1997 DIRECTORY OF MANAGED CARE PROVIDERS

Arkansas
American LIFECARE
650 Poydras St., Suite 1550, New Orleans, La. 70130; 504-561-0600;
fax: 504-522-5503
Staff/Facilities
Primary practitioners895
Specialists1,654
Hospitals43
Users: Group Health
Employees & dependents73,000
Service area: Arkansas: cities of Batesville, Camden, Fayetteville, Fort Smith, Harrison, Hot Springs, Jonesboro, Little Rock, Pine Bluff, Russellville, Texarkana and West Memphis.
UR: Standard procedures.
See American LIFECARE consolidated listing under Louisiana.
AnciCare PPO
3700 Lakeside Drive, Suite 401, Miramar, Fla. 33027-3225; 800-414-4674; 305-826-7482
Specialty: workers compensation/medical diagnostic imaging
Staff/Facilities
Primary practitioners2
Hospitals1
Service area: Arkansas: Pulaski County.
See AnciCare PPO consolidated listing under Florida.
CNA Managed Care-Arkansas
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners1,146
Hospitals12
Service area: Arkansas.
See CNA Managed Care PPO consolidated listing under Illinois.
ChiroSource Inc.
P.O. Box 130, Clayton, Calif. 94517; 510-672-5333; fax: 510-672-6657
Specialty: chiropractic
Staff/Facilities
Primary practitioners1
Service area: Arkansas: statewide.
See ChiroSource Inc. consolidated listing under California.
CIGNA PPO-Northwestern Arkansas
5100 N. Brookline, 9th Floor, Oklahoma City, Okla. 73112; 405-943-7711; 405-946-9568
Staff/Facilities
Primary practitioners110
Board-certified71.8%
Patients/practitioner46
Specialists209
Hospitals6
Users: Group Health
Employer/payer groups47
Total Users5,064
Operational date: August 1995.
Service area: Arkansas: Benton, Carroll, Crawford, Franklin, Madison, Sebastian and Washington counties.
Officers: Cynthia Finter, general manager; Dr. William Vennart, medical director; Sharron Merry, director/manager-operations; Andrew Carter, sales director/manager; Keith Wisdom, planning/analysis-medical economics.
Contact: Andrew Green, 860-726-3586.
See CIGNA HealthCare PPO consolidated listing under Connecticut.
CIGNA PPO-Russellville
6555 Quince Road, Suite 215, Memphis, Tennessee 38119; 901-755-7411; 901-758-5121
Staff/Facilities
Primary practitioners36
Board-certified93.9%
Patients/practitioner46.8
Specialists53
Hospitals2
Users: Group Health
Employer/payer groups70
Total Users1,685
Operational date: November 1992.
Service area: Arkansas: Conway, Johnson, Logan, Pope, Van Buren and Yell counties.
Officers: David Mathis, general manager; Dr. David O. Hollis, medical director; Patrick Hoffman, sales director/market manager; Chuck Utterback, manager-provider relations.
Contact: Michael C. Kelly, 860-726-3794.
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
Primary practitioners881
Board-certified95%
Specialists2,259*
Hospitals48
Service area: Arkansas.
**Includes ancillary providers.
See CorVel Corp. consolidated listing under California.
FOCUS Healthcare Management Inc.
7101 Executive Center Drive, Suite 375, Brentwood, Tenn. 37207; 800-873-0055 or 615-377-9936; fax: 615-661-4042
Specialty: workers compensation
Staff/Facilities
Primary practitioners578
Specialists1,587
Hospitals25
Total Users56,359
Operational date: March 1991.
Service area: Arkansas: 81 counties.
See FOCUS Healthcare Management Inc. consolidated listing under Tennessee.
HealthCare COMPARE Corp.
3200 Highland Ave., Downers Grove, Ill. 60515; 630-241-7900; fax: 630-241-7856
Staff/Facilities
Primary practitioners*647
Specialists1,094
Hospitals**37
Service area: Arkansas: 75 counties.
**Includes some specialists. ***Includes specialty hospitals.
See HealthCare COMPARE Corp./The AFFORDABLE Medical Networks consolidated listing under Illinois.
