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1997 DIRECTORY OF MANAGED CARE PROVIDERS

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

Missouri
Admar Med Network
1551 N. Tustin Ave., Suite 300, Santa Ana, Calif. 92705; 714-953-9600; fax: 714-953-6309
Staff/Facilities
Primary practitioners1,004
Specialists2,164
Hospitals33
Users
Employees & dependents127,982
Operational date: July 1988.
Service area: Missouri: 41 counties.
See Admar Med Network consolidated listing under California.
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 practitioners6
Hospitals4
Service area: Missouri: Camden, Franklin, St. Louis and Taney 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 practitioners823
Specialists2,536
Hospitals48
Users: Group Health
Single coverage17,702
Family coverage77,821
Employees & dependents196,691
Users: Workers Compensation
Single coverage6,385
Total Users203,076
Operational date: 1987.
Service area: Missouri: 75 counties.
See Beech Street Corp. consolidated listing under California.
Blue Advantage
2301 Main, Kansas City, Mo. 64141; 816-395-2222
Staff/Facilities
Primary practitioners232
Board-certified87%
Patients/practitioner5
Specialists1,361
Hospitals21
Users
Medicaid22,741
Total93,102Parent: Blue Cross & Blue Shield of Kansas City.
Operational date: November 1991.
Licensed in: Kansas, Missouri.
NCQA fully accredited.
Model type: IPA/Staff.
For profit.
Service area: Kansas: Johnson and Wyandotte counties. Missouri: Buchanan, Clay, Cass, Jackson and Platte counties.
Member of HMO Blue USA.
Services: General medical, prescription drug. May be customized to meet employer specifications.
Rating options: Community rating by class; adjusted community rating.
Offers self-insured products.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries.
Officers: Jake Mascotte, president/CEO; Tom Bowser, executive vp/COO; Larry Chastain, president/TriSource HealthCare Inc.; Dr. Larry Levy senior vp-health care management/chief medical officer; Dr. Joseph Goldberg, vp/medical director-TriSource.
Contact: 816-360-1000 for employer groups.
CCN
5251 Viewridge Court, San Diego, Calif. 92123; 800-247-2898; 619-278-1262
Staff/Facilities
Primary practitioners1,089
Board-certified70.4%
Patients/practitioner8.9
Specialists3,537
Hospitals37
Users: Group Health
Employer/payer groups94
Employees & dependents9,348
Users: Workers Compensation
Employer/payer groups38
Total Users*9,348
Service area: Missouri: 76 counties.
Services: General medical, mental health, workers compensation, ancillary services.
**Does not include workers compensation users.
See CCN consolidated listing under California.
CCN Elect
5251 Viewridge Court, San Diego, Calif. 92123; 800-247-2898; fax: 619-278-1262
Staff/Facilities
Primary practitioners355
Board-certified74.4%
Patients/practitioner*2.7
Specialists1,168
Hospitals12
Users*
Employer/payer groups4
Employees & dependents1,025
Total1,025
Revenues*
First-half 1997$3,699
1996$2,207Operational date: July 1994.
Service area: Missouri: 29 counties.
**Kansas/Missouri regional figure.
See CCN Elect consolidated listing under California.
CNA Managed Care-Central Missouri
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners385
Hospitals8
Service area: Missouri: Central Missouri.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-Kansas City
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners2,598
Hospitals19
Service area: Missouri: Kansas City.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-Northern Missouri
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners94
Hospitals4
Service area: Missouri: Northern Missouri.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-Southwestern Missouri
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners629
Hospitals12
Service area: Missouri: Southwestern Missouri.
See CNA Managed Care PPO consolidated listing under Illinois.
CNA Managed Care-St. Louis
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners3,733
Hospitals32
Service area: Missouri: St. Louis.
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*536
Board-certified66.1%
Patients/practitioner36.3
Hospitals33
Service area: Missouri: 27 counties.
**Includes specialists.
See CAPP CARE Inc. consolidated listing under California.
ChiroSource Inc.
