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Health Care Plans
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Wellcare Health Plans, Inc. provides managed care services to government-sponsored healthcare programs in Florida, New York, Illinois, Indiana, Connecticut, and Louisiana. The company offers an array of products, including Medicaid and related state programs, such as State Children's Health Insurance Programs and Medicare programs. As of December 31, 2004, the company served approximately 747,000 members. Wellcare Health Plans, Inc., formerly known as WellCare Group, Inc., was founded in 1985 and is headquartered in Tampa, Florida.
Aetna, Inc. provides health care, dental, pharmacy, group life, disability, and long-term care benefits in the United States. It operates in three segments: Health Care, Group Insurance, and Large Case Pensions. Health Care segment consists of health and dental plans offered on a risk basis and on an employer-funded basis. It provides medical and dental benefit products, including health maintenance organization, point-of-service, preferred provider organization, and indemnity benefit products. These products are also sold with the company's consumer-directed health plans, Aetna HealthFund and Health Savings Accounts. It also provides specialty products, such as pharmacy benefits management, dental, vision, and behavioral health programs. Further, this segment provides access to network of independent dental and vision participating providers through its Vital Savings by Aetna discount program. Group Insurance segment offers life, disability, and long-term care insurance products. Large Case Pension segment manages a variety of retirement products, including pension and annuity products primarily for defined benefit and defined contribution plans. The company was incorporated in 1982 under the name of United States Health Care Systems, Inc. and subsequently changed its name to Aetna, Inc. Aetna is headquartered in Hartford, Connecticut.
I-trax, Inc. operates as an integrated health and productivity management company, which provides disease and health management services in the United States. The company offers two categories of services. The first category includes onsite health related services, such as occupational health, primary care, corporate health, and pharmacy. The second category includes personalized health management programs. Occupational health services include professional staffing and management of onsite health facilities that address the occupational health, workers' compensation injuries, and minor illnesses of an employer's workforce. Its primary care health services include optometry services, and prevention and disease management programs through contract with employers. The company operates employer-sponsored onsite pharmacies that offer prescription services exclusively to the client's covered population. Its corporate health services include custom designed workplace programs that combine preventative care, occupational health, medical surveillance and testing, travel medicine, and health education to non-industrial clients. As of December 31, 2004, I-trax operated 78 occupational health facilities, 21 primary care centers, 27 pharmacies, and 51 corporate healthcare facilities. Its personalized health management programs include lifestyle and wellness management, and disease and risk reduction interventions to a client's entire population across multiple locations. The company provides its services to automotive and automotive parts manufacturers, consumer products manufacturers, financial institutions, health plans, integrated delivery networks, and third party administrators. I-trax was founded in 1969 and is headquartered in Chadds Ford, Pennsylvania.
CIGNA Corporation, through its subsidiaries, provides employee benefits offered through the workplace in the United States, Asia, and Europe. The company operates in two segments, Health Care, and Disability and Life. The Health Care segment offers various managed care, and indemnity products and services, including dental benefit plans; managed behavioral health care services and employee assistance programs; medical management and utilization management services; pharmacy programs and pharmaceutical fulfillment services; and disability and life insurance products. It also provides disability and life insurance products to employers, multiple employer groups, unions, government-sponsored programs, and other groups. Disability and Life segment provides long- and short-term disability insurance, disability and workers' compensation case management, group life insurance, and accident and specialty insurance products. CIGNA also offers personal accident insurance coverage, which consists primarily of accidental death and dismemberment, and travel accident insurance to employers. In addition, the company offers corporate life insurance products, which include permanent life insurance contracts sold to corporations to provide coverage on the lives of certain of their employees. Its corporate life insurance products include universal life and variable universal life policies. CIGNA also provides individual and group life, accident and health insurance, and health care products primarily in South Korea, Hong Kong, Taiwan, the United Kingdom, and Spain. As of December 31, 2004, CIGNA's medical health maintenance organizations networks included approximately 354,000 physicians and 3,100 hospitals. The company was founded in 1792 and is headquartered in Philadelphia, Pennsylvania.
