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1997 DIRECTORY OF MANAGED CARE PROVIDERS

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

Texas
Admar Med Network
1551 N. Tustin Ave., Suite 300, Santa Ana, Calif. 92705; 714-953-9600; fax:
714-953-6309
Staff/Facilities*
Primary practitioners3,259
Specialists10,578
Hospitals156
Users
Employees & dependents552,063
Operational date: September 1987.
Service area: Texas: 105 counties.
**Includes leased providers/facilities.
See Admar Med Network consolidated listing under California.
Alliance Regional Health Plans Inc.
701 Park Place Ave., Suite 201, Amarillo, Texas 79106; 806-372-9090; fax: 806-372-9091
Staff/Facilities
Primary practitioners134
Specialists243
Hospitals13
Users: Group Health
Employer/payer groups18
Employees & dependents63,500
Users: Workers Compensation
Employer/payer groups2
Ownership: Universal Health Services Inc.
Operational date: October 1986.
Not for profit.
Service area: Texas: Childress, Collingsworth, Dallam, Dallas, Deaf Smith, Denton, Gray, Hartley, Hutchinson, Moore, Midland, Parmer, Potter, Randall, Tarrant, Tom Greene and Wheeler counties.
Services: General medical, 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, providers, TPAs; charges flat fee per employee, by percent of savings.
UR: Retrospective review, second surgical opinion. UR provided by outside contractors.
Contact: Mark Hobgood, director-business development.
AMERICAID Texas Inc.
617 Seventh Ave., 2nd floor, Fort Worth, Texas 76104; 817-870-1281;
fax: 817-870-3658
Staff/Facilities
Primary practitioners777
Board-certified21%
Specialists2,416
Hospitals51
Pharmacies210
Primary care locations1,554
Users
Medicaid25,140
Total25,140
Revenues
First-half 1997$19,275,283
1996$7,373,396Operational date: October 1996.
Licensed in: Texas.
Service area: Texas: Brazoria, Denton, Fort Bend, Galveston, Harris, Hood, Johnson, Montgomery, Parker, Tarrante, Waller and Wise.
Officers: James D. Donovan, president/CEO; Dr. Eric Yoder, executive medical director; Theodore M Wille, COO; Kathleen K. Toth.
See Americaid Community Care consolidated listing under Virginia.
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 practitioners31
Hospitals20
Service area: Texas: Bexar, Dallas, El Paso, Harris, Jefferson, McLennan, Smith, Tarrant, Travis and Victoria 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 practitioners5,727
Specialists16,830
Hospitals208
Users: Group Health
Single coverage89,203
Family coverage39,801
Employees & dependents939,745
Users: Workers Compensation
Single coverage61,719
Total Users1,001,464
Operational date: 1987.
Service area: Texas: 180 counties.
See Beech Street Corp. consolidated listing under California.
Brazos Valley Health Network
3115 Pine Ave., Suite 10, Waco, Texas 76708; 254-202-5300; fax: 254-202-5310
Staff/Facilities
Primary practitioners68
Board-certified80%
Patients/practitioner828
Specialists202
Hospitals11
Pharmacies30
Users: Group Health
Employer/payer groups591
Employees & dependents56,300
Users: Workers Compensation
Employer/payer groups3
Total Users*56,300
Operational date: December 1992.
Not for profit.
Service area: Texas: Bell, Bosque, Brazos, Coryell, Falls, Hamilton, Hill, Limestone, McLennan, Milam and Washington counties.
Services: General medical, vision, prescription drug, mental health, workers compensation, EAP, IV therapy, hospice, home, 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 employers/payers, providers, insurers, TPAs; charges flat fee per employee, by percent of savings.
UR: Standard procedures, excluding preadmission review, second surgical opinion, hospital bill audits and outpatient service predetermination. UR provided by the PPO and by outside contractors.
Officers: Dr. Richard L. Jackson, chairman; Larry Jaynes, vice chairman; David Lacy, secretary; Richard Perkins, treasurer; Donald Reeves, executive director.
Contact: Donald K. Reeves.
**Does not include workers comp.
CCN
5251 Viewridge Court, San Diego, Calif. 92123; 800-247-2898; 619-278-1262
Staff/Facilities
Primary practitioners2,977
Specialists7,591
Hospitals152
Service area: Texas: 147 counties.
Services: General medical, mental health, workers compensation, ancillary services.
See CCN consolidated listing under California.
CNA Managed Care-Austin
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Primary practitioners260
Board-certified87%
Specialists654
Hospitals8
Primary care locations13Service area: Texas: Austin.
See CNA Managed Care POS consolidated listing under Illinois.
CNA Managed Care-Austin
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners1,862
Hospitals14
Service area: Texas: Austin.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-Central Texas
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners523
Hospitals9
Service area: Texas: Central Texas.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-Dallas/Fort Worth
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Primary practitioners624
Specialists1,515
Hospitals32
Primary care locations18Service area: Texas: Dallas/Fort Worth.
See CNA Managed Care POS consolidated listing under Illinois.
CNA Managed Care-Dallas/Fort Worth
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners6,048
Hospitals51
Service area: Texas: Dallas/Fort Worth.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-Eastern Texas
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners967
Hospitals15
Service area: Texas: Eastern Texas.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-Houston
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Primary practitioners579
Specialists1,248
Hospitals15
Primary care locations9Service area: Texas: Houston.
See CNA Managed Care POS consolidated listing under Illinois.
CNA Managed Care-Houston
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners5,377
Hospitals45
Service area: Texas: Houston.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-San Antonio
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Primary practitioners109
Specialists45
Hospitals12
Primary care locations2Service area: Texas: San Antonio.
See CNA Managed Care POS consolidated listing under Illinois.
CNA Managed Care-San Antonio
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners1,768
Hospitals18
Service area: Texas: San Antonio.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-South Texas
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners1,234
Hospitals16
Service area: Texas: South Texas.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-Texas Panhandle
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners853
Hospitals22
Service area: Texas: Texas Panhandle.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-West Texas
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners918
Hospitals8
Service area: Texas: West Texas.
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*2,758
Board-certified55.8%
Patients/practitioner66.9
Hospitals186
Service area: Texas: 172 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 practitioners208
Service area: Texas: statewide.
See Chiropractic Health Plan of California PPO consolidated listing under California.