P.O. Box 130, Clayton, Calif. 94517; 510-672-5333; fax: 510-672-6657
Specialty: chiropractic
Staff/Facilities
Primary practitioners18
Service area: Missouri: statewide.
See ChiroSource Inc. consolidated listing under California.
CIGNA HealthCare of Kansas/Missouri
7400 W. 110th St., Suite 600, Overland Park, Kan. 66210; 913-339-4700; fax: 913-451-0794
Staff/Facilities
Primary practitioners481
Board-certified81.3%
Patients/practitioner157.3
Specialists1,075
Hospitals22
Pharmacies462
Users
Employer/payer groups416
Total75,670Operational date: June 1986.
Licensed in: Kansas, Missouri.
NCQA one year accredited.
Model type: IPA.
Service area: Kansas: Anderson, Atchison, Coffey, Douglas, Franklin, Jackson, Jefferson, Johnson, Leavenworth, Linn, Lyon, Miami, Osage, Shawnee, Wabaunsee and Wyandotte counties; Missouri: Andrew, Barry, Buchanan, Cass, Christian, Clay, Clinton, De Kalb, Greene, Jackson, Jasper, Lafayette, Lawrence, Newton, Platte, Ray, Taney and Webster counties.
Point-of-service contracts: 59.6% of members are enrolled.
Enrollment options: Individual enrollment is allowed.
Officers: Cynthia Finter, executive director/general manager; Donna McClellan, director/manager-operations; Dr. William Vennart, medical director; Carol Adams, provider relations manager; Cindy Lane, UM health services manager.
Contact: Jennifer Masters.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CIGNA HealthCare of St. Louis Inc.
8182 Maryland Ave., Suite 900, St. Louis, Mo. 63105; 314-726-7860; fax: 314-726-7764
Staff/Facilities
Primary practitioners649
Board-certified81.5%
Patients/practitioner89
Specialists2,227
Hospitals25
Pharmacies558
Users
Employer/payer groups368
Total57,821Operational date: January 1986.
Federally qualified.
Licensed in: Missouri.
NCQA fully accredited.
Model type: IPA.
Service area: Illinois: Madison, Monroe and St. Clair counties; Missouri: Franklin, Jefferson, St. Charles, St. Francois and St. Louis counties.
Point-of-service contracts: 65.9% of members are enrolled.
Non-federally qualified programs.
Enrollment options: Individual enrollment is allowed.
Officers: James A Young, general manager; Dr. Emil Miskovsky, medical director; Patricia Maher, provider relations manager; Drew Santee, sales director/manager; Kay Koronis, UM health services manager.
Contact: Joyce Murray.
See CIGNA HealthCare HMO/POS consolidated listing under Connecticut.
CIGNA PPO-Columbia
8182 Maryland Ave., Suite 900, St. Louis, Mo. 63105; 314-726-7860; fax: 314-726-7764
Staff/Facilities
Primary practitioners63
Board-certified81%
Patients/practitioner56
Specialists226
Hospitals7
Users: Group Health
Employer/payer groups100
Total Users3,533
Operational date: January 1989.
Service area: Missouri: Audrain, Boone, Callaway, Cole, Cooper, Howard and Moniteau counties.
Officers: James Young, general manager; Dr. Emil Miskovsky, medical director; Andrew Santee, sales director/market manager; Patricia Maher, provider relations manager; Bradley Beldner, planning/analysis-medical economics.
Contact: Michael C. Kelly, 860-726-3794.
See CIGNA HealthCare PPO consolidated listing under Connecticut.
CIGNA PPO-Kansas/Missouri
7400 W. 110th St., Suite 600, Overland Park, Kan. 66210; 913-339-4700; fax: 913-451-0974
Staff/Facilities
Primary practitioners708
Board-certified82.8%
Patients/practitioner40.7
Specialists1,640
Hospitals45
Users: Group Health
Employer/payer groups361
Total Users28,872
Operational date: January 1988.
Service area: Kansas: Anderson, Atchison, Coffey, Douglas, Franklin, Jackson, Jefferson, Johnson, Leavenworth, Linn, Lyon, Miami, Osage, Shawnee, Wabaunsee and Wyandotte counties; Missouri: Andrew, Buchanan, Cass, Clay, Clinton, De Kalb, Gentry, Jackson, Johnson, Lafayette, Platte and Ray counties.