COVENTRY HEALTH CARE INC (CVH)
Coventry Health Care, Inc. operates as a managed health care company. It offers a range of commercial risk products, such as health maintenance organization products, preferred provider organizations, and point of service products, workers' compensation, and network rental to a cross section of employer and government-funded groups, government agencies, and other insurance carriers and administrators. The company also provides management services, such as network management, claims processing, utilization review, and quality assurance; and access to its provider networks to employers that self-insure their employee health benefits. In addition, it offers risk products, such as Medicare and managed Medicaid programs in selected markets; as well as rents network of providers, including claims repricing and utilization review to other managed care plans or nonrisk employers assuming no underwriting risk. The company markets its products and services through its own sales staff and a network of independent brokers and agents in approximately 15 markets. It operates in the Mid-Atlantic, Midwest, and southeast United States. The company was founded in 1986 and is headquartered in Bethesda, Maryland.
AMERIGROUP CORPORATION (AGP)
AMERIGROUP Corporation operates as a multistate managed healthcare company focused on serving people, who receive healthcare benefits through publicly sponsored programs, such as Medicaid, State Children's Health Insurance Program (SCHIP), and FamilyCare. It offers various products, including AMERICAID, a family-focused Medicaid managed healthcare product designed for the temporary assistance to population that consists primarily of low-income children and their mothers; AMERIKIDS, a managed healthcare product for uninsured children not eligible for Medicaid; AMERIPLUS, a managed healthcare product for supplemental security income recipients; and AMERIFAM, which is a FamilyCare managed healthcare product designed for uninsured segments of the population other than SCHIP eligibles. Its health plans covers various services, which would include primary and specialty physician care, inpatient and outpatient hospital care, emergency and urgent care, prenatal care, laboratory and x-ray services, home health and durable medical equipment, behavioral health services, long-term and nursing home care, vision care and exam allowances, dental care, chiropractic care, podiatry, and prescriptions and over-the-counter drugs. AMERIGROUP operates primarily in New York, Texas, New Jersey, Maryland, Illinois, Florida, and the District of Columbia. The company was founded by Jeffrey L. McWaters in 1994. AMERIGROUP is headquartered in Virginia Beach, Virginia.
Humana, Inc., a health benefits company, offers health insurance coverage and related services through various Internet-based plans for employer groups, government-sponsored programs, and individuals in the United States. The company operates in two segments, Commercial and Government. The Commercial segment comprises members enrolled in products and includes three lines of business: fully insured medical, administrative services only (ASO), and specialty products. Fully insured medical products include consumer-directed products, including health maintenance organization (HMO) products, which provide prepaid health insurance coverage to its members through a network of independent primary care physicians, specialty physicians, and other health care providers; and preferred provider organization products that provide a member to choose a physician or other health care provider. ASO products are marketed to employers, who self-insure their employee health plans. Specialty products include dental, group and individual life, and short-term disability products. The Government segment consists of members enrolled in government-sponsored programs and includes three types of products: Medicare Advantage, which provides persons age 65 and over, and some disabled persons under the age of 65 certain hospital and medical insurance benefits; Medicaid, a federal program to enable the delivery of health care services to low-income residents; and TRICARE, which provides health insurance coverage to the dependents of active duty military personnel, and to retired military personnel and their dependents. The company offers its products and services primarily through independent brokers, agents, and sales representatives. As of December 31, 2004, it had approximately 7.0 million members in its medical insurance programs, as well as approximately 1.7 million members in its specialty products programs. Humana, Inc. was organized in 1964 and is headquartered in Louisville, Kentucky.
SIERRA HEALTH SERVICES INC (SIE)
Sierra Health Services, Inc., a managed health care organization, engages in the provision and administration of health care programs in the United States. The company provides managed health care services through a federally qualified health maintenance organization; managed indemnity plans; ancillary products and services that complement its managed health care product lines; and a third-party administrative services program for employer-funded health benefit plans and self-insured workers' compensation plans. It serves employers, government, and individuals. The company is headquartered in Las Vegas, Nevada.
