One Health Plan of Texas Inc.
10,000 N. Central Expressway, Suite 900/LB-46, Dallas, Texas 75231; 800-866-3136 or 214-363-1281;
fax: 214-363-9785
Staff/Facilities
Primary practitioners1,001
Specialists2,809
Hospitals53
Pharmacies1,048
Users
Employees & dependents12,577
Total12,577Operational date: August 1996.
Service area: Texas: statewide.
Officers: Jim White, president; Dr. Michael Ackerman, medical director; Jocelyn Kvernes, director-network development; Lori Whitehead, member services supervisor.
Contact: Lori Whitehead.
See One Health Plan consolidated listing under Colorado.
PRNA Services
12000 Ford Road, Suite 240, Dallas, Texas 75234; 972-247-0592; fax: 972-406-8903
Specialty: Chiropractic, workers compensation
Service area: Contracts with MCI for workers compensation and chiropractic in Texas; Medview for workers compensation and chiropractic in Alabama, Arkansas, California, Colorado, Florida, Georgia, Kansas, Louisiana, Mississippi, North Carolina, Nebraska, New Mexico, Nevada, Oklahoma, South Carolina and Tennessee; Preferred Plan for workers compensation and chiropractic in Arizona.
Officers: Colin Herlitz, president; Liz Minch, executive vp; Marc Semmelmann, vp-sales/marketing; Bruce Wood, CFO.
Contact: Liz Minch.
PacifiCare of Texas
8200 IH 10 W., Suite 1000, San Antonio, Texas 78230; 210-524-9800;
fax: 210-334-1165
Staff/Facilities
Primary practitioners1,719
Board-certified61%
Specialists4,807
Hospitals92
Pharmacies2,815
Users
Employer/payer groups1,880
Single coverage35,017
Family coverage31,499
Employees & dependents137,710
Medicare68,222
Total218,382
Revenues
First-half 1997$254,078,924
1996$424,839,532Operational date: May 1993.
Federally qualified.
Licensed in: Texas.
Model type: Group/IPA.
Service area: Texas: 34 counties. Member of Covantage.
Contracts with PacifiCare Behavioral Health Inc. for mental health in Texas; Pearle Inc. for vision in Texas; Prescription Solutions for pharmacy in Texas; Texas Dental for dental in Texas.
Services: General medical. May be customized to meet employer specifications.
Rating options: Community rating by class.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries.
Officers: Pat Feyen, president/CEO; Dr. David Vakdez, medical director; Jim Jones, vp-marketing; Dan Comrie, vp/CFO; Ellen Vonderhaar, vp-customer service.
Contact: Shari Holt.
See PacifiCare Health Systems HMO/POS consolidated listing under California.
Preferred Health Network
301 E. Ocean Blvd., Suite 900, Long Beach, Calif. 90802; 562-983-1616; fax: 562-436-4389
Staff/Facilities
Primary practitioners3,196
Specialists8,250
Hospitals124
Users: Group Health
Employer/payer groups559
Employees & dependents456,440
Users: Workers Compensation
Employer/payer groups6
Total Users*456,440
Operational date: June 1992.
Service area: Texas: 111 counties.
Services: General medical, vision, mental health, workers compensation, auto carrier liability, Medicare Select.
**Figure does not include workers comp.
See Preferred Health Network consolidated listing under California.
Private Healthcare Systems Inc.
222 W. Las Colinas Blvd., Irving, Texas 75039; 972-432-1451; fax: 972-869-2327
Staff/Facilities
Primary practitioners1,520
Board-certified83%
Specialists3,361
Hospitals97
Pharmacies3,252
Users
Employees & dependents16,287
Total16,287Service Area: Texas: cities of Arlington, Austin, Corpus Christi, Dallas, El Paso, Fort Worth, Houston, Midland, Odessa, San Antonio and Waco.
See Private Healthcare Systems POS consolidated listing under Massachusetts.
Private Healthcare Systems
222 W. Las Colinas Blvd., Irving, Texas 75039; 972-869-1451; fax: 972-869-2327
Staff/Facilities
Primary practitioners7,776
Board-certified82%
Specialists11,435
Hospitals191
Pharmacies3,252
Users: Group Health
Employees & dependents682,343
Total Users682,343
Operational date: May 1987.
Service area: Texas: 33 cities.
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 practitioners32,030
Board-certified85%
Specialists64,999
Hospitals1,020
Users: Group Health
Employer/payer groups1,400
Employees & dependents1,616,529
Total Users1,616,529
Ownership: United HealthCare Corp.
Operational date: 1985.
For profit.
Service Area: Alabama, Alaska, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Massachusetts, Minnesota, Mississippi, Missouri, Nebraska, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin, Wyoming.
Contracts with Advantage Health Plus in Pennsylvania, West Virginia; Associates for HealthCare in Wisconsin; Consumer Health Network in Connecticut, New Jersey; Ethix Great Lakes in Michigan; Ethix Pacific in Oregon; Health Care Savings in North Carolina; Healthcare Oklahoma in Oklahoma; Health Management Associates in Arizona, Nevada; MultiPlan in New York; Ohio Health Choice in Ohio; PPO Alliance Plus in California; Preferred Care in Pennsylvania; Preferred Community Choice PPO in Oklahoma; Preferred Health Partnership in Tennessee; Preferred Plan Inc. in Illinois; Preferred Plan of Massachusetts in Massachusetts; Preferred Plan of Mid-Atlantic in Washington, D.C., Maryland; Preferred Plan of N. Virginia in Virginia; Southeast Medical Alliance in Louisiana, Mississippi.
Services: General medical. Services available unbundled. May be customized to meet employer specifications.
Compensation: Negotiates hospital charges by per diem, discount off customary rates, DRGs; is compensated by employers/payers, insurers, TPAs; charges flat fee per employee, by percent of savings.
UR: Standard procedures. UR provided by outside contractors.
Officers: Nancy Connaway, president/COO; Alan Scoggins, vp-sales/marketing; Kay Grant, vp-operations; Ken Weithers, vp-finance; Dr. Wilson Weatherford, medical director.
Contact: Alan Scoggins.
**Figures are consolidated, including all PPO plans in this organization.
ProAmerica Managed Care
1250 E. Copeland Road, Arlington, Texas 76011; 800-523-3669; fax: 817-436-5391
Staff/Facilities
Primary practitioners4,546
Specialists9,544
Hospitals196
Users: Group Health
Employees & dependents526,000
Total Users526,000
Service area: Texas: statewide.
See ProAmerica Managed Care consolidated listing under Texas.