1997 DIRECTORY OF MANAGED CARE PROVIDERS
Posted On: Dec. 28, 1997 12:00 AM CSTSouth Carolina
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 practitioners14
Hospitals6
Service area: South Carolina: Anderson, Beaufort, Charleston, Greenville, Horry and Richland 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 practitioners341
Specialists1,080
Hospitals24
Users: Group Health
Single coverage9,106
Family coverage40,031
Employees & dependents101,178
Users: Workers Compensation
Single coverage5,321
Total Users106,499
Operational date: 1987.
Service area: South Carolina: 37 counties.
See Beech Street Corp. consolidated listing under California.
CCN
5251 Viewridge Court, San Diego, Calif. 92123; 800-247-2898; fax: 619-278-1262
Staff/Facilities
Primary practitioners943
Specialists1,913
Hospitals43
Service area: South Carolina: 39 counties.
Services: General medical, mental health, workers compensation, ancillary services.
See CCN consolidated listing under California.
CNA Managed Care-Charleston
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners568
Hospitals5
Service area: South Carolina: Charleston.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-Columbia
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners645
Hospitals8
Service area: South Carolina: Columbia.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-Greenville
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners734
Hospitals7
Service area: South Carolina: Greenville.
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*356
Board-certified57.5%
Patients/practitioner52.8
Hospitals12
Service area: South Carolina: Anderson, Berkeley, Charleston, Cherokee, Dorchester, Greenville, Laurens, Lexington, Pickens, Richland, Saluda and Spartanburg 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 practitioners4
Service area: South Carolina: statewide.
See ChiroSource Inc. consolidated listing under California.
CIGNA Managed Care Network of Columbia
11121 Carmel Commons, Suite 300A, Charlotte, N.C. 28226; 704-544-4350; fax: 704-544-4375
Staff/Facilities
Primary practitioners138
Board-certified82.5%
Patients/practitioner22.3
Specialists233
Hospitals4
Pharmacies*157
Users
Employer/payer groups135
Total3,091Operational date: January 1994.
Licensed in: South Carolina.
Model type: IPA.
Service area: South Carolina: Chester, Kershaw, Lancaster, Lexington, Richland and York counties.
Point-of-service contracts: 40% of members are enrolled.
Enrollment options: Individual enrollment is allowed.
Officers: John Fetch, assistant vp-network development/provider relations manager; Bob Greczyn, executive director/general manager; Dr. Virginia Hemelt, medical director; Mark Gordon, director/manager-operations; Margie Maxwell, sales director/market manager.
Contact: Tammie Harrell.
**Statewide total.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CIGNA Managed Care Network of Greenville/
Spartanburg
11121 Carmel Commons, Suite 300A, Charlotte, N.C. 28226; 704-544-4350; fax: 704-544-4375
Staff/Facilities
Primary practitioners168
Board-certified84.9%
Patients/practitioner27.5
Specialists317
Hospitals10
Pharmacies*157
Users
Employer/payer groups74
Total4,633Operational date: January 1996.
Licensed in: South Carolina.
Model type: IPA.
Service area: South Carolina: Greenville and Spartanburg counties.
Point-of-service contracts: 62.2% of members are enrolled.
Enrollment options: Individual enrollment is allowed.
Officers: John Fetch, assistant vp-network development/provider relations manager; Bob Greczyn, executive director/general manager; Dr. Virginia Hemelt, medical director; Mark Gordon, director/manager-operations; Margie Maxwell, sales director/market manager.
Contact: Tammie Harrell.
**Statewide total.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CIGNA PPO-Columbia
11121 Carmel Commons, Suite 300A, Charlotte, N.C. 28226; 704-544-4350; fax: 704-544-4375
Staff/Facilities
Primary practitioners318
Board-certified83.6%
Patients/practitioner29.1
Specialists782
Hospitals9
Users: Group Health
Employer/payer groups188
Total Users9,271
Operational date: January 1990.
Service area: South Carolina: Berkeley, Charleston, Darlington, Dorchester, Florence, Kershaw, Lancaster, Lexington, Richland and York counties.
Officers: John Fetch, assistant vp-network development/provider relations manager; Bob Greczyn, executive director/general manager; Mark Gordon, director/manager-operations; Dr. Virginia Hemelt, medical director; Margie Maxwell, sales director/market manager.
Contact: Kathleen Gillanders, 860-726-5784.
See CIGNA HealthCare PPO consolidated listing under Connecticut.
CIGNA PPO-Greenville/
Spartanburg
11121 Carmel Commons, Suite 300A, Charlotte, N.C. 28226; 704-362-1703; fax: 704-544-4375
Staff/Facilities
Primary practitioners205
Board-certified83.7%
Patients/practitioner112.4
Specialists590
Hospitals12
Users: Group Health
Employer/payer groups173
Total Users23,043
Operational date: January 1993.
Service area: South Carolina: Greenville, Pickens and Spartenburg counties.
Officers: John Fetch, assistant vp-network development/manager-provider relations; Bob Greczyn, executive director/general manager; Mark Gordon, director/manager-operations; Dr. Virginia Hemelt, medical director; Margie Maxwell, sales director/market manager.
Contact: Kathleen Gillanders, 860-726-5784.
See CIGNA HealthCare PPO consolidated listing under Connecticut.
Companion HealthCare Corp.
200 Arbor Lake Drive, Suite 200, P.O. Box 6170, Columbia, S.C. 29223; 803-786-8466 ext. 25521; fax: 803-714-6461
Staff/Facilities
Primary practitioners895
Board-certified79%
Patients/practitioner126
Specialists2,200
Hospitals45
Pharmacies735
Users
Employer/payer groups496
Single coverage28,413
Family coverage25,396
Employees & dependents107,858
Medicare4,233
Total112,091
Revenues
First-half 1997$74,820,000
1996$117,203,000Parent: Blue Cross & Blue Shield of South Carolina.
