Business Services Industry

HMOs: ranked by number of local enrollees as of June 30, 2006

San Diego Business Journal, Dec 25, 2006 by Liz Wiedemann

HMOs

Ranked by number of local enrollees as of June 30, 2006

                                                          Local
                                                      enrollees: (1)
                                                          * 2006
Rank    Organization                                      * 2005
(last   Address                      Telephone          * % change
year)   Web site                        Fax               (loss)

 1      Kaiser Permanente          (619) 528-5000        482,990
(1)     4647 Zion Ave.,            (619) 528-7535        477,049
        San Diego 92120                                     1
        www.kp.org

 2      PacifiCare/Secure          (858) 658-8500        312,000
(2)     Horizons                   (858) 658-8890        300,000
        5995 Plaza Drive,                                   4
        MailStop Cy20-583,
        Cypress 90630
        www.pacificare.com

 3      Health Net                 (818) 676-6775        148,000
(3)     21281 Burbank Blvd.,                             149,000
        Woodland Hills 91367                               (1)
        www.healthnet.com

 4      Community Health Group     (619) 422-0422         96,184
(NR)    740 Bay Blvd.,             (619) 422-5930         99,768
        Chula Vista 91910                                  (4)
        www.chgsd.com

 5      Blue Shield of             (415) 229-5000         65,110
(4)     California                 (415) 229-5070         63,599
        50 Beale St.,                                       2
        San Francisco 94105
        www.mylifepath.com

 6      Sharp Health Plan          (619) 228-2377         51,959
(5)     4305 University Ave.,      (619) 228-2444         51,959
        #200, San Diego 92105                               0
        www.sharphealthplan.com

 7      Aetna                      (619) 497-4000         45,737
(NR)    7676 Hazard Center         (619) 497-4024         42,620
        Drive, #1100,                                       7
        San Diego 92108
        www.aetna.com

 8      Cigna HealthCare of        (818) 500-6370         34,662
(6)     California                 (619) 641-5499         3,469
        400 N. Brand Blvd.,                                 1
        #400, Glendale 92103
        www.cigna.com

                                                           HMO
                                                     characteristics:
                                                       * Group (2)
                                                      * Network (3)
Rank    Organization              Local full-time       * IPA (4)
(last   Address                   employees as of      * Federally
year)   Web site                    June 30,2006        qualified

 1      Kaiser Permanente            4,903 (5)             Yes
(1)     4647 Zion Ave.,                                     na
        San Diego 92120                                     na
        www.kp.org                                        Yes

 2      PacifiCare/Secure                80                 No
(2)     Horizons                                           Yes
        5995 Plaza Drive,                                   No
        MailStop Cy20-583,                                 Yes
        Cypress 90630
        www.pacificare.com

 3      Health Net                       45                Yes
(3)     21281 Burbank Blvd.,                               Yes
        Woodland Hills 91367                               Yes
        www.healthnet.com                                  Yes

 4      Community Health Group          120                 No
(NR)    740 Bay Blvd.,                                     Yes
        Chula Vista 91910                                   No
        www.chgsd.com                                       No

 5      Blue Shield of                   19                Yes
(4)     California                                          na
        50 Beale St.,                                      Yes
        San Francisco 94105                                 na
        www.mylifepath.com

 6      Sharp Health Plan                na                 na
(5)     4305 University Ave.,                              Yes
        #200, San Diego 92105                              Yes
        www.sharphealthplan.com                             na

 7      Aetna                           125                 No
(NR)    7676 Hazard Center                                 Yes
        Drive, #1100,                                       No
        San Diego 92108                                     na
        www.aetna.com

 8      Cigna HealthCare of              na                 na
(6)     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              1,217                na
(1)     4647 Zion Ave.,                                     na
        San Diego 92120
        www.kp.org

 2      PacifiCare/Secure              3,800                25
(2)     Horizons                                            na
        5995 Plaza Drive,
        MailStop Cy20-583,
        Cypress 90630
        www.pacificare.com

 3      Health Net                     4,000                22
(3)     21281 Burbank Blvd.,                                38
        Woodland Hills 91367
        www.healthnet.com

 4      Community Health Group         2,681                23
(NR)    740 Bay Blvd.,                                      27
        Chula Vista 91910
        www.chgsd.com

 5      Blue Shield of                 3,217                25
(4)     California                                          na
        50 Beale St.,
        San Francisco 94105
        www.mylifepath.com

 6      Sharp Health Plan              2,027                16
(5)     4305 University Ave.,                               6
        #200, San Diego 92105
        www.sharphealthplan.com

 7      Aetna                          4,949                23
(NR)    7676 Hazard Center                                  na
        Drive, #1100,
        San Diego 92108
        www.aetna.com

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

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

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

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

 3      Health Net                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
(NR)    740 Bay Blvd.,                 Group               CEO
        Chula Vista 91910           Chula Vista
        www.chgsd.com

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

 6      Sharp Health Plan         Sharp HealthCare     Melissa Cook
(5)     4305 University Ave.,        San Diego        president, CEO
        #200, San Diego 92105
        www.sharphealthplan.com

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

 8      Cigna HealthCare of         Cigna Corp.        Christopher
(6)     California                  Philadelphia         De 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               1978
(2)     Horizons
        5995 Plaza Drive,
        MailStop Cy20-583,
        Cypress 90630
        www.pacificare.com

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

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

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

 6      Sharp Health Plan               1946
(5)     4305 University Ave.,
        #200, San Diego 92105
        www.sharphealthplan.com

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

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

wnd Would not disclose

na Not available

NA Not applicable

(NR) 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.

(5) Excludes physicians.

Researched by Liz Wiedemann

Originally published Oct. 23, 2006
COPYRIGHT 2006 CBJ, L.P.
COPYRIGHT 2008 Gale, Cengage Learning
 

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