Business Services Industry
HMOs
San Diego Business Journal, Oct 24, 2005 by Andy Killion
HMOs
Ranked by number of local enrollees as of June 30, 2005
Rank Organization
(last Address Telephone
year) Web site Fax
1 American Specialty (619) 578-2000
(1) Health Plans (619) 237-3832
777 Front St.,
San Diego 92101
www.ashcompanies.com
2 Kaiser Permanente (619) 528-5000
(2) 4647 Zion Ave., (619) 528-7535
San Diego 92120
www.kp.org
3 PacifiCare/ (858) 658-8500
(3) Secure Horizons (858) 658-8890
5995 Plaza Dr. MailStop
Cy20-583, Cypress 90630
www.pacificare.com
4 Health Net (818) 676-6775
(4) 21281 Burbank Blvd.,
Woodland Hills 91367
www.healthnet.com
5 Sharp Health Plan (619) 228-2377
(6) 4305 University Ave. (619) 228-2444
#200, San Diego 92105
www.sharphealthplan.com
6 CIGNA HealthCare (818) 500-6370
(9) of California (619) 641-5499
400 N. Brand Blvd.
#400, Glendale 92103
www.cigna.com
Local
enrollees *: Local
# 2005 full-time
Rank Organization # 2004 employees
(last Address # % change as of
year) Web site (loss) June 30, 2005
1 American Specialty 807,023 494
(1) Health Plans 513,418
777 Front St., 57
San Diego 92101
www.ashcompanies.com
2 Kaiser Permanente 477,049 4,712
(2) 4647 Zion Ave., 474,054
San Diego 92120 1
www.kp.org
3 PacifiCare/ 300,000 300
(3) Secure Horizons 315,000
5995 Plaza Dr. MailStop (5)
Cy20-583, Cypress 90630
www.pacificare.com
4 Health Net 149,000 na
(4) 21281 Burbank Blvd., 160,000
Woodland Hills 91367 (7)
www.healthnet.com
5 Sharp Health Plan 51,959 (1) 70
(6) 4305 University Ave. 123,177
#200, San Diego 92105 (58)
www.sharphealthplan.com
6 CIGNA HealthCare 34,169 na
(9) of California na
400 N. Brand Blvd. NA
#400, Glendale 92103
www.cigna.com
HMO characteristic
Rank Organization
(last Address Network
year) Web site Group ** ([dagger])
1 American Specialty @
(1) Health Plans
777 Front St.,
San Diego 92101
www.ashcompanies.com
2 Kaiser Permanente @
(2) 4647 Zion Ave.,
San Diego 92120
www.kp.org
3 PacifiCare/ @
(3) Secure Horizons
5995 Plaza Dr. MailStop
Cy20-583, Cypress 90630
www.pacificare.com
4 Health Net @
(4) 21281 Burbank Blvd.,
Woodland Hills 91367
www.healthnet.com
5 Sharp Health Plan @
(6) 4305 University Ave.
#200, San Diego 92105
www.sharphealthplan.com
6 CIGNA HealthCare @
(9) of California
400 N. Brand Blvd.
#400, Glendale 92103
www.cigna.com
HMO characteristic
Rank Organization IPA
(last Address ([dagger]) Federally
year) Web site ([dagger]) qualified
1 American Specialty
(1) Health Plans
777 Front St.,
San Diego 92101
www.ashcompanies.com
2 Kaiser Permanente @
(2) 4647 Zion Ave.,
San Diego 92120
www.kp.org
3 PacifiCare/ @
(3) Secure Horizons
5995 Plaza Dr. MailStop
Cy20-583, Cypress 90630
www.pacificare.com
4 Health Net @
(4) 21281 Burbank Blvd.,
Woodland Hills 91367
www.healthnet.com
5 Sharp Health Plan @
(6) 4305 University Ave.
