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1997 DIRECTORY OF MANAGED CARE PROVIDERS (CONNECTICUT; PART 2/2)

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M.D. Health Plan
6 Devine St., North Haven, Conn. 06473; 203-230-1000; fax: 203-230-0359
Staff/Facilities
Primary practitioners2,030
Board-certified89%
Specialists3,978
Hospitals31
Pharmacies600
Users
Employer/payer groups6,657
Single coverage*42,249
Family coverage*43,344
Employees & dependents*174,296
Medicare40
Medicaid23,764
Total*202,791Parent: Foundation Health Systems Inc.
Operational date: August 1987.
Licensed in: Connecticut.
Model type: IPA.
Service area: Connecticut: statewide.
Services: General medical, dental, vision, prescription drug, mental health/chemical dependency, workers compensation, home health care, durable medical equipment. Services available unbundled. May be customized to meet employer specifications**.
Rating options: Adjusted community rating.
Offers self-insured products.
Point-of-service contracts: 16% of members are enrolled.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries. Individual enrollment is allowed.
Officers: Barbara Bradow, president; Dr. Vincent J. Catrini, chief medical officer/chairman; Dr. John Federico, vp-clinical services; Maryann Gaynor, vp-health services; Dorothy Lucas, controller; Carl Lund, vp-network management.
Contact: Lisa J. Haines, manager-public relations-Foundation Health Systems, 916-631-5971.
See Foundation Health Systems consolidated listing under California.
**Figures as of Sept. 30, 1997.
***Customization allowed for self-funded arrangements.
MultiPlan Inc.
115 Fifth Ave., New York, N.Y. 10003; 212-780-2000; fax: 212-843-3517
Staff/Facilities
Primary practitioners419
Board-certified90.5%
Specialists937
Hospitals19
Users: Group Health
Employer/payer groups23
Employees & dependents205,143
Service area: Connecticut: statewide.
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 practitioners16
Service area: Connecticut: Ansonia, Bloomfield, Bridgeport, East Haven, Kensington, Milford, New Haven, Norwich, Plainfield, Simsbury, Southbury, Stamford, West Hartford, Wallingford, Waterbury and Wethersfield.
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 practitioners2,627
Specialists6,693
Hospitals28
Users: Group Health
Employer/payer groups37
Employees & dependents36,162
Total Users36,162
Service area: Connecticut.
See National Preferred Provider Network Inc. consolidated listing under New York.
NYLCare Health Plans of Connecticut Inc.
4 Armstrong Road, Shelton, Conn. 06484; 203-944-1900; fax: 203-944-1910
Staff/Facilities
Primary practitioners450
Board-certified93%
Specialists1,000
Hospitals12
Primary care locations618
Users*
Revenues
First-half 1997$595,139
Second-half 1996$155,941Parent: NYLCare Health Plans Inc.
Operational date: June 1996.
Licensed in: Connecticut.
Service area: Connecticut: statewide.
Services: General medical. Services available unbundled. May be customized to meet employer specifications.
Rating options: Community rating by class; adjusted community rating.
Point-of-service contracts: 50% of members are enrolled.
Officers: Arthur Drechsler, executive director; Theresa Atwood, regional vp; Dr. Craig Keyes, medical director; Terri Guidone, director-sales; Ramona LaVoie, director-provider relations.
**User information for Connecticut is combined in New York listing and not broken out separately.
See NYLCare Health Plans Inc. consolidated listing under New York.
Oxford Health
Plans Inc.*
800 Connecticut Ave., Norwalk, Conn. 06854; 203-852-1442; fax: 203-851-1491
Staff/Facilities
Primary practitioners9,943
Board-certified93%
Patients/practitioner150
Specialists27,569
Hospitals342
Pharmacies9,250
Primary care locations12,977
Users
Employer/payer groups50,000
Employees & dependents1,500,300
Medicare145,600
Medicaid187,600
Total1,833,500
Revenues
First-half 1997$2,049,239,000
1996$3,075,008,000Operational date: June 1986.
Licensed in: Connecticut, New Hampshire, New Jersey, New York, Pennsylvania.
Model type: IPA.
For profit.
Service area: Connecticut, New Hampshire, New Jersey, New York and Pennsylvania. Contracts with HealthCare COMPARE/The AFFORDABLE Medical Networks.
