Idaho
Beech Street Corp.
173 Technology, Irvine, Calif. 92618; 800-233-2478 or 714-727-1353;
fax: 714-727-1319
Staff/Facilities
Primary practitioners42
Specialists58
Hospitals3
Users: Group Health
Single coverage1,781
Family coverage6,968
Employees & dependents17,807
Users: Workers Compensation
Single coverage7,449
Total Users25,256
Operational date: 1993.
Service area: Idaho: Ada, Bannock, Benewah, Bonner, Bonneville, Boundary, Canyon, Caribou, Franklin, Gem, Idaho, Kootenai, Latah, Madison, Nez Perce, Oneida, Shoshone, Twin Falls and Washington counties.
See Beech Street Corp. consolidated listing under California.
CCN
5251 Viewridge Court, San Diego, Calif. 92123; 800-247-2898; 619-278-1262
Staff/Facilities
Primary practitioners8
Specialists3
Hospitals2
Service area: Idaho: Bannock, Bear Lake, Bonneville, Canyon, Caribou, Franklin, Madison and Oneida counties.
Services: General medical, mental health, ancillary services.
**Does not include workers compensation users.
See CCN consolidated listing under California.
CNA Managed Care-Idaho
CNA Plaza, Chicago, Ill. 60685; 312-822-5000; fax: 312-822-1690
Staff/Facilities
Practitioners25
Hospitals4
Service area: Idaho.
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*1
Board-certified100%
Service area: Idaho: Ada, Boise, Canyon and Kootenai 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 practitioners5
Service area: Idaho: statewide.
See ChiroSource Inc. consolidated listing under California.
CorVel Corp.
1920 Main St., Suite 1090, Irvine, Calif. 92714; 714-851-1473; fax: 714-851-1469
Staff/Facilities
Board-certified95%
Specialists23*
Service area: Idaho.
**Includes ancillary providers.
See CorVel Corp. consolidated listing under California.
HMO Blue/Blue Cross of Idaho Coordinated Care Services
1501 Federal Way, Boise, Idaho 83705; 208-345-4550; 208-331-7311
Staff/Facilities
Primary practitioners361
Specialists1,650
Hospitals41
Pharmacies285
Users
Employer/payer groups126
Total33,031
Revenues
1996$35,772,600Parent: Blue Cross of Idaho Health Services Inc.
Operational date: October 1990.
Licensed in: Idaho, Washington.
Model type: Mixed.
Not for profit.
Service area: Idaho: 24 counties; Washington: Spokane and Newport counties.
Member of HMO Blue USA. Contracts with Vision Service Plan for vision in Idaho.
Services: General medical, prescription drug, mental health, home health, durable medical equipment, chiropractic, hospice, skilled nursing.
Rating options: Community rating by class; adjusted community rating.
Point-of-service contracts: 55% of members are enrolled.
Enrollment options: Individual enrollment is allowed.
Officers: Dave Barnett, CEO; Ron Warnke, CFO; Richard Armstrong, senior vp-marketing; Dr. Donald Price, medical director; Dr. Douglas Dammrose, assistant medical director/vp-managed care.
Contact: Denise Trepagnier, 208-331-7675.
HealthCare COMPARE Corp.
3200 Highland Ave., Downers Grove, Ill. 60515; 630-241-7900; fax: 630-241-7856
Staff/Facilities
Primary practitioners*57
Specialists85
Hospitals**6
Service area: Idaho: 28 counties.
**Includes some specialists.
***Includes specialty hospitals.
See HealthCare COMPARE Corp./The AFFORDABLE Medical Networks consolidated listing under Illinois.
MultiPlan Inc.
