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1997 DIRECTORY OF MANAGED CARE PROVIDERS

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

Vermont
Beech Street Corp.
173 Technology, Irvine, Calif. 92618; 800-233-2478 or 714-727-1353;
fax: 714-727-1319
Staff/Facilities
Primary practitioners5
Users: Group Health
Single coverage1,619
Family coverage6,335
Employees & dependents16,189
Total Users16,189
Operational date: 1993.
Service area: Vermont: Chittenden, Rutland and Windham counties.
See Beech Street Corp. consolidated listing under California.
CCN
5251 Viewridge Court, San Diego, Calif. 92123; 800-247-2898; 619-278-1262
Staff/Facilities
Primary practitioners8
Specialists36
Hospitals1
Service area: Vermont: Addison, Bennington, Caledonia, Chittenden, Franklin, Lamoille, Orange, Orleans, Rutland, Washington, Windham and Windsor counties.
Services: General medical, mental health, workers compensation, ancillary services.
See CCN 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
Service area: Vermont: statewide.
See ChiroSource Inc. consolidated listing under California.
CIGNA Managed Care Network of Northern New England
3 Newton Executive Park, 2223 Washington St., Suite 200, Newton, Mass. 02162; 617-630-4300; fax: 617-630-4380
Staff/Facilities
Primary practitioners694
Board-certified79%
Patients/practitioner9.6
Specialists1,693
Hospitals32
Pharmacies171
Users
Employer/payer groups127
Total6,693Operational date: January 1996.
Licensed in: New Hampshire, Vermont.
Model type: IPA.
Service area: New Hampshire: Cheshire, Coos, Grafton, Hillsborough, Merrimack, Rockingham, Strafford and Sullivan counties; New York: Rensselaer and Washington counties; Vermont: Addison, Bennington, Caledonia, Chittenden, Essex, Franklin, Grand Isle, Lamoille, Orange, Orleans, Rutland, Washington, Windham and Windsor counties.
Point-of-service contracts: 64% of members are enrolled.
Enrollment options: Individual enrollment is allowed.
Officers: Brian Wells, general manager; Dr. Imre Toth, medical director; Carla Bettano, provider relations manager; Donna McCabe, quality assurance manager; Yvonne Menzolan, UM health services manager.
Contact: Merry Sampson.
See CIGNA HealthCare PPO consolidated listing under Connecticut.
CIGNA PPO-Northern New England
3 Newton Executive Park, 2223 Washington St., Suite 200, Newton, Mass. 02162; 617-630-4300; fax: 617-630-4380
Staff/Facilities
Primary practitioners756
Board-certified81.3%
Patients/practitioner36.3
Specialists1,344
Hospitals33
Users: Group Health
Employer/payer groups217
Total Users27,485
Operational date: January 1992.
Service area: New Hampshire: Cheshire, Coos, Grafton, Hillsborough, Merrimack, Rockingham, Strafford and Sullivan counties; New York: Rensselaer and Washington counties; Vermont: Addison, Bennington, Caledonia, Chittenden, Essex, Franklin, Grand Isle, Lamoille, Orange, Orleans, Rutland, Washington, Windham and Windsor counties.
Officers: Brian Wells, general manager; Dr. Imre Toth, medical director; Carla Bettano, director-provider relations; Linda Schneider, 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
Specialists5
Service area: Vermont.
**Includes ancillary providers.
See CorVel Corp. consolidated listing under California.
HealthCare COMPARE Corp.
3200 Highland Ave., Downers Grove, Ill. 60515; 630-241-7900; fax: 630-241-7856
Staff/Facilities
Specialists3
Service area: Chittenden, Essex, Franklin, Lamoille, Orange, Orleans, Rutland, Washington, Windham and Windsor counties.
**Includes some specialists. ***Includes specialty hospitals.
See HealthCare COMPARE Corp./The AFFORDABLE Medical Networks consolidated listing under Illinois.
Healthcare Value Management Inc.
100 River Ridge Drive., Suite 101, Norwood, Mass., 02062; 617-762-5511; fax: 617-762-5318
Staff/Facilities
Primary practitioners36
Specialists46
Hospitals7
Service area: Vermont: Bennington, Caledonia, Chittenden, Franklin, Orange, Orleans, Washington, Windham and Windsor counties.
See Healthcare Value Management Inc. consolidated listing under Massachusetts.
MVP Health Plan Inc.
111 Liberty St., Schenectady, N.Y. 12305; 518-370-4793; fax: 518-370-0830
Staff/Facilities
Primary practitioners227
Board-certified77%
Patients/practitioner49
Specialists477
Hospitals4
Pharmacies112
Users
Employer/payer groups700
Single coverage1,674
Family coverage2,330
Employees & dependents9,240
Total9,240Operational date: March 1993.
Licensed in: Vermont.
Service area: Vermont: statewide.
Rating options: Community rating: $127.34 single, $311.08 family; community rating by class; adjusted community rating.
See MVP Health Plan Inc. consolidated listing under New York.
MultiPlan Inc.
115 Fifth Ave., New York, N.Y. 10003; 212-780-2000; fax: 212-843-3517
Staff/Facilities
Primary practitioners*NA
Specialists*NA
Hospitals1
Users: Group Health
Employees & dependents49,093
Service area: Vermont: Addison, Bennington, Caledonia, Chittenden, Franklin, Lamoille, Orleans, Rutland, Washington, Windham and Windsor 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 practitioners1
Service area: Vermont: cities of Bennington, Burlington, Manchester Center and Rutland.
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 practitioners3
Specialists16
Hospitals1
Users: Group Health
Employer/payer groups10
Employees & dependents1,613
Total Users1,613
Service area: Vermont.
See National Preferred Provider Network Inc. consolidated listing under New York.