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1997 DIRECTORY OF MANAGED CARE PROVIDERS

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

Kansas
Admar Med Network
1551 N. Tustin Ave., Suite 300, Santa Ana, Calif. 92705; 714-953-9600; fax: 714-953-6309
Staff/Facilities
Primary practitioners133
Specialists231
Hospitals5
Users
Employees & dependents359,462
Operational date: October 1985.
Service area: Kansas: 22 counties.
See Admar Med Network consolidated listing under California.
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 practitioners3
Hospitals2
Service area: Kansas: Johnson and Sedgwick 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 practitioners551
Specialists1,387
Hospitals20
Users: Group Health
Single coverage10,490
Family coverage46,116
Employees & dependents116,558
Users: Workers Compensation
Single coverage1,064
Total Users117,622
Operational date: 1987.
Service area: Kansas: 39 counties.
See Beech Street Corp. consolidated listing under California.
Blue Cross & Blue Shield of Kansas
1133 S.W. Topeka Blvd., Topeka, Kan. 66629-0001; 785-291-7000;
fax: 785-291-6283
Staff/Facilities
Primary practitioners930
Specialists3,492
Hospitals69
Pharmacies455
Users
Employer/payer groups910
Single coverage33,023
Family coverage33,805
Employees & dependents146,358
Revenues
First-half 1997$28,999,289
1996$59,743,417Operational date: January 1988.
Licensed in: Kansas.
Not for profit.
Service area: Kansas: 96 counties.
Contracts with Alliance of Joplin in Missouri; Preferred Care of Kansas City in Kansas.
Services: General medical, dental, vision, prescription drug, mental health. Services available unbundled. May be customized to meet employer specifications.
Rating options: Community rating by class; adjusted community rating.
Offers self-insured products.
Officers: John Knack, president/CEO; Dr. Scott Weber, vp-medical affairs; David Manley, vp-subscriber services; Mike Mattox, vp-marketing/provider relations; William Pitsenberger, vp/general counsel.
Blue Cross & Blue Shield of Kansas
1133 S.W. Topeka Blvd., Topeka, Kan. 66629-0001; 785-291-7000; fax: 785-291-6283
Staff/Facilities
Primary practitioners1,655
Specialists3,492
Hospitals121
Pharmacies455
Users: Group Health
Employer/payer groups5,837
Single coverage80,207
Family coverage84,497
Employees & dependents367,465
Operational date: January 1988.
Not for profit.
AAHC/URAC accreditation status: Health Utilization Management Standards.
Service area: Kansas: 103 counties.
Contracts with Alliance in Missouri; Preferred Care in Kansas.
Services: General medical. Individual enrollment is allowed.
Compensation: Negotiates hospital charges by DRGs; is compensated by employers/payers.
UR: Standard procedures excluding length of stay determination, outpatient service predetermination. UR provided by the PPO.
Officers: John Knack, president/CEO; Dr. Scott Weber, vp-medical affairs; David Manley, vp-subscriber services; Mike Mattox, vp-marketing/provider relations; William Pitsenberger, vp/general counsel.
CCN
5251 Viewridge Court, San Diego, Calif. 92123; 800-247-2898; 619-278-1262
Staff/Facilities
Primary practitioners206
Board-certified81.1%
Patients/practitioner7.4
Specialists841
Hospitals9
Users: Group Health
Employer/payer groups85
Employees & dependents5,878
Users: Workers Compensation
Employer/payer groups41
Total Users*5,878
Service area: Kansas: 38 counties.
Services: General medical, mental health, workers compensation, ancillary services.
**Does not include workers compensation users.
See CCN consolidated listing under California.
CCN Elect
5251 Viewridge Court, San Diego, Calif. 92123; 800-247-2898; fax: 619-278-1262
Staff/Facilities
Primary practitioners24
Board-certified87.5%
Patients/practitioner*2.7
Specialists209
Users*
Employer/payer groups4
Employees & dependents1,025
Total1,025
Revenues*
First-half 1997$3,699
1996$2,207Operational date: July 1994.
Service area: Kansas: Anderson, Atchison, Cherokee, Crawford, Douglas, Johnson, Labette, Leavenworth, Miami, Sedgwick, Shawnee and Wyandotte counties; Missouri: city of Kansas City.
**Kansas/Missouri regional figure.
See CCN Elect consolidated listing under California.
CNA Managed Care-Kansas City
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Primary practitioners364
Specialists740
Hospitals12
Primary care locations36Service area: Kansas: Kansas City; Missouri: Kansas City.
See CNA Managed Care POS consolidated listing under Illinois.
CNA Managed Care-Kansas
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners995
Hospitals11
Service area: Kansas.
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*270
Board-certified72.9%
Patients/practitioner13
Hospitals8
Service area: Kansas: Atchison, Butler, Douglas, Johnson, Norton, Sedgwick, Shawnee, Stevens, Sumner and Wyandotte 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 practitioners6
Service area: Kansas: statewide.
See ChiroSource Inc. consolidated listing under California.
CIGNA Managed Care Network of Wichita
5100 N. Brookline, Ninth Floor, Oklahoma City, Okla. 73112; 405-943-7711; fax: 405-946-9568
Staff/Facilities
Primary practitioners322
Board-certified82%
Patients/practitioner32.1
Specialists368
Hospitals12
Pharmacies197
Users
Employer/payer groups109
Total10,351Operational date: January 1996.
