1997 DIRECTORY OF MANAGED CARE PROVIDERS ( TEXAS)
Posted On: Dec. 28, 1997 12:00 AM CSTSouthwest Medical Provider Network
5815 Callaghan, San Antonio, Texas 78228; 210-681-6055; fax: 210-522-9287
Specialty: workers comp
Staff/Facilities
Primary practitioners260
Board-certified65%
Hospitals79
Pharmacies1,200
Users: Workers Compensation
Employer/payer groups58
Single coverage95,500
Total Users95,500
Ownership: Barron Risk Management Services Inc.
Operational date: October 1993.
For profit.
Service area: Texas.
Services: Workers compensation. 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; is compensated by employers/payers, TPAs; charges flat fee per employee, by percent of savings.
UR: Standard procedures. UR provided by the PPO.
Officers: Dr. Miguel A. Vasquez, medical director; Sally A. Lopez, director-operations; Linda Browning, network manager.
USA H&W Network
7301 N. 16th St., Suite 201, Phoenix, Ariz. 85020; 602-371-3860; fax: 602-371-3889
Staff/Facilities
Primary practitioners6,114
Specialists11,426
Hospitals219
Users: Group Health
Single/family coverage701,577
Employees & dependents1,613,627
Total Users1,613,627
Operational date: March 1987.
Service Area: Texas: 158 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 practitioners28,183
Board-certified85%
Specialists86,556
Hospitals1,413
Users: Workers Compensation
Employer/payer groups139
Single coverage4,835,107
Total Users4,835,107
Ownership: USA Managed Care Organization Inc.
Operational date: March 1991.
For profit.
Service area: Nationwide, excluding Alaska, Delaware, Maine, Montana, New York, North Dakota, South Dakota, Vermont, Wisconsin and Wyoming.
Services: Workers compensation. May be customized to meet employer specifications.
Compensation: Negotiates hospital charges by per diem, discount off customary rates, cost/risk sharing; is compensated by employers/payers, insurers, TPAs; charges flat fee per employee, by percent of savings.
UR: Standard procedures. UR provided by the PPO and by outside contractors.
Officers: George Bogle, chairman/CEO; Rob Thurner, president; Laura Dickson, senior executive vp/COO; Don Herron, senior vp/chief marketing officer; Dr. James Gerace, medical director.
Contact: Tameria Whaley, 800-872-0820.
**Figures are consolidated, including all PPO plans in this organization.
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 practitioners3,145
Specialists8,765
Hospitals146
Users: Workers Compensation
Single coverage896,475
Total Users896,475
Operational date: March 1987.
Service area: Texas: 158 counties.
See USA Workers' Injury Network consolidated listing under Texas.
United HealthCare Insurance Co.-Austin
1250 Capital of Texas Highway, South Building 1, Suite 400, Austin, Texas 78746; 512-347-2600; fax: 512-347-2602
Staff/Facilities
Primary practitioners398
Board-certified54%
Specialists1,007
Hospitals14
Users:
Employer/payer groups681
Total Users12,239
Operational date: January 1987.
Service area: Texas: 22 counties.
Services: General medical, prescription drug, mental health/substance abuse.
Contact: Kirby Hutson, vp-sales.
See United HealthCare Corp. PPO consolidated listing under Minnesota.
United HealthCare Insurance Co.Corpus Christi
5 Post Oak Park, Suite 550, Houston, Texas 77027-3414; 713-961-4300;
fax: 713-961-4431
Staff/Facilities
Primary practitioners122
Board-certified62%
Specialists207
Hospitals7
Pharmacies736
Users:
Employer/payer groups201
Total Users7,865
Operational date: January 1992.
Service area: Aransas, Jim Wells, Kleberg, Nueces and San Patricio counties.
Services: General medical, prescription drug, mental health/substance abuse.
Contact: Steve Walli, vp-sales/marketing.
See United HealthCare Corp. PPO consolidated listing under Minnesota.