115 Fifth Ave., New York, N.Y. 10003; 212-780-2000; fax: 212-843-3517
Staff/Facilities
Primary practitioners*NA
Specialists*NA
Hospitals4
Users: Group Health
Employer/payer groups5
Employees & dependents69,534
Service area: Idaho: Ada, Bannock, Bonneville, Boundary, Canyon, Cassia, Elmore, Gem, Gooding, Idaho, Kootenai, Latah, Lemhi, Madison, Nez Perce, Payette, Shoshone, Twin Falls, Valley and Washington 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: Idaho: cities of Boise, Coeur d'Alene and Moscow.
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 practitioners72
Specialists179
Hospitals6
Users: Group Health
Employer/payer groups11
Employees & dependents7,287
Total Users7,287
Service area: Idaho.
See National Preferred Provider Network Inc. consolidated listing under New York.
Preferred Blue
1501 Federal Way, Boise, Idaho 83705; 208-345-4550; fax: 208-331-7311
Staff/Facilities
Primary practitioners816
Hospitals38
Pharmacies285
Ownership: Blue Cross of Idaho Health Service Inc.
Operational date: November 1997.
Not for profit.
Service area: Idaho: statewide.
Contracts with Vision Service Plan for vision in Idaho.
Services: General medical, prescription drug, mental health. 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, fully insured/self-funded employer groups.
UR: Standard procedures. UR provided by the PPO.
Officers: Dave Barnett, CEO; Ron Warnke, CFO; Richard Armstrong, senior vp-marketing; Dr. Donald Price, medical director; Mike Hodge, director-major/national accounts.
Contact: Denise Trepagnier.
Premier Medical Network
1970 E. 17th St., Suite 104, Idaho Falls, Idaho; 208-542-2851
Staff/Facilities
Primary practitioners200
Board-certified95%
Specialists230
Hospitals4
Users: Group Health
Employer/payer groups12
Employees & dependents11,000
Users: Workers Compensation
Total Users11,000
Ownership: Columbia/HCA.
Operational date: April 1996.
For profit.
Service area: Idaho: Ada, Bannock, Bear Lake, Bingham, Bonneville, Butte, Canyon, Caribou, Elmore, Franklin, Fremont, Gem, Jefferson, Jerome, Madison, Minidoka, Payette, Power and Twin Falls counties.
Services: General medical, mental health, workers compensation. 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; charges flat fee per employee, by percent of savings.
UR: Standard procedures excluding second surgical opinion, hospital bill audits. UR provided by the PPO.
Officers: Kurt Fullmer, vp; John Oaks, director-operations; Chris Clawson, director-sales; JoAnne Allen, medical services manager; Dr. Kenneth Schecher, medical director.
Contact: Chris Clawson.
Private Healthcare Systems
650 S. Cherry St., Suite 1050, Denver, Colo. 80222; 303-399-1903; fax: 303-399-2369
Staff/Facilities
Primary practitioners2
Board-certified100%
Specialists8
Hospitals4
Pharmacies227
Users: Group Health
Employees & dependents4,163
Total Users4,163
Operational date: May 1987.
Service area: Idaho: cities of Boise, Idaho Falls, Pocatello and Twin Falls.
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 practitioners1
Specialists1
Service area: Idaho.
See ProAmerica Managed Care consolidated listing under Texas.
USA H&W Network
7301 N. 16th St., Suite 201, Phoenix, Ariz. 85020; 602-371-3860; fax: 602-371-3889
Staff/Facilities
Primary practitioners2
Specialists14
Users: Group Health
Single/family coverage1,024
Employees & dependents2,355
Total Users2,355
Operational date: January 1991.
Service Area: Idaho: Ada, Blaine, Bonner, Canyon, Franklin, Gem, Kootenai, Latah and Nez Perce 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 practitioners2
Specialists15
Users: Workers Compensation
Single coverage20,467
Total Users20,467
Operational date: January 1991.
Service area: Idaho: Ada, Blaine, Bonner, Canyon, Franklin, Gem, Kootenai, Latah and Nez Perce counties.
See USA Workers'Injury Network consolidated listing under Texas.