., Minneapolis, Minn. 55401; 612-372-5432;
fax: 612-342-3532
Service area: Contracts with Ameritas Life Insurance Corp. for dental nationwide; Community Care Network in Arizona, California, Illinois and Wisconsin; Private Healthcare Systems nationwide; Superior Vision for vision nationwide.
Officers: Dan McCormick, vp-management/business development.
Reliastar is a shareholder in the Private Healthcare Systems PPO network.
USA H&W Network
7301 N. 16th St., Suite 201, Phoenix, Ariz. 85020; 602-371-3860; fax: 602-371-3889
Staff/Facilities
Specialists403
Hospitals16
Users: Group Health
Single/family coverage817
Employees & dependents1,879
Total Users1,879
Operational date: January 1991.
Service Area: Minnesota: 60 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 practitioners594
Hospitals3
Users: Workers Compensation
Single coverage8,136
Total Users8,136
Operational date: January 1991.
Service area: Minnesota: 60 counties.
See USA Workers' Injury Network consolidated listing under Texas.
United HealthCare Corp.*
300 Opus Center, 9900 Bren Road E., Minnetonka, Minn. 55343; 612-936-1300
Staff/Facilities
Primary practitioners/specialists**284,000
Hospitals**3,000
Users
Employer/payer groups**106,500
Employees & dependents6,496,523
Medicare286,000
Medicaid483,000
Total7,265,523Service area: Nationwide, excluding Alaska, Connecticut, Delaware, District of Columbia, Hawaii, Idaho, Maine, Montana, Nevada, New Hampshire, New Mexico, North Dakota, Oklahoma, Pennsylvania, South Dakota, Vermont, Virginia, Washington, West Virginia, Wyoming; also provides service in Puerto Rico.
Contracts with HealthNet in Kansas.
Officers: Dr. William W. McGuire, chairman/president/CEO; David Koppe, CFO; Travers H. Wills, CEO-health plans/insurance services; Tom McDonough, CEO-strategic business services; Steve Hemsley, acting CEO-specialized care & knowledge/information services.
**Figures are consolidated, including all HMO/POS plans in this organization.
***Includes all HMO, POS and PPO products.
United HealthCare Corp.*
300 Opus Center, 9900 Bren Road E., Minnetonka, Minn. 55343; 612-936-1300
Staff/Facilities
Primary practitioners/specialists**284,000
Hospitals**3,000
Users
Employer/payer groups**106,500
Employees & dependents3,235,767
Total Users3,235,767
Service area: Nationwide, excluding Alaska, Arkansas, Idaho, Kentucky, Louisiana, Montana, Vermont, Wyoming; also provides service in Puerto Rico.
Contracts with Alliance Regional Health Plans in Texas, CCN/Medical Control Inc. in Texas, Coastal HealthCare Administrators in California, Health Partners of East Texas Inc. in Texas, Medica/Select Care in Minnesota, Medical Card System (MCS) in Puerto Rico, MedNet in Maine, PHP of South Carolina in South Carolina, Queens HealthPlan in Hawaii.
Officers: Dr. William W. McGuire, chairman/president/CEO; David Koppe, CFO; Travers H. Wills, CEO-health plans/insurance services; Tom McDonough, CEO-strategic business services; Steve Hemsley, acting CEO-specialized care & knowledge/information services.
**Figures are consolidated, including all PPO plans in this organization.
***Includes all PPO, HMO and POS products.