Health Net, Inc. operates as a managed health care company in the United States. The company's health maintenance organizations, point of service (POS), insured preferred provider organizations (PPO), and government contracts subsidiaries provide health benefits through various programs, including group, individual, Medicare, Medicaid, and TRICARE. Its health plans offer its members a range of health care services, such as ambulatory and outpatient physician care, hospital care, pharmacy services, behavioral health, and ancillary diagnostic and therapeutic services. The company also offers managed health care products related to behavioral health and prescription drugs. In addition, Health Net owns interests in health and life insurance companies that are licensed to sell exclusive provider organization, PPO, POS, and indemnity products, as well as auxiliary nonhealth products, such as life and accidental death and dismemberment, dental, vision, behavioral health, and disability insurance. The company is headquartered in Woodland Hills, California.
CENTENE CORPORATION (CNC)
Centene Corporation provides multiline managed care programs and related services in the United States. It offers Medicaid and Medicaid-related programs to organizations and individuals through government subsidized programs, including Medicaid, Supplemental Security Income, and the State Children's Health Insurance Program. These programs provide primary and specialty physician care, after hours nurse advice line, inpatient and outpatient hospital care, transportation assistance, emergency and urgent care, health status calls to coordinate care, prenatal care, and vision care services. It also offers laboratory and x-ray services, dental care, home health and durable medical equipment, immunizations, behavioral health and substance abuse services, and prescriptions and limited over-the-counter drugs. The company also provides specialty services, including nurse triage and treatment compliance to healthcare organizations. In addition, it offers education and outreach programs to inform and assist members in accessing healthcare services. The company provides health plans and specialty services in Indiana, Kansas, Missouri, New Jersey, Ohio, Texas, and Wisconsin; and free-standing programs in Arizona, California, and Colorado. Centene was founded in 1984 and is headquartered in St. Louis, Missouri.
HealthSpring, Inc., through its subsidiaries, operates as a managed care organization in the United States. It focuses primarily on Medicare, the federal government sponsored health insurance program for retired U.S. citizens aged 65 and older, qualifying disabled persons, and persons suffering from end stage renal disease in the states of Tennessee, Texas, Alabama, Illinois, and Mississippi. The company also offers commercial health plans to individuals and employer groups in Tennessee and Alabama, as well as manages healthcare plans and physician partnerships. In addition, the company provides services, including negotiation, monitoring, and quality assurance of contracts with third party healthcare providers; medical management, credentialing, marketing, and product promotion; support services and administration; financial services; and claims processing, and other general business office services. Further, it offers Medicare Part D prescription drug plans to persons who are eligible for Medicare. As of December 31, 2006, the company served 115,000 Medicare members. HealthSpring was founded in 2000 and is headquartered in Nashville, Tennessee.
WELLPOINT HEALTH NETWORKS INC (WLP)
WellPoint, Inc., through its subsidiaries, operates as a commercial health benefits company in the United States. It offers a spectrum of network-based managed care plans to the large and small employer, individual, Medicaid, and senior markets. The company's managed care plans include preferred provider organizations, health maintenance organizations, point-of-service plans, other hybrid plans, and traditional indemnity plans. In addition, WellPoint provides an array of managed care services, including claims processing, underwriting, stop loss insurance, actuarial services, provider network access, medical cost management, and other administrative services to self-funded customers. It also offers an array of specialty and other products and services, including pharmacy benefit management; group life and disability insurance benefits; dental, vision, and behavioral health benefits; workers compensation; and long term care insurance. The company operates as an independent licensee of the Blue Cross and Blue Shield Association; and serves its members as the Blue Cross licensee for California; the Blue Cross and Blue Shield licensee for Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, Ohio, Virginia, and Wisconsin; and through HealthLink and UniCare. WellPoint is based in Indianapolis, Indiana.
