Business Services Industry

HMOs: ranked by number of local enrollees as of June 30, 2007

San Diego Business Journal, Oct 22, 2007 by Emily Knight

HMOs
Ranked by number of local enrollees as of June 30, 2007

                                                              Local
                                                         enrollees: (1)
                                                             * 2007
 Rank   Organization                                         * 2006
(last   Address                          Telephone         * % change
year)   Web site                            Fax              (loss)

  1     Kaiser Permanente             (619) 528-5000         488,822
 (1)    4647 Zion Ave.,               (619) 528-7535         482,990
        San Diego 92120                                         1
        www.kp.org

  2     PacifiCare/Secure Horizons    (858) 658-8500         325,000
 (3)    5995 Plaza Drive, MailStop    (858) 658-8890         312,000
        Cy20-583, Cypress 90630                                 4
        www.pacificare.com

  3     Health Net of California      (818) 676-6775         156,000
 (3)    21281 Burbank Blvd.,                                 148,000
        Woodland Hills 91367                                    5
        www.healthnet.com

  4     Community Health Group        (619) 422-0422         96,294
 (4)    740 Bay Blvd.,                (619) 422-5930         961,840
        Chula Vista 91910
        www.chgsd.com

  5     Aetna                         (619) 497-4000         59,820
 (7)    7676 Hazard Center Drive,     (619) 497-4024         45,737
        #1100, San Diego 92108                                 31
        www.aetna.com

  6     Blue Shield of California     (415) 229-5000         59,285
 (5)    50 Beale St.,                 (415) 229-5070         65,110
        San Francisco 94105                                    (9)
        www.blueshieldca.com

  7     Sharp Health Plan             (619) 228-2377         43,816
 (6)    4305 University Ave., #200,   (619) 228-2444         51,959
        San Diego 92105                                       (16)
        www.sharphealthplan.com

  8     Cigna HealthCare of           (818) 500-6370         38,457
 (8)    California                    (619) 641-5499         34,862
        400 N. Brand Blvd.,                                    11
        #400, Glendale 92103
        www.cigna.com

                                                              HMO
                                                       characteristics:
                                           Local          * Group (2)
                                         full-time       * Network (3)
 Rank   Organization                     employees         * IPA (4)
(last   Address                            as of          * Federally
year)   Web site                       June 30, 2007       qualified

  1     Kaiser Permanente                  4,853              Yes
 (1)    4647 Zion Ave.,                                       na
        San Diego 92120                                       na
        www.kp.org                                            Yes

  2     PacifiCare/Secure Horizons          400               No
 (3)    5995 Plaza Drive, MailStop                            Yes
        Cy20-583, Cypress 90630                               No
        www.pacificare.com                                    Yes

  3     Health Net of California            50                Yes
 (3)    21281 Burbank Blvd.,                                  Yes
        Woodland Hills 91367                                  Yes
        www.healthnet.com                                     Yes

  4     Community Health Group              128               No
 (4)    740 Bay Blvd.,                                        Yes
        Chula Vista 91910                                     No
        www.chgsd.com                                         No

  5     Aetna                               na                No
 (7)    7676 Hazard Center Drive,                             Yes
        #1100, San Diego 92108                                No
        www.aetna.com                                         na

  6     Blue Shield of California           19                Yes
 (5)    50 Beale St.,                                         Yes
        San Francisco 94105                                   Yes
        www.blueshieldca.com                                  Yes

  7     Sharp Health Plan                 18,000              Yes
 (6)    4305 University Ave., #200,                           Yes
        San Diego 92105                                       Yes
        www.sharphealthplan.com                               No

  8     Cigna HealthCare of                 na                na
 (8)    California                                            Yes
        400 N. Brand Blvd.,                                   na
        #400, Glendale 92103                                  na
        www.cigna.com

                                                        Number of local
                                                          contracting
                                                          facilities:
 Rank   Organization                  Number of local     * Hospitals
(last   Address                         contracting        * Skilled
year)   Web site                        physicians          nursing

  1     Kaiser Permanente                  1,048              11
 (1)    4647 Zion Ave.,                                       12
        San Diego 92120
        www.kp.org

  2     PacifiCare/Secure Horizons         2,300              30
 (3)    5995 Plaza Drive, MailStop                            na
        Cy20-583, Cypress 90630
        www.pacificare.com

  3     Health Net of California           4,300              20
 (3)    21281 Burbank Blvd.,                                  38
        Woodland Hills 91367
        www.healthnet.com

  4     Community Health Group             2,594              19
 (4)    740 Bay Blvd.,                                        30
        Chula Vista 91910
        www.chgsd.com