Officers: Cynthia Finter, executive director/general manager; Dr. William Vennart, medical director; Donna McClellan, director/manager-operations; Andrew Carter, sales director/manager; Carol Adams, provider relations manager/credentialing supervisor.
Contact: Kathleen Gillanders, 860-726-5784.
See CIGNA HealthCare PPO consolidated listing under Connecticut.
CIGNA PPO-St. Louis
8182 Maryland Ave., Suite 900, St. Louis, Mo. 63105; 314-726-7700; fax: 314-726-7819
Staff/Facilities
Primary practitioners889
Board-certified80.9%
Patients/practitioner28.4
Specialists2,320
Hospitals29
Users: Group Health
Employer/payer groups329
Total Users25,278
Operational date: September 1987.
Service area: Illinois: Madison, Monroe, Randolph and St. Clair counties; Missouri: Franklin, Jefferson, St. Charles, St. Francois and St. Louis counties.
Officers: James Young, general manager; Dr. Emil Miskovsky, medical director; Andrew Santee, sales director/manager; Patricia Maher, provider relations manager; Bradley Beldner, planning/analysis-medical economics.
Contact: Michael C. Kelly, 860-726-3794.
See CIGNA HealthCare PPO consolidated listing under Connecticut.
CIGNA PPO-Southwest Missouri
7400 W. 100th St., Suite 600, Overland Park, Kan. 66210; 913-339-4700; fax: 913-451-0974
Staff/Facilities
Primary practitioners159
Board-certified69.9%
Patients/practitioner22.2
Specialists385
Hospitals6
Users: Group Health
Employer/payer groups101
Total Users3,533
Operational date: July 1996.
Service area: Missouri: Barry, Christian, De Kalb, Greene, Jasper, Lawrence, Taney and Webster counties.
Officers: Cynthia Finter, executive director/general manager; Dr. William Vennart, medical director; Donna McClellan, director/manager-operations; Andrew Carter, sales director/manager; Maxine McIntosh, government programs director.
Contact: Kathleen Gillanders, 860-726-5784.
See CIGNA HealthCare PPO consolidated listing under Connecticut.
Community Health Plan
801 Faraon St., St. Joseph, Mo. 64501; 816-271-1247; fax: 816-271-1248
Staff/Facilities
Primary practitioners694
Board-certified37%
Patients/practitioner38
Specialists2,270
Hospitals30
Pharmacies232
Users
Employer/payer groups68
Single coverage2,991
Family coverage3,636
Employees & dependents14,663
Medicaid11,544
Total26,207Parent: Heartland Health System.
Operational date: January 1995.
Licensed in: Kansas, Missouri.
Model type: Network.
Not for profit.
Service area: Iowa: Decatur, Fremont, Page, Ringgold, Taylor, and Wayne counties; Kansas: Atchison, Brown, Doniphan, Douglas, Jackson, Jefferson, Johnson, Leavenworth, Nemaha, Shawnee and Wyandotte counties. Missouri: 27 counties in Northwest Missouri and Kansas City area; Nebraska: Douglas County. Contracts with Caremark for pharmaceutical drugs, Doral Dental for dental services, Medical Transportation Management for transportation services, Vision Service Plan for vision services in Kansas: Atchison, Brown and Doniphan counties; Missouri: 23 counties.
Services: General medical, dental, 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: 9.2% of members are enrolled.
Officers: Charles Salanski, chairman; Dr. Larry Jones, vice chairman; Joan Copeland, executive vp/COO; Lowell Kruse, president/CEO; John Wilson, secretary/treasurer.
Contact: Kelley Stuck.
CorVel Corp.
1920 Main St., Suite 1090, Irvine, Calif. 92714; 714-851-1473; fax: 714-851-1469
Staff/Facilities
Primary practitioners2,434
Board-certified95%
Specialists8,802*
Hospitals80
Service area: Missouri.
**Includes ancillary providers.
See CorVel Corp. consolidated listing under California.