MOLINA HEALTHCARE INC (MOH)
Molina Healthcare, Inc. operates as a multi state managed care organization that arranges for the delivery of health care services. The company offers its services to persons eligible to receive health care benefits through government-sponsored programs for low-income families and individuals, such as Medicaid and the State Children's Health Insurance Program. It arranges health care services for members enrolled in health plans through contracts with health care providers that include its clinics, independent physicians and groups, hospitals, and ancillary providers. The company has health plans in California, Washington, Michigan, Utah, New Mexico, and Indiana that are administered by its health maintenance organization-licensed subsidiaries. It also operates 21 company-owned primary care clinics in California, as of December 31, 2004. Molina Healthcare was founded by C. David Molina in 1980. The company was formerly known as American Family Care, Inc. and changed its name to Molina Healthcare, Inc. in 2000. Molina Healthcare, Inc. is headquartered in Long Beach, California.
MAGELLAN HEALTH SERVICES INC (MGLN)
Magellan Health Services, Inc. engages in the co-ordination and management of the delivery of behavioral healthcare treatment services in the United States. Its treatment services include outpatient programs, such as counseling or therapy; intermediate care programs, including intensive outpatient programs and partial hospitalization services; and inpatient treatment and crisis intervention services. Magellan Health Services provides its management services primarily through risk-based products; administrative services only (ASO) products, where it provides services, such as utilization review, claims administration, and/or provider network management; employee assistance programs (EAP); and products, which combine features of the company's risk-based, ASO, or EAP products. The company provides its services through a contracted network of third-party treatment providers, including psychiatrists, psychologists, other behavioral health professionals, psychiatric hospitals, residential treatment centers, and other treatment facilities. It provides its services to health plans, insurance companies, corporations, labor unions, and various governmental agencies. The company had approximately 57.1 million covered lives under managed behavioral healthcare contracts and managed behavioral healthcare programs for approximately 1,700 customers, as of December 31, 2004. Magellan Health Services was incorporated in 1969 and is headquartered in Farmington, Connecticut.
METROPOLITAN HEALTH NETWORKS INC (MDF)
Metropolitan Health Networks, Inc. operates as a medicare risk provider. It offers various healthcare services that include disease management, quality management, utilization management, and claims adjudication and payment to patients in central and south Florida under risk contracts with Humana, Inc. The company provides its services through a network of primary care physicians, hospitals, and ancillary service providers. It also reinsures against catastrophic losses and certain diseases annually on a per member basis. As of December 31, 2004, Metropolitan Health Networks operated provider service network that included 39 primary care physician practices of which it owned 9 practices and the remaining practices are independently owned and operated under capitation contracts with the company. As of the above date, the company contracted with Humana covered approximately 26,700 Humana members, including 19,200 members in central Florida and 7,500 members in south Florida. Metropolitan Health Networks was incorporated in 1996 and is based in West Palm Beach, Florida.
UNITEDHEALTH GROUP INCORPORATED (UNH)
UnitedHealth Group Incorporated provides health care services in the United States. It operates in four segments: Uniprise, Health Care Services, Specialized Care Services, and Ingenix. Uniprise segment provides a range of employer business services to meet the needs of national employers and health plans. Health Care Services segment offers network-based health care services through its AmeriChoice, Ovations, and UnitedHealthcare businesses. Specialized Care Services segment offers health and wellness benefits, services, and resources. It provides chiropractic care, physical therapy, complementary medicine, and health and wellness services; integrated personal health management solutions, including consumer health information, education, and decision support services; and life, disability, dental, stop-loss, and critical illness insurance for employers and their employees. Ingenix segment provides a range of data and software analytics, warehousing, and technology services and products that help the customers in delivering health care services. The company's customers include pharmaceutical, biotechnology, and medical device companies; health insurers and other payers; physicians and other health care providers; large employers; and government agencies. As of December 31, 2004, the company provided health care services and resources to individuals through approximately 460,000 physicians and 4,200 hospitals. UnitedHealth Group was founded in 1974 under the name United HealthCare Corporation and changed its name to UnitedHealth Group Incorporated in 1998. UnitedHealth Group is based in Minnetonka, Minnesota.