Licensed in: Kansas.
Model type: IPA.
Service area: Kansas: Butler, Cowley, Dickinson, Harper, Harvey, Kingman, Lincoln, Marion, McPherson, Ottawa, Reno, Saline, Sedgwick and Sumner counties.
Point-of-service contracts: 41.5% of members are enrolled.
Enrollment options: Individual enroll ment is allowed.
Officers: Cynthia Finter, general manager; Dr. William Vennart, medical director; Sharron Merry, director/manager-operations; Helen Rangel, quality assurance manager; Rick Wilson, UM health services manager.
Contact: Kristi Hatfield.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CIGNA PPO-Kansas
5100 N. Brookline, Ninth Floor, Oklahoma City, Okla. 73112; 405-943-7711; fax: 405-946-9568
Staff/Facilities
Primary practitioners381
Board-certified82%
Patients/practitioner8.4
Specialists705
Hospitals13
Users: Group Health
Employer/payer groups65
Total Users3,214
Operational date: January 1996.
Service area: Kansas: 56 counties.
Officers: Cynthia Finter, general manager; Dr. William Vennart, medical director; Sharron Merry, director/manager-operations; Andrew Carter, sales director/manager; Keith Wisdom, planning/analysis-medical economics.
Contact: Andrew Green, 860-726-3586.
See CIGNA HealthCare PPO consolidated listing under Connecticut.
CorVel Corp.
1920 Main St., Suite 1090, Irvine, Calif. 92714; 714-851-1473; fax: 714-851-1469
Staff/Facilities
Primary practitioners1,026
Board-certified98%
Specialists3,509*
Hospitals43
Service area: Kansas.
**Includes ancillary providers.
See CorVel Corp. consolidated listing under California.
Exclusive Healthcare Inc.
11301 Nall Ave., Leawood, Kan. 66211; 913-451-1777; fax: 913-451-7742
Staff/Facilities
Primary practitioners417
Board-certified89%
Patients/practitioner17
Specialists772
Hospitals23
Pharmacies484
Users
Employer/payer groups66
Employees & dependents7,019
Revenues
First-half 1997$4,438,118
1996$9,218,100Parent: Mutual of Omaha Health Plans Inc.
Operational date: August 1991.
Licensed in: Kansas, Missouri.
Model type: IPA/Direct.
For profit.
Service area: Kansas: Douglas, Johnson, Leavenworth, Miami and Wyandotte counties; Missouri: Caldwell, Cass, Clay, Clinton, Davies, Harrison, Jackson, Lafayette, Livingston, Platte and Ray counties.
Contracts with Vision Services Plan for vision and Diversified Pharmacy Services for prescription drugs in Kansas and Missouri.
Services: General medical, mental health.
Services available unbundled. May be customized to meet employer specifications.
Rating options: Community rating by class; adjusted community rating.
Point-of-service contracts: 12% of members are enrolled.
Officers: Kim Daniels, executive director; Dr. James Coughlin, medical director; Dr. Carl Strauss, quality assurance; Tim Corrigan, vp-marketing; Steve Hoffman, regional manager-sales.
Contact: Denise Childers or Kim Daniels.
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 practitioners253
Specialists1,391
Hospitals14
Total Users450,872
Operational date: October 1989.
Service area: Kansas: 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*806
Specialists1,135
Hospitals**29
Service area: 79 counties.
**Includes some specialists. ***Includes specialty hospitals.
See HealthCare COMPARE Corp./The AFFORDABLE Medical Networks consolidated listing under Illinois.
Kaiser Foundation Health Plan of Kansas City Inc.
10561 Barkely, Suite 200, Overland Park, Kan. 66212; 913-967-4600; fax: 913-967-4747
Staff/Facilities
Primary practitioners40
Board-certified95%
Patients/practitioner1,629
Specialists231
Hospitals9
Pharmacies6
Primary care locations8
Users
Employer/payer groups750
Single coverage14,063
Family coverage14,679
Employees & dependents60,539
Medicare3,286
Total63,825
Revenues
First-half 1997$46,531,000
1996$71,903,000Operational date: January 1983.
Federally qualified.
Licensed in: Kansas, Missouri.
NCQA fully accredited.
Model type: Group.
Service area: Kansas: Johnson, Leavenworth and Wyandotte counties; Missouri: Cass, Clay, Jackson and Platte counties.
Services: General medical, vision, prescription drug, mental health, durable medical equipment, hospitalization, lab, x-ray, preventive medicine, health education, substance abuse. Services available unbundled. May be customized to meet employer specifications.
Rating options: Community rating by class; adjusted community rating.
Offers self-insured products.
Point-of-service contracts: 1% of members are enrolled.
Officers: Kathryn A. Paul, president; E. Duane Eason, executive director; Dr. Donald McGuirk, medical director; Dr. John Listerman, associate medical director; John Heny, director-sales.
See Kaiser Permanente consolidated listing under California.
Kaiser Permanente's PPO
10561 Barkley, Suite 200, Overland Park, Kan. 66212; 913-967-4648; fax: 913-967-4747
Service area: Contracts with Preferred Health Professionals in Kansas and Missouri.
Officers: Kathyrn A. Paul, president; E. Duane Eason, executive director; Dr. Donald McGuirk, medical director; Dr. John Listerman, associate medical director; John Heny, director-sales.
Contact: Diane Punch.