Healthsource Arkansas Inc.*
333 Executive Court, Little Rock, Ark. 72205; 501-227-3113; fax: 501-227-5643
Staff/Facilities
Primary practitioners496
Board-certified42%
Patients/practitioner61.4
Specialists914
Hospitals34
Pharmacies360
Primary care locations181
Users
Employer/payer groups270
Single coverage6,559
Family coverage18,819
Medicare811
Total34,766
Revenues
First-half 1997$25,386,687
1996$46,559,108Parent: CIGNA HealthCare*.
Operational date: January 1994.
Licensed in: Arkansas.
Model type: IPA.
For profit.
Service area: Arkansas: 34 counties.
Services: General medical, vision, prescription drug.
Rating options: Community rating by class; adjusted community rating.
Point-of-service contracts: 1% of members are enrolled.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries. Individual enrollment is allowed.
**Healthsource Inc. was acquired by CIGNA HealthCare in June 1997.
MultiPlan Inc.
115 Fifth Ave., New York, N.Y. 10003; 212-780-2000; fax: 212-843-3517
Staff/Facilities
Primary practitioners*NA
Specialists*NA
Hospitals28
Users: Group Health
Employer/payer groups7
Employees & dependents225,027
Service area: Arkansas: statewide, excluding Conway, Grant, Lafayette, Lawrence, Lee, Madison, Marion, Monroe, Montgomery, Newton, Perry, Polk, Randolph, St. Francis, Saline, Stone and Van Buren 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 practitioners3
Service area: Arkansas: cities of Fayetteville, Hot Springs and West Memphis.
See National Ear Care Plan consolidated listing under Colorado.
National Preferred Provider Network
419 E. Main St., Middletown, N.Y. 10940; 914-343-1600; fax: 914-343-6113
Staff/Facilities
Primary practitioners1,479
Specialists2,193
Hospitals66
Users: Group Health
Employer/payer groups30
Employees & dependents242,452
Total Users242,452
Service area: Arkansas.
See National Preferred Provider Network Inc. consolidated listing under New York.
Preferred Health Network
301 E. Ocean Blvd., Suite 900, Long Beach, Calif. 90802; 562-983-1616; fax: 562-436-4389
Staff/Facilities
Primary practitioners75
Specialists181
Hospitals189
Users: Group Health
Employer/payer groups326
Employees & dependents28,197
Total Users28,197
Operational date: January 1995.
Service area: Arkansas: Craighead, Crittenden, Lee, Lonoke, Monroe, Phillips, Pulaski, Saint Francis, Sebastian and White counties.
Services: General medical, vision, mental health.
See Preferred Health Network consolidated listing under California.
Private Healthcare Systems
3345 Michelson Ave., Suite 200, Irvine, Calif. 92612; 714-476-9816; fax: 714-476-0650
Staff/Facilities
Primary practitioners459
Board-certified87%
Specialists605
Hospitals9
Pharmacies515
Users: Group Health
Employees & dependents25,539
Total Users25,539
Operational date: May 1987.
Service area: Arkansas: cities of Fayetteville, Little Rock, North Little Rock and Springdale.
See Private Healthcare Systems PPO consolidated listing under Massachusetts.
ProAmerica Managed Care
1250 E. Copeland Road, Arlington, Texas 76011; 800-523-3669; fax: 817-436-5391
Staff/Facilities
Primary practitioners402
Specialists851
Hospitals22
Users: Group Health
Employees & dependents13,782
Total Users13,782
Service area: Arkansas: statewide.
See ProAmerica Managed Care consolidated listing under Texas.
Prudential HealthCare HMO-Arkansas
1701 Centerview Drive, Suite 210, Little Rock, Ark. 72211; 501-227-7776; fax: 501-227-0581
Staff/Facilities
Primary practitioners 185
Board-certified77%
Specialists403
Hospitals4
Pharmacies217
Primary care locations5
Users
Single coverage3,515
Family coverage3,250
Employees & dependents15,245
Total15,245Operational date: June 1993.
Federally qualified.
Licensed in: Arkansas.
