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1997 DIRECTORY OF MANAGED CARE PROVIDERS ( INDIANA)

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

Guardian Resources Inc.
2739 U.S. Highway 19 N., Suite 350, Holiday, Fla. 34691; 813-938-2222; fax: 813-938-2880
Staff/Facilities
Primary practitioners1,118
Board-certified71%
Specialists2,564
Hospitals116
Users: Group Health
Employer/payer groups41
Single coverage2,200
Family coverage1,800
Employees & dependents6,200
Total Users6,200
Service area: Indiana: statewide.
See Guardian Resources consolidated listing under Florida.
HealthCare COMPARE Corp.
3200 Highland Ave., Downers Grove, Ill. 60515; 630-241-7900; fax: 630-241-7856
Staff/Facilities
Primary practitioners*1,072
Specialists2,103
Hospitals**43
Service area: 84 counties.
**Includes some specialists. ***Includes specialty hospitals.
See HealthCare COMPARE Corp./The AFFORDABLE Medical Networks consolidated listing under Illinois.
HealthPoint L.L.C.
8900 Keystone Crossing, Suite 500, Indianapolis, Ind. 46240; 317-574-8181; 317-574-8182
Staff/Facilities
Primary practitioners692
Board-certified70%
Patients/practitioner6
Specialists2,207
Hospitals22
Pharmacies27,521
Primary care locations311
Users
Employer/payer groups11
Single coverage540
Family coverage1,060
Employees & dependents4,025
Total4,025
Revenues
First-half 1997$2,435,190Parent: Cardinal Health Alliance Inc.; Columbus Regional Hospital; Community Hospitals of Indianapolis Inc.; Deaconess Hospital, Parkview Memorial Hospital; Porter Memorial Hospital; Suburban Health Organization Inc.; Union Hospital Inc.
Operational date: October 1996.
Licensed in: Indiana.
Model type: Network.
For profit.
Service area: Indiana: 59 counties, excluding northwestern and southeastern Indiana.
Member of VHA.
Contracts with WHP Health Initiatives Inc. for prescription drug coverage in Indiana.
Services: General medical. May be customized to meet employer specifications.
Rating options: Community rating by class.
Offers self-insured products.
Officers: Bruce A. Jacobs, president/CEO; Ernest E. Humbert, CFO; Dr. Carolyn Cunningham, medical director; Dr. Mark Hochstetler, chairman; Julie Carmichael, vice chairman.
Contact: Denise Smith, 317-574-8155.
Healthsource
Indiana Inc.*
225 S. East St., Suite 240, Indianapolis, Ind. 46202; 317-685-8300;
fax: 317-685-0941
Staff/Facilities
Primary practitioners548
Board-certified60%
Patients/practitioner29
Specialists1,800
Hospitals27
Pharmacies1,065
Primary care locations205
Users
Employer/payer groups286
Single coverage6,523
Family coverage11,988
Employees & dependents45,232
Total48,878
Revenues
1996$80,849,670Parent: CIGNA HealthCare*.
Operational date: January 1989.
Licensed in: Indiana.
Model type: IPA.
Not for profit.
Service area: Indiana: 49 counties.
Contracts with Merit Behavioral Care for mental health in Indiana; Vision Service Plan for vision in Indiana.
Services: General medical, vision, prescription drug, mental health. May be customized to meet employer specifications.
Rating options: Adjusted community rating.
Offers self-insured products.
Point-of-service contracts: 35% of members are enrolled.
Officers: Mary Brandt, general manager; Frank D'Antonio, director-sales/marketing.
**Healthsource Inc. was acquired by CIGNA HealthCare in June 1997.
HealthStar Inc.
8335 Allison Pointe Trail, Indianapolis, Ind. 46250; 317-579-5400; fax: 317-579-5401
Staff/Facilities
Primary practitioners1,964
Specialists3,649
Hospitals72
Users: Group Health
Employees & dependents66,000
Users: Workers Compensation
Single coverage90,000
Total Users156,000
Operational date: April 1992.
Service area: Indiana: statewide.
See HealthStar Inc. consolidated listing under Illinois.