United HealthCare Insurance Co.-Dallas
4835 LBJ Freeway, Suite 1100, Dallas, Texas 75244-6005; 927-866-6000;
fax: 927-866-6042
Staff/Facilities
Primary practitioners1,343
Board-certified77%
Specialists3,528
Hospitals46
Pharmacies815
Users:
Employer/payer groups3,283
Total Users135,706
Operational date: January 1997.
Service area: Texas: Collin, Cooke, Dallas, Denton, Ellis, Erath, Fannin, Grayson, Hood, Hunt, Johnson, Kaufman, Palo Pinto, Parker, Rockwall, Somervell, Tarrant and Wise counties.
Services: General medical, prescription drug, mental health/substance abuse.
Contact: Marty Foster, vp-sales.
See United HealthCare Corp. PPO consolidated listing under Minnesota.
United HealthCare Insurance Co.Houston
5 Post Oak Park, Suite 550, Houston, Texas 77027-3413; 713-961-4300;
fax: 713-961-4431
Staff/Facilities
Primary practitioners1,388
Board-certified63%
Specialists3,862
Hospitals39
Pharmacies900
Users:
Employer/payer groups2,884
Total Users106,765
Operational date: January 1985.
Service area: Texas: Austin, Brazoria, Brazos, Burleson, Chambers, Fort Bend, Galveston, Grimes, Harris, Liberty, Matagorda, Montgomery, Walker, Waller and Wharton counties.
Services: General medical, prescription drug, mental health/substance abuse.
Contact: Steve Walli, vp-sales/marketing.
See United HealthCare Corp. PPO consolidated listing under Minnesota.
United HealthCare Insurance Co.San Antonio
1250 Capital of Texas Highway, South Building 1, Suite 400, Austin, Texas 78746; 512-347-2600; fax: 512-347-2601
Staff/Facilities
Primary practitioners605
Board-certified64%
Specialists1,987
Hospitals16
Users:
Employer/payer groups536
Total Users11,878
Service area: Texas: 22 counties.
Services: General medical, prescription drug, mental health/substance abuse.
Contact: Kirby Hutson, vp-sales.
See United HealthCare Corp. PPO consolidated listing under Minnesota.
United HealthCare Insurance Co.Victoria
5 Post Oak Park, Suite 550, Houston, Texas 77027-3413; 713-961-4300;
fax: 713-961-4431
Staff/Facilities
Primary practitioners70
Board-certified58%
Specialists97
Hospitals6
Pharmacies730
Users:
Employer/payer groups76
Total Users1,151
Operational date: January 1996.
Service area: Texas: Calhoun, Dewitt, Goliad, Jackson, Lavaca and Victoria counties.
Services: General medical, prescription drug, mental health/substance abuse.
Contact: Steve Walli, vp-sales/marketing.
See United HealthCare Corp. PPO consolidated listing under Minnesota.
United HealthCare Insurance Co.-Waco
1250 Capital of Texas Highway, South Building 1, Suite 400, Austin, Texas 78746; 512-347-2600; fax: 512-347-2601
Staff/Facilities
Primary practitioners34
Board-certified36%
Specialists76
Hospitals1
Pharmacies542
Users:
Employer/payer groups121
Total Users1,586
Service area: Texas: 22 counties.
Services: General medical, prescription drug, mental health/substance abuse.
Contact: Kirby Hutson, vp-sales.
See United HealthCare Corp. PPO consolidated listing under Minnesota.
United HealthCare of Texas Inc.-Austin
1250 Capital of Texas Highway, South Building 1, Suite 400, Austin, Texas 78746; 512-347-2600; fax: 512-347-2601
Staff/Facilities
Primary practitioners923
Board-certified53%
Specialists1,762
Hospitals14
Pharmacies542
Users
Employer/payer groups191
Total Users35,604
Operational date: January 1987.
Federally qualified.
Licensed in: Texas.
Model type: IPA.
Service area: Texas: 22 counties.
Services: General medical, prescription drug, mental health/substance abuse.
Rating options: Adjusted community rating, experience rating.
Contact: Kirby Hutson, vp-sales.
See United HealthCare Corp. HMO consolidated listing under Minnesota.