#200, San Diego 92105
www.sharphealthplan.com
6 CIGNA HealthCare
(9) of California
400 N. Brand Blvd.
#400, Glendale 92103
www.cigna.com
Number of
local
contracting
Number of facilities:
Rank Organization local # Hospitals
(last Address contracting # Skilled
year) Web site physicians nursing
1 American Specialty 531 na
(1) Health Plans na
777 Front St.,
San Diego 92101
www.ashcompanies.com
2 Kaiser Permanente 1,217 12
(2) 4647 Zion Ave., 13
San Diego 92120
www.kp.org
3 PacifiCare/ 3,600 21
(3) Secure Horizons na
5995 Plaza Dr. MailStop
Cy20-583, Cypress 90630
www.pacificare.com
4 Health Net 4,075 22
(4) 21281 Burbank Blvd., 40
Woodland Hills 91367
www.healthnet.com
5 Sharp Health Plan 2,660 16
(6) 4305 University Ave. 9
#200, San Diego 92105
www.sharphealthplan.com
6 CIGNA HealthCare 5,458 21
(9) of California na
400 N. Brand Blvd.
#400, Glendale 92103
www.cigna.com
Rank Organization
(last Address Parent company
year) Web site Headquarters
1 American Specialty American Specialty Health, Inc.
(1) Health Plans San Diego
777 Front St.,
San Diego 92101
www.ashcompanies.com
2 Kaiser Permanente Kaiser Permanente
(2) 4647 Zion Ave., Oakland
San Diego 92120
www.kp.org
3 PacifiCare/ PacifiCare Health Systems
(3) Secure Horizons Cypress
5995 Plaza Dr. MailStop
Cy20-583, Cypress 90630
www.pacificare.com
4 Health Net Health Net, Inc.
(4) 21281 Burbank Blvd., Woodland Hills
Woodland Hills 91367
www.healthnet.com
5 Sharp Health Plan Sharp HealthCare
(6) 4305 University Ave. San Diego
#200, San Diego 92105
www.sharphealthplan.com
6 CIGNA HealthCare CIGNA Corp.
(9) of California Philadelphia
400 N. Brand Blvd.
#400, Glendale 92103
www.cigna.com
Rank Organization Year
(last Address Local executive(s) established
year) Web site Title locally
1 American Specialty George DeVries 1994
(1) Health Plans president, CEO
777 Front St.,
San Diego 92101
www.ashcompanies.com
2 Kaiser Permanente Nathaniel L. Oubre 1978
(2) 4647 Zion Ave., senior vice president,
San Diego 92120 area manager
www.kp.org
3 PacifiCare/ James Frey 1978
(3) Secure Horizons president
5995 Plaza Dr. MailStop
Cy20-583, Cypress 90630
www.pacificare.com
4 Health Net Mike Lutosky 1979
(4) 21281 Burbank Blvd., director of sales
Woodland Hills 91367
www.healthnet.com
5 Sharp Health Plan Meilssa Cook 1992
(6) 4305 University Ave. president, CEO
#200, San Diego 92105
www.sharphealthplan.com
6 CIGNA HealthCare Bill Corba 1977
(9) of California president,
400 N. Brand Blvd. general manager
#400, Glendale 92103
www.cigna.com
* Enrollees: Includes the initial subscriber and
enrolled dependents for group health plans only.
** Group: A group model consists of hospitals and doctors
providing care and services exclusively for HMO recipients.
([dagger]) Network: A network model is an HMO contracting
with two or more independent group practices (no solo
practices) to provide health care services.
([daggger]) ([daggger]) IPA: An individual practice association
is the most common type of arrangement for HMOs. Care is provided
by a network of independent physicians alone or in medical groups
to care for enrollees.
wnd Would not disclose
na Not available
NA Not applicable
(NR) Not ranked
(1) Sharp Health Plan sold three product lines
on June 1, 2005, resulting in declined enrollment.
Notes: HMO: A health maintenance organization is a group
of physicians organized to provide medical care to voluntarily
enrolled individuals for a fixed, prepaid, periodic payment. The
HMOs participating in The List underwrite risk for the enrollees
covered under their managed-care programs. HMOs on last year's
List that did not return a survey this year are: Blue Cross of
California, No. 5 last year; Community Health Group, No. 7 last
year; Blue Shield of California, No. 8 last year, Aetna, No: 10
last year.
Source: The companies.
It is not the intent of this List to endorse the participants nor
to imply a facility's sae or numerical rank indicates its quality.
COPYRIGHT 2005 CBJ, L.P.
COPYRIGHT 2008 Gale, Cengage Learning
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