NCQA one year accredited.
Model type: IPA.
Service area: Arkansas: Faulkner, Lonoke, Pulaski, Saline and White counties. Services: General medical, mental health, substance abuse.
Point-of-service contracts: 2% of members are enrolled.
Officers: Norine Yukon, executive director; Brian Forbes, marketing director; Debbie Gosnell, provider relations; Dr. Connie Leinbach, medical director; Karla Haley, case management.
Contact: Brian Forbes, 501-227-7776.
See Prudential HealthCare HMO consolidated listing under New Jersey.
Prudential HealthCare POS-Arkansas
1701 Centerview Drive, Suite 210, Little Rock, Ark. 72211; 501-227-7776; fax: 501-227-0581
Staff/Facilities
Primary practitioners274
Board-certified74%
Specialists555
Hospitals7
Pharmacies217
Primary care locations10
Users
Single coverage6,789
Family coverage8,017
Employees & dependents31,748
Total31,748Operational date: October 1987.
Licensed in: Arkansas.
NCQA one year accredited.
Model type: IPA.
Service area: Arkansas: Clark, Cleburne, Conway, Faulkner, Franklin, Grant, Independence, Logan, Lonoke, Nevada, Pulaski, Saline, Sebastian, Scott, Van Buren, Washington and White counties.
Services: General medical, mental health, substance abuse.
Officers: Norine Yukon, executive director; Brian Forbes, marketing director; Debbie Gosnell, provider relations; Dr. Connie Leinbach, medical director; Karla Haley, case management.
Contact: Brian Forbes, 501-227-7776.
See Prudential HealthCare POS consolidated listing under New Jersey.
Prudential HealthCare PPO-Arkansas
1701 Centerview Drive, Suite 210, Little Rock, Ark. 72211; 501-227-7776; fax: 501-227-0581
Staff/Facilities
Primary practitioners336
Board-certified71%
Specialists368
Hospitals1
Pharmacies217
Operational date: January 1991.
Service area: Arkansas: Clark, Cleburne, Conway, Faulkner, Franklin, Grant, Independence, Logan, Lonoke, Nevada, Pulaski, Saline, Sebastian, Scott, Van Buren, Washington and White counties.
Services: General medical, mental health. May be customized to meet employer specifications.
Compensation: Negotiates hospital charges by per diem, discount off customary rates; is compensated by employers/payers; charges flat fee per employee.
UR: Standard procedures, excluding outpatient service predetermination. UR provided by the PPO.
Officers: Norine Yukon, executive director; Brian Forbes, marketing director; Debbie Gosnell, provider relations; Dr. Connie Lienback, medical director.
Contact: Brian Forbes, 501-227-7776.
See Prudential HealthCare PPO consolidated listing under New Jersey.
USA H&W Network
7301 N. 16th St., Suite 201, Phoenix, Ariz. 85020; 602-371-3860; fax: 602-371-3889
Staff/Facilities
Primary practitioners411
Specialists527
Hospitals41
Users: Group Health
Single/family coverage13,745
Employees & dependents31,613
Total Users31,613
Operational date: April 1989.
Service Area: Arkansas: 38 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 practitioners150
Specialists256
Hospitals37
Users: Workers Compensation
Single coverage97,216
Total Users97,216
Operational date: April 1989.
Service area: Arkansas: 38 counties.
See USA Workers' Injury Network consolidated listing under Texas.
United HealthCare
of Arkansas Inc.
415 N. McKinley St., Plaza West Building, Suite 820, Little Rock, Ark. 72205; 501-664-7700; fax: 501-664-7768
Staff/Facilities
Primary practitioners593
Specialists869
Hospitals31
Pharmacies579
Users
Employer/payer groups76
Total Users58,894
Operational date: January 1992.
Licensed in: Arkansas.
Model type: IPA.
Service area: Arkansas: 33 counties.
Services: General medical, prescription drug, mental health/substance abuse.
Rating options: Community rating; adjusted community rating, experience rating.
Offers self-insured products.
Contact: David Johnson, sales manager.
See United HealthCare Corp. HMO consolidated listing under Minnesota.