Services: General medical, dental**, vision, prescription drug, mental health, alternative medicine, chiropractors. Services available unbundled. May be customized to meet employer specifications.
Point-of-service contracts: 66% of members are enrolled.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries. Individual enrollment is allowed.
Officers: Stephen F. Wiggins, chairman; William M. Sullivan, president/CEO; David B. Snow Jr.; executive vp; David Finkel, operations vp; Dr. Frank N. Medici, vp-medical affairs/medical director.
Contact: Marianne Flanagan, public relations director, 203-851-1858.
**Figures are consolidated, including all HMO/POS plans in this organization.
*** Dental is available only in Connecticut and Pennsylvania.
Oxford Health Plans (CT) Inc.
800 Connecticut Ave., Norwalk, Conn. 06854; 203-852-1442; fax: 203-851-1491
Staff/Facilities
Primary practitioners1,132
Specialists3,784
Hospitals36
Pharmacies647
Primary care locations1,524
Users
Medicare5,600
Medicaid30,500
Total78,800
Revenues
First-half 1997$68,168,755
1996$74,281,673Operational date: January 1994.
Licensed in: Connecticut.
NCQA fully accredited.
Service area: Connecticut: Fairfield, Hartford, Litchfield, Middlesex, New Haven, New London, Tolland and Windham counties.
Rating options: Community rating by class; adjusted community rating.
Offers self-insured products.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries. Individual enrollment is allowed.
Officers: Bryan D. Birch, CEO-OXHP (CT) Inc.; Dr. Altilio Granata, medical director-medical management; Vicki Cleary, general manager-operations.
See Oxford Health Plans Inc. consolidated listing under Connecticut.
Preferred Health Network
301 E. Ocean Blvd., Suite 900, Long Beach, Calif. 90802; 562-983-1616; fax: 562-436-4389
Staff/Facilities
Primary practitioners813
Specialists3,817
Hospitals33
Users: Group Health
Employer/payer groups362
Employees & dependents27,966
Total Users27,966
Operational date: April 1991.
Service area: Connecticut: Fairfield, Hartford, Litchfield, Middlesex, New Haven, New London, Tolland and Windham counties.
Services: General medical, vision, mental health.
See Preferred Health Network consolidated listing under California.
Private Healthcare Systems
1100 Winter St., Waltham, Mass. 02154; 781-895-7500; fax: 781-895-6848
Staff/Facilities
Primary practitioners1,479
Board-certified87%
Specialists2,224
Hospitals20
Pharmacies690
Users: Group Health
Employees & dependents23,474
Total Users23,474
Operational date: April 1985.
Service area: Connecticut: cities of Bridgeport, Greenwich, Hartford, Middletown, New Britain, New Haven, New London, Norwalk, Norwich and Stamford.
See Private Healthcare Systems PPO consolidated listing under Massachusetts.
USA H&W Network
7301 N. 16th St., Suite 201, Phoenix, Ariz. 85020; 602-371-3860; fax: 602-371-3889
Staff/Facilities
Primary practitioners80
Specialists502
Hospitals11
Users: Group Health
Single/family coverage6,289
Employees & dependents14,465
Total Users14,465
Operational date: January 1991.
Service Area: Connecticut: Fairfield, Hartford, Litchfield, Middlesex, New Haven, New London, Tolland and Windham 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 practitioners36
Specialists687
Hospitals11
Users: Workers Compensation
Single coverage66,438
Total Users66,438
Operational date: January 1991.
Service area: Connecticut: Fairfield, Hartford, Litchfield, Middlesex, New Haven, New London, Tolland and Windham counties.
See USA Workers' Injury Network consolidated listing under Texas.
United HealthCare Insurance Co.
148 Eastern Blvd., Third Floor, Glastonbury, Conn. 06033; 860-652-3750; fax: 860-652-3783
Staff/Facilities
Primary practitioners799
Board-certified77%
Specialists2,457
Hospitals8
Users:
Employer/payer groups441
Total Users19,614
Operational date: January 1989.
Service area: Connecticut: Fairfield, Hartford, Litchfield, Middlesex, New Haven and Tolland counties. Massachusetts: Hampden County.
Services: General medical, prescription drug, mental health/substance abuse.
Contact: Donald Rowe, senior account manager.
See United HealthCare Corp. PPO consolidated listing under Minnesota.