Operational date: September 1984.
Federally qualified.
Licensed in: South Carolina.
NCQA fully accredited.
Model type: IPA.
For profit.
Service area: South Carolina: statewide. Member of The HMO Group, UltraLink, Covantage and HMO Blue USA.
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.
Point-of-service contracts: 25% of members are enrolled.
Non-federally qualified programs.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries. Individual enrollment is allowed.
Officers: Harvey L. Galloway, COO/executive vp; Dr. John Little Jr., medical director; Ann T. Burnett, vp-provider network services; Mary Mazzola, vp-medical management; David Pankau, vp-operations.
Contact: Nancy R. Reid.
CorVel Corp.
1920 Main St., Suite 1090, Irvine, Calif. 92714; 714-851-1473; fax: 714-851-1469
Staff/Facilities
Primary practitioners772
Board-certified95%
Specialists2,977*
Hospitals33
Service area: South Carolina.
**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 practitioners46
Specialists465
Hospitals18
Total Users415,610
Operational date: June 1991.
Service area: South Carolina: 33 counties.
See FOCUS Healthcare Management Inc. consolidated listing under Tennessee.
Guardian Resources Inc.
2739 U.S. Highway 19 N., Suite 350, Holiday, Fla. 34691; 813-938-2222; fax: 813-938-2880
Staff/Facilities
Primary practitioners1,072
Board-certified71%
Specialists3,015
Hospitals46
Pharmacies91
Users: Group Health
Employer/payer groups23
Single coverage2,700
Family coverage1,800
Employees & dependents6,600
Total Users6,600
Service area: South Carolina: statewide.
See Guardian Resources consolidated listing under Florida.
Health Care
Savings Inc.
4530 Park Road, Suite 110, Charlotte, N.C. 28209; 800-833-8464;
fax: 704-527-0677
Staff/Facilities
Primary practitioners857
Patients/practitioner29
Specialists1,256
Hospitals35
Users: Group Health
Employer/payer groups4,898
Employees & dependents58,151
Total Users58,151
Service area: South Carolina: 32 counties.
See Health Care Savings Inc. consolidated listing under North Carolina.
HealthCare COMPARE Corp.
3200 Highland Ave., Downers Grove, Ill. 60515; 630-241-7900; fax: 630-241-7856
Staff/Facilities
Primary practitioners*680
Specialists1,216
Hospitals**19
Service area: South Carolina: 41 counties.
**Includes some specialists. ***Includes specialty hospitals.
See HealthCare COMPARE Corp./The AFFORDABLE Medical Networks consolidated listing under Illinois.
HealthsourceProvident*
Brookfield Plaza, 201 Brookfield Parkway, Greenville, S.C. 29607; 803-987-3100; fax: 803-987-3065
Staff/Facilities
Primary practitioners1,487
Board-certified75%
Specialists2,165
Hospitals65
Pharmacies781
Total Users**314,990
Ownership: CIGNA HealthCare*.
Operational date: 1986.
For profit.
AAHC/URAC accreditation status: Health Utilization Management Standards.
Service area: South Carolina: 46 counties.
Services: General medical, mental health. Services available unbundled. 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 insurers; charges flat fee per employee.
UR: Standard procedures excluding retrospective review and second surgical opinion. UR provided by the PPO.
Officers: James Pesnell, CEO; Dave Kemmerer, Jerry Wheeler, Ron Schenck, Tim Klopfenstein, vps.
Contact: Pam Conway, 423-755-3288.
**Healthsource Inc. was acquired by CIGNA HealthCare in June 1997. ***Includes enrollment for Georgia, North Carolina, South Carolina, Tennessee.
Healthsource South Carolina Inc.*
146 Fairchild St., Charleston, S.C. 29492; 800-962-8811; fax: 803-884-4978
Staff/Facilities
Primary practitioners1,377
Board-certified74%
Patients/practitioner97
Specialists2,132
Hospitals54
Pharmacies750
Primary care locations583
Users
Employer/payer groups1,288
Single coverage37,760
Family coverage38,074
Employees & dependents154,979
Total154,979
Revenues
First-half 1997$97,251,398
1996$191,115,443Parent: CIGNA HealthCare*.
Operational date: April 1987.
Federally qualified.
Licensed in: South Carolina.
NCQA one year accredited.
Model type: IPA.
For profit.
Service area: South Carolina.
Services: General medical, mental health. May be customized to meet employer specifications.
Rating options: Adjusted community rating.
Offers self-insured products.
Point-of-service contracts: 23% of members are enrolled.
Non-federally qualified programs.
Officers: Catherine N. Ferry, general manager; Dr. F. Lewis Gregory, vp-medical management/medical director; Stephen Daniels, CFO-Carolina region; Michael Grubb, vp-provider network management; Dr. Francis G. Middleton, senior vp-provider contracting, CIGNA HealthCare Inc.
Contact: Michael Frenzel, 803-849-4403.
**Healthsource Inc. was acquired by CIGNA HealthCare in June 1997.
HealthStar Inc.
5108 N. I-85 Service Road, Suite 14, Charlotte, N.C. 28206; 704-597-7001; fax: 704-597-1429
Staff/Facilities
Primary practitioners 414
Specialists771
Hospitals40
Users: Group Health
Employees & dependents8,766
Total Users8,766
Operational date: 1991.
Service area: South Carolina: 21 counties.
See HealthStar Inc. consolidated listing under Illinois.