IU Health Plan
3901 W. 86th St., Indianapolis, Ind. 46268; 317-871-8814; fax: 317-871-8833
Staff/Facilities
Primary practitioners100
Board-certified92%
Specialists500
Hospitals5
Pharmacies72
Primary care locations20
Users
Employer/payer groups8
Total22,048Parent: IU Health Inc.
Operational date: August 1996.
Licensed in: Indiana.
Model type: Group.
For profit.
Service area: Indiana: Boone, Hamilton, Hancock, Hendricks, Johnson, Marion, Morgan and Shelby counties.
Services: General medical, vision, prescription drug, mental health. Services available unbundled. May be customized to meet employer specifications.
Rating options: Adjusted community rating.
Offers self-insured products.
Officers: Kim Singleton, president; Joe Solari, vp/chief marketing officer; Celia Surface-Bruder, treasurer; Dr. John Fitzgerald, vp/chief medical officer; Greg Kelleher, vp-information systems.
Contact: Pam Diagostino, 317-871-8803
The M*Plan
8802 N. Meridian St., Suite 100, Indianapolis, Ind. 46260; 317-571-5300; 317-571-5306
Staff/Facilities
Primary practitioners1,200
Board-certified79%
Patients/practitioner116
Specialists2,500
Hospitals35
Pharmacies950
Primary care locations1,000
Users
Employer/payer groups202
Single coverage20,603
Family coverage51,673
Employees & dependents139,241
Medicare4,295
Total143,536
Revenues
First-half 1997$106,422,604
1996$184,315,043Parent: Clarian Health Partners.
Operational date: May 1989.
Licensed in: Indiana.
NCQA one year accredited.
Model type: Network.
For profit.
Service area: Indiana: 69 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.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries. Individual enrollment is allowed.
Officers: Alex Slabosky, president; LeAnn Donovan, vp-network services; Connie Brown, vp-finance; Jeanne Labrecque, vp-government products; Richard Alstadt, vp-marketing; Kathy Boyle, vp-medical management; Kim Wiggins, vp-operations; Rosemarie Byrd, vp-quality/risk management; Dr. Joe Fox, medical director.
Contact: John Forrest, director-new group sales, 317-571-5336.
Michiana Health Net
100 E. Wayne St., Suite 502, South Bend, Ind. 46601; 219-233-9014; fax: 219-232-9003
Staff/Facilities
Primary practitioners138
Board-certified76%
Patients/practitioner164.6
Specialists343
Hospitals9
Pharmacies22
Users: Group Health
Employer/payer groups107
Employees & dependents22,713
Total Users22,713
Ownership: PARTNERS National Health Plans of Indiana Inc.
Operational date: January 1992.
For profit.
Service area: Indiana: Elkhart, La Porte, St. Joseph and Starke counties. Contracts with Comprehensive Behavioral Care for mental health in Indiana.
Services: General medical, vision. Services available unbundled. May be customized to meet employer specifications.
Compensation: Negotiates hospital charges by per diem, discount off customary rates; is compensated by employers/payers, insurers, TPAs; charges flat fee per employee.
UR: Standard procedures excluding hospital bill audits. UR provided by the PPO.
Officers: Bruce Greenberg, president/CEO; Richard C. Born, senior vp-finance/operations; Dr. Ken Anderson, chief medical officer; Simon J. Buckner, chief information officer; Bob Schoenherr, vp-sales/marketing.
Contact: Bob Schoenherr, 219-236-7730.
MultiPlan Inc.
115 Fifth Ave., New York, N.Y. 10003; 212-780-2000; fax: 212-843-3517
Staff/Facilities
Primary practitioners*NA
Specialists*NA
Hospitals57
Users: Group Health
Employer/payer groups44
Employees & dependents558,000
Service area: Indiana: statewide, excluding Blackford, Crawford, Ohio, Owen and St. Joseph 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 practitioners28
Service area: Indiana: cities of Bloomington, Evansville, Fort Wayne, Gary, Greenfield, Hammond, Indianapolis, Jeffersonville, LaPorte, Merrillville, Michigan City, Munster, Portage, South Bend, Speedway and Valparaiso.
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 practitioners 371
Specialists1,075
Hospitals74
Users: Group Health
Employer/payer groups76
Employees & dependents333,125
Total Users333,125
Service area: Indiana.
See National Preferred Provider Network Inc. consolidated listing under New York.