http://www.soundhealthrates.com
UniCare is a national organization dedicated to the delivery of quality health care plans and products working together with its customers, consultants, brokers, providers and employers. Providing managed care and specialty health care services throughout the United States, UniCare Life & Health Insurance Company is an operating affiliate of WellPoint Health Networks Inc. (NYSE:WLP www.wellpoint.com), one of the nation's largest publicly traded managed care companies serving the health care needs of more than 13 million members and approximately 42.6 million specialty members. In 1995, UniCare became the brand name for most of the WellPoint businesses operated outside of California. WellPoint acquired the group health and life business of Massachusetts Mutual Life Insurance Company in 1996, and in 1997 acquired the group health and related life business of John Hancock Mutual Life Insurance Company. In early 2000, WellPoint acquired Rush Prudential Health Plans in Illinois. This acquisition brings together Rush Prudential and WellPoint's existing UniCare business, and enables UniCare to offer a broad array of products and services in Illinois ranging from traditional PPO products to HMO products. UniCare uses a unique rate-setting approach. New and long-time customers are charged according to the same rate schedule. Other health insurance companies charge lower rates for new customers and higher rates for customers who have been insured for a year or more. This makes UniCare a wise choice for long-term health insurance needs. UniCare has the most stable rates in the industry. Medquote is one of UniCare's leading Illinois, Michigan, and Texas agencies and we participate in UniCare's Premier Agent Program. This means our clients get faster UniCare service, including speedier processing of applications.
Boelzner & Associates (License #OB23565) is an independent insurance agency specializing in health care plans for individuals and businesses of all sizes. Because we represent every major health insurance company, we have the freedom and flexibility to find the best coverage for you at the lowest cost. We are proud to say our customer retention rate is near perfect! We've served thousands of customers in Southern California's Coachella Valley region since 1983.
Health Net Life Insurance Company, a division of Health Net, Inc. (NYSE:HNT), offers life insurance, preferred provider organization ("PPO") health, point of service ("POS") health, indemnity health, dental, vision, Medicare supplement and behavioral health products. The life insurance products include group term life, individual term life, accidental death and dismemberment ("AD&D"), supplemental term life and dependent term life. The company is headquartered in California.
Winston & Company Benefits, Inc. was founded in 1984 with the Home Builders Association of Kentucky as the first client. We currently represent over 20 associations throughout Indiana and Kentucky. Winston & Company specializes in: Association Insurance Programs Small Group, Health, Life, and Disability Programs. Winston & Company is currently ranked 4th in Business First's list of Largest Louisville Independent Insurance Agencies (Ranked by premium volume-group benefits).
http://www.winhealthpartners.org
We serve as advocates for consumers in the healthcare system. Sometimes our task is as easy as making sure a family member is available to drive a patient home. Other times, we identify members with potentially life-threatening conditions and work with them to make certain they can navigate the sometimes confusing healthcare system to get the services they need. We work with your employees to build trust that their health plan is looking out for them.
With roots going back to 1992, PacAdvantage offers affordable combinations of health insurance plans for businesses based in California with 2-50 employees. PacAdvantage is actively committed to serving small employers by expanding access to affordable, quality health care while offering their employees choices to better manage their unique health care concerns. With PacAdvantage, small employers can offer coverage that might otherwise be available only to employees of large organizations. PacAdvantage contracts with quality medical, dental, vision and chiropractic insurance plans to offer health insurance coverage to small businesses. By leveraging the purchasing power of employers across the state, PacAdvantage allows businesses to offer their employees full-service products at affordable rates. PacAdvantage was established by the Pacific Business Group on Health (PBGH). Founded in 1989, PBGH is a non-profit coalition of major California employers that is nationally recognized for its efforts to improve the quality and availability of health care while moderating costs. Referred to as value based purchasing, it means that PBGH cares equally about quality, availability and cost. PBGH's 50 major purchaser members represent approximately 3,000,000 employees, retirees and their families and billions of dollars in annual health care expenditures. Both large and small employers benefit from PBGH's leveraged buying power, administrative efficiencies, and comparable performance information across health plans, physician groups and hospitals.
Our mission is to provide peace of mind to our members about their health-care coverage. We provide health insurance and related services to more than 1.3 million people in Washington and Alaska. Premera Blue Cross has operated in Washington since 1933, and Alaska since 1957. Premera Blue Cross is an independent licensee of the Blue Cross Blue Shield Association. Premera Blue Cross is a member of a family of companies based in Mountlake Terrace, Washington, that provide health, life, vision, dental, and long-term care insurance, and other related services, in multiple western states.
Accerta utilizes a highly automated rules-based claim management system. Well-structured adjudication standards are applied to create an advanced set of rules. Accerta provides a depth of dental care knowledge unparalleled in the industry. Accerta is in the unique position of having access to the entire dental profession and their expertise. Accerta's team of Representatives uses their years of experience and dental background to control reimbursement of claims accurately. Accerta retains the services of a licensed dental consultant who comes to us with over 20 years experience as a practicing dentist. Accerta administers dental plans for over 20 social service plan sponsors which provides benefits to over 300,000 clients.
Preferred Care is designated a Distinguished Health Plan by J.D. Power and Associates, the premier global marketing information firm, which recognized the local health plan for providing "An Outstanding Member Experience" for its Commercial HMO members. Preferred Care, a managed health care plan, serves the health care needs of more than 265,000 individuals throughout the nine counties of the Greater Rochester region. Its network includes 4,400 physicians and health care professionals and all the local hospitals in the Greater Rochester area. Established in 1979, Preferred Care serves Commercial, Medicare, Medicaid and self-funded HMO plan members. Its Commercial and Medicare Advantage (Preferred Care Gold) plans have earned an "Excellent" NCQA accreditation, the highest rating, for its commitment to quality.