  5     Aetna                              4,023              24
 (7)    7676 Hazard Center Drive,                             na
        #1100, San Diego 92108
        www.aetna.com

  6     Blue Shield of California          3,156              24
 (5)    50 Beale St.,                                         na
        San Francisco 94105
        www.blueshieldca.com

  7     Sharp Health Plan                  2,938              14
 (6)    4305 University Ave., #200,                            4
        San Diego 92105
        www.sharphealthplan.com

  8     Cigna HealthCare of                 na                na
 (8)    California                                            na
        400 N. Brand Blvd.,
        #400, Glendale 92103
        www.cigna.com

 Rank   Organization                                        * Local
(last   Address                      * Parent company      executive
year)   Web site                      * Headquarters      * Title(s)

  1     Kaiser Permanente            Kaiser Foundation   Nathaniel L.
 (1)    4647 Zion Ave.,               Hospital/Health        Oubre
        San Diego 92120                    Plan           senior vice
        www.kp.org                        Oakland          president

  2     PacifiCare/Secure Horizons   PacifiCare Health   David Hansen
 (3)    5995 Plaza Drive, MailStop        Systems             CEO
        Cy20-583, Cypress 90630           Cypress
        www.pacificare.com

  3     Health Net of California      Health Net Inc.   Robert D'Angelo
 (3)    21281 Burbank Blvd.,          Woodland Hills     regional vice
        Woodland Hills 91367                               president
        www.healthnet.com

  4     Community Health Group       Community Health     Norma Diaz
 (4)    740 Bay Blvd.,                     Group              CEO
        Chula Vista 91910               Chula Vista
        www.chgsd.com

  5     Aetna                           Aetna Inc.       Karen Tjaden
 (7)    7676 Hazard Center Drive,     Hartford, Conn.    site manager
        #1100, San Diego 92108
        www.aetna.com

  6     Blue Shield of California       California      Alexi Vontsolos
 (5)    50 Beale St.,                   Physician's
        San Francisco 94105               Service
        www.blueshieldca.com           San Francisco

  7     Sharp Health Plan            Sharp HealthCare    Melissa Cook
 (6)    4305 University Ave., #200,      San Diego      president, CEO
        San Diego 92105
        www.sharphealthplan.com

  8     Cigna HealthCare of             Cigna Corp.     Christopher De
 (8)    California                     Philadelphia          Rosa
        400 N. Brand Blvd.,                               president,
        #400, Glendale 92103                            general manager
        www.cigna.com

 Rank   Organization                       Year
(last   Address                         established
year)   Web site                          locally

  1     Kaiser Permanente                  1967
 (1)    4647 Zion Ave.,
        San Diego 92120
        www.kp.org

  2     PacifiCare/Secure Horizons         1978
 (3)    5995 Plaza Drive, MailStop
        Cy20-583, Cypress 90630
        www.pacificare.com

  3     Health Net of California           1979
 (3)    21281 Burbank Blvd.,
        Woodland Hills 91367
        www.healthnet.com

  4     Community Health Group             1985
 (4)    740 Bay Blvd.,
        Chula Vista 91910
        www.chgsd.com

  5     Aetna                              1981
 (7)    7676 Hazard Center Drive,
        #1100, San Diego 92108
        www.aetna.com

  6     Blue Shield of California          1988
 (5)    50 Beale St.,
        San Francisco 94105
        www.blueshieldca.com

  7     Sharp Health Plan                  1946
 (6)    4305 University Ave., #200,
        San Diego 92105
        www.sharphealthplan.com

  8     Cigna HealthCare of                1977
 (8)    California
        400 N. Brand Blvd.,
        #400, Glendale 92103
        www.cigna.com

wnd Would not disclose

na Not available

NA Not applicable

(MR) Not ranked

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.

Source: The organizations.

It is not the intent of this list to endorse the participants nor to
imply an organization's size or numerical rank indicates its quality.

(1) Enrollees: Includes the initial subscriber and enrolled dependents
for group health plans only.

(2) Group: A group model consists of hospitals and doctors providing
care and services exclusively for HMO recipients.

(3) Network: A network model is an HMO contracting with two or more
independent group practices (no solo practices) to provide health care
services.

(4) 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.
COPYRIGHT 2007 CBJ, L.P.
COPYRIGHT 2008 Gale, Cengage Learning
 

BNET TalkbackShare your ideas and expertise on this topic

Please add your comment:

  1. You are currently: a Guest |
  2.  

Basic HTML tags that work in comments are: bold (<b></b>), italic (<i></i>), underline (<u></u>), and hyperlink (<a href></a)

advertisement
advertisement
  • Click Here
  • Click Here
  • Click Here
advertisement
Click Here

Content provided in partnership with Thompson Gale