1997 DIRECTORY OF MANAGED CARE PROVIDERS (PART 1/2)

Nevada
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 practitioners1
Hospitals1
Service area: Nevada: Washoe County.
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 practitioners187
Specialists713
Hospitals7
Users: Group Health
Single coverage7,722
Family coverage33,947
Employees & dependents85,799
Users: Workers Compensation
Single coverage23,410
Total Users109,210
Operational date: 1986.
Service area: Nevada: Carson City, Churchill, Clark, Douglas, Elko, Humbolt, Lincoln, Lyon, Nye, Washoe and White Pine counties.
See Beech Street Corp. consolidated listing under California.
CNA Managed Care-Nevada
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners1,662
Hospitals6
Service area: Nevada.
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*300
Board-certified48.3%
Patients/practitioner8.3
Hospitals6
Service area: Nevada: Churchill, Clark, Esmeralda, Lyon and Washoe counties.
**Includes specialists.
See CAPP CARE Inc. consolidated listing under 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 practitioners42
Service area: Nevada: statewide.
See Chiropractic Health Plan of California PPO consolidated listing under California.
Choice Plus
700 E. Warm Springs Road, Las Vegas, Nev. 89119-4323; 702-269-7500
Staff/Facilities
Primary practitioners283
Board-certified64%
Specialists804
Hospitals11
Pharmacies187
Users: Group Health
Employer/payer groups12
Total Users350
Ownership: Pacificare Life Assurance Co.
Operational date: June 1992.
For profit.
Service area: Arizona: cities of Bullhead City, Kingman, Lake Havasu City and Mohave Valley; California: cities of Lake Tahoe and Needles; Nevada: 40 cities.
Services: General medical, dental, prescription drug, mental health. Services available unbundled.
Compensation: Negotiates hospital charges by per diem; is compensated by employers/payers, insurers, TPAs; charges flat fee per employee.
UR: Standard procedures excluding outpatient service predetermination. UR provided by outside contractors.
Officers: Dave Kinard, regional president; Nancy Lewandowski, CFO; Rick Beavin, vp-provider services; Mike Gallagher, vp-sales/marketing; Kayla Callas, director-public affairs.
Contact: Geri Martin, marketing manager, 702-269-2661.
CorVel Corp.
1920 Main St., Suite 1090, Irvine, Calif. 92714; 714-851-1473; fax: 714-851-1469
Staff/Facilities
Primary practitioners329
Board-certified90%
Specialists1,377*
Hospitals12
Service area: Nevada.
**Includes ancillary providers.
See CorVel Corp. consolidated listing under California.
Exclusive Healthcare Inc.-Northern Nevada
294 E. Moana Lane, Suite B25, Reno, Nev. 89502; 702-829-2112; fax: 702-829-2995
Staff/Facilities
Primary practitioners47
Board-certified93%
Patients/practitioner44
Specialists327
Hospitals3
Pharmacies93
Primary care locations28
Users
Employer/payer groups9
Employees & dependents2,077
Total2,077
Revenues
1996$4,273,640Parent: Mutual of Omaha Health Plans Inc.
Operational date: March 1994.
Licensed in: Nevada.
Model type: Group/IPA.
For profit.
Service area: Nevada: Carson City, Douglas and Storey counties; parts of Lyon and Washoe counties.
Contracts with Vision Services Plan for vision and Diversified Pharmaceutical Services for prescription drugs in Carson City, Douglas, Lyon, Storey and Washoe counties.
Services: General medical, vision, prescription drug, 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: 79% of members are enrolled.
Officers: Greta Vaught, regional vp; Ann Vuletich, executive director; Dr. Thomas Quam, medical director; Dick Pugh, director-marketing; Michael Jareske, vp/financial director.
Contact: Sally Neitz, manager-sales.
Exclusive Healthcare Inc.-Southern Nevada
770 E. Warm Springs Road, Suite 340, Las Vegas, Nev. 89119; 702-260-0777; fax: 702-260-0059
Staff/Facilities
Primary practitioners128
Board-certified59%
Patients/practitioner201
Specialists597
Hospitals7
Pharmacies114
Primary care locations137
Users
Employer/payer groups83
Employees & dependents25,670
Total25,670
Revenues
1996$21,743,211Parent: Mutual of Omaha Health Plans Inc.