United HealthCare
of Texas Inc.Corpus Christi
5 Post Oak Park, Suite 550, Houston, Texas 77027-3413; 713-961-4300;
fax: 713-961-4431
Staff/Facilities
Primary practitioners120
Board-certified63%
Specialists185
Hospitals7
Pharmacies736
Users
Employer/payer groups34
Total Users789
Operational date: January 1992.
Federally qualified.
Licensed in: Texas.
Model type: IPA.
Service area: Texas: Aransas, Jim Wells, Kleberg, Nueces and San Patricio counties.
Services: General medical, prescription drug, mental health/substance abuse, workers compensation.
Rating options: Adjusted community rating, experience rating.
Contact: Steve Walli, vp-sales/marketing.
See United HealthCare Corp. HMO consolidated listing under Minnesota.
United HealthCare of Texas Inc.-Dallas
4835 LBJ Freeway, Suite 1100, Dallas, Texas 75244-6005; 972-866-6000; fax: 972-866-6042
Staff/Facilities
Primary practitioners2,450
Board-certified77%
Specialists6,533
Hospitals46
Pharmacies815
Users
Employer/payer groups515
Total Users56,328
Operational date: June 1986.
Licensed in: Texas.
Model type: Mixed.
Service area: Texas: Collin, Cooke, Dallas, Denton, Ellis, Erath, Fannin, Grayson, Hood, Hunt, Johnson, Kaufman, Palo Pinto, Parker, Rockwall, Somervell, Tarrant and Wise counties.
Services: General medical, prescription drug, mental health/substance abuse.
Rating options: Adjusted community rating, experience rating.
Contact: Marty Foster, vp-sales.
See United HealthCare Corp. HMO consolidated listing under Minnesota.
United HealthCare of Texas Inc.-Houston
5 Post Oak Park, Suite 550, Houston, Texas 77027-3413; 713-961-4300; fax: 713-961-4431
Staff/Facilities
Primary practitioners2,726
Board-certified63%
Specialists6,705
Hospitals39
Pharmacies900
Users
Employer/payer groups479
Total Users57,708
Operational date: July 1987.
Federally qualified.
Licensed in: Texas.
Model type: IPA.
Service area: Texas: Brazonria, Brazos, Chambers, Fort Bend, Galveston, Grimes, Harris, Liberty, Matagorda, Montgomery, Waller and Wharton counties.
Services: General medical, prescription drug, mental health/substance abuse.
Rating options: Adjusted community rating, experience rating.
Contact: Steve Walli, vp-sales/marketing.
See United HealthCare Corp. HMO consolidated listing under Minnesota.
United HealthCare
of Texas Inc.San Antonio
1250 Capital of Texas Highway, South Building 1, Suite 400, Austin, Texas 78746; 512-347-2600; fax: 512-347-2601
Staff/Facilities
Primary practitioners621
Board-certified64%
Specialists2,107
Hospitals16
Pharmacies542
Users
Employer/payer groups157
Total Users10,146
Federally qualified.
Licensed in: Texas.
Model type: IPA.
Service area: Texas: 22 counties.
Services: General medical, prescription drug, mental health/substance abuse.
Rating options: Adjusted community rating, experience rating.
Contact: Kirby Hutson, vp-sales.
See United HealthCare Corp. HMO consolidated listing under Minnesota.
United HealthCare of Texas Inc.-Waco
1250 Capital of Texas Highway, South Building 1, Suite 400, Austin, Texas 78746; 512-347-2600; fax: 512-347-2601
Staff/Facilities
Primary practitioners28
Board-certified64%
Specialists74
Hospitals1
Pharmacies542
Users
Employer/payer groups11
Total Users71
Federally qualified.
Licensed in: Texas.
Model type: IPA.
Service area: Texas: 22 counties.
Services: General medical, prescription drug, mental health/substance abuse.
Rating options: Adjusted community rating, experience rating.
Contact: Kirby Hutson, vp-sales.
See United HealthCare Corp. HMO consolidated listing under Minnesota.