Operational date: March 1995.
Licensed in: Nevada.
Model type: Group/IPA.
For profit.
Service area: Nevada: Clark County.
Contracts with Lenscrafters for vision and Diversified Pharmaceutical Services for prescription drugs in Clark County.
Services: General medical, vision, prescription drug, mental health, workers compensation. Services available unbundled. May be customized to meet employer specifications.
Rating options: Community rating by class; adjusted community rating.
Point-of-service contracts: 76% of members are enrolled.
Officers: Ann Vuletich, executive director; Dr. Thomas Quam, medical director; Greta Vaught, regional vp; Michael Jareske, vp-finance; Dick Pugh, director-marketing.
Contact: Sally Neitz, manager-sales.
Health Plan of Nevada Inc.
P.O. Box 15645, Las Vegas, Nev. 89114-5645; 702-242-7300; fax 702-240-4824
Staff/Facilities
Primary practitioners395
Board-certified56%
Patients/practitioner361
Specialists1,099
Hospitals18
Pharmacies151
Users
Employer/payer groups859
Single coverage32,614
Family coverage28,337
Employees & dependents120,098
Medicare30,124
Medicaid499
Total150,721
Revenues
First-half 1997$175,900,320
1996$311,604,534Parent: Sierra Health Services Inc.
Operational date: August 1982.
Federally qualified.
Licensed in: Arizona and Nevada.
NCQA one year accredited.
Model type: Group/IPA/Network.
For profit.
Service area: Arizona: Mohave County; Nevada: Clark, Lyon, Mineral, Nye and Washoe counties.
Services: General medical, dental, vision, mental health, chiropractic.
Rating options: Community rating by class.
Point-of-service contracts: 29% of members are enrolled.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries. Individual enrollment is allowed.
Officers: Jonathon W. Bunker, president; Dr. Sameer Abu-Samrah, vp/regional medical director; Barbara Christiansen, assistant vp-network development and contracts; Dave Marlon, vp-operations; Bonnie Hillegass, vp-managed care.
Contact: Connie Bogart, 702-821-2256.
HealthCare COMPARE Corp.
3200 Highland Ave., Downers Grove, Ill. 60515; 630-241-7900; fax: 630-241-7856
Staff/Facilities
Primary practitioners*583
Specialists901
Hospitals**9
Service area: Nevada: Churchill, Clark, Douglas, Elko, Eureka, Humboldt, Lander, Lincoln, Lyon, Mineral, Nye, Pershing and Washoe counties and Carson City.
**Includes some specialists. ***Includes specialty hospitals.
See HealthCare COMPARE Corp./The AFFORDABLE Medical Networks consolidated listing under Illinois.
HealthStar Inc.
1951 W. Camelback Road, Suite 305, Phoenix, Ariz. 85015; 602-433-7235; fax: 602-433-7251
Staff/Facilities
Primary practitioners16
Specialists30
Hospitals2
Operational date: March 1997.
Service area: Nevada: Clark and Washoe counties.
See HealthStar Inc. consolidated listing under Illinois.
InterMed
1600 W. Broadway Road, Suite 385, Tempe, Ariz. 85282; 602-921-8944;
fax: 602-894-5230
Staff/Facilities
Primary practitioners525
Board-certified84%
Specialists1,440
Hospitals12
Users: Group Health
Employer/payer groups157
Single coverage20,000
Family coverage12,000
Employees & dependents52,000
Users: Workers Compensation
Employer/payer groups1
Single coverage1,000
Total Users53,000
Service area: Nevada.
See Health Management Network consolidated listing under Arizona.
Interplan Corp.
2575 Grand Canal Blvd., Suite 200, Stockton, Calif. 95207; 209-473-0811; fax: 209-473-0863
Staff/Facilities
Primary practitioners217
Patients/practitioner61
Specialists549
Hospitals8
Users: Group Health
Employer/payer groups12
Single/family coverage6,500
Employees & dependents13,200
Total Users13,200
Service Area: Nevada: Clark and Washoe counties.
See Interplan Corp. consolidated listing under California.