MCHCP is a "body corporate" or quasi state agency, but our employees enjoy the same benefits as other state of Missouri workers. These benefits include medical insurance, basic and optional life insurance, paid vacation, sick leave accruals, paid holidays, deferred compensation, cafeteria plan, tuition reimbursement, and retirement plan.
ppoONE promotes the use of EDI and automatic claims repricing to reduce operational costs. We are experts in connecting to other systems and networks. For those relying on paper claims, ppoONE has two options for manual claims entry: WebCR, an ASP model, and WebCRX, a client-server model. Whether you need extended volume data entry support or remote access, ppoONE has the solution that fits.
In its early days, A&G served as an outlet for multiple location employers who did not have access to traditional managed care outlets. In the process of developing this service, A&G created relationships with local, regional and national networks from around the country. Having built such an infrastructure, A&G needed to diversify its product base to "feed" the network arrangements that had been completed. A&G clients had a common complaint, and that was the lack of a methodology to achieve "managed care" or PPO discounts when employees (insureds) were confined or sought services outside the geographic parameters of the "primary" healthcare network. Having experience in small volume multi-locationed services, A&G felt that filling this need was a natural extension of its services and developed its "out of area" product complete with patient identification and provider notification. Today, many years after entering into the managed care environment(since 1994) with only the thought to serve and save, A&G has grown from three employees into a nationally recognized cost containment leader with 65+ employees headquartered in Plano, Texas. A&G's services have evolved from the hit and miss world of multiple locationed claims to being a cost containment leader in out-of-area & network claims, negotiated discounts and bill review and audit services. All of these services are managed by a state-of-the-art processing system that is Internet enabled, fully HIPAA compliant and EDI ready.
Excellus, Inc., headquartered in Rochester, NY, is a $4 billion not-for-profit company that finances and delivers health care in Upstate New York and provides long-term-care insurance across the nation. The corporation's health-insurance group, Excellus Health Plan, includes: BlueCross Blue Shield of Central New York,
UCare Minnesota is a nonprofit health maintenance organization (HMO) serving over 100,000 members. UCare offers income-based health care programs throughout the state as well as products for Medicare beneficiaries in the metropolitan Twin Cities area and adjacent counties. In addition to providing quality health care services, UCare actively works with a variety of partners - county agencies, charitable organizations and others - to provide programs that help members and those in their communities live healthier lives. UCare is recognized for improving the health of members through innovative services and creative community partnerships.
Founded in 1989, Pacific Business Group on Health is one of the nation's top business coalitions focused on health care. Our 50 large purchaser members spend billions of dollars annually to provide health care coverage to more than 3 million employees, retirees and dependents. PBGH is a respected voice in the state and national dialogue on how to improve the quality and effectiveness of health care while moderating costs. Partnering with the state's leading health plans, provider organizations, consumer groups and other stakeholders, PBGH works on many fronts to promote value-based purchasing in health care. A 501(c)3 corporation, PBGH is results-oriented and member-driven. The coalition identifies health care and business trends, assesses the impact of those trends and recommends practical steps to advance a common agenda. It works closely with payors, providers, researchers and others to achieve the highest quality and most cost-effective health care. PBGH also works collaboratively with all purchasers in California and with other business coalitions throughout the United States.
AmeriChoice, a business unit of UnitedHealth Group, serves more than 1.3 million beneficiaries of government health care programs in 16 states from Rhode Island to California. Since 1989, AmeriChoice has served these programs exclusively, earning a reputation as an innovative developer of public sector health care solutions. We understand the imperatives of public sector health care, we have invested in the systems and personnel required to successfully provide quality service to our customers and we have designed health plans that meet the unique needs of the populations we serve. The unique AmeriChoice Personal Care ModelÔ features direct member contact by clinical staff who work to build a support network for chronically and acutely ill members involving family, physicians and government and community-based organizations. The goal is to employ practical solutions to improve members' health and keep them in their communities, with the resources they need to maintain the highest possible functional status. AmeriChoice pioneered 24/7 bi-lingual Member Service Helplines and uses a variety of advanced technology applications to ensure that high quality, timely and appropriate health care is available to all members. We were the first company to use telemedicine equipment in an inner-city health care program. We developed our own software to monitor member access to services. We use a sophisticated clinical risk stratification tool to ensure that our members are receiving optimal care. We emphasize preventive health and education. We regularly encourage members to get annual physicals and routine diagnostic and screening tests, and we often work with community organizations to ensure that there are no cultural or language barriers to our members getting the care they need. AmeriChoice believes that compassion and respect are essential components of a successful health care company. We contract with community-based networks and employ a diverse workforce, with varied backgrounds and extensive practical experience that gives us a better understanding of our members and their needs. Our detailed knowledge of our members and our service areas, the application of cutting-edge technology and the commitment of our employees have made AmeriChoice the leading choice for quality public sector health care.
Headquartered in Detroit, Health Alliance Plan is a nonprofit health plan serving 545,000 members and 2,000 employer groups. HAP is a subsidiary of the Henry Ford Health System, one of the nation's leading regional health care systems. The health plan serves companies of all sizes through the flagship HMO, PPOs, Medicare Advantage plans, experience-rated, fully insured and self-funded products. The National Committee for Quality Assurance awarded HAP's commercial HMO and HAP Senior Plus, its Medicare Advantage HMO, Excellent Accreditation.
Lumenos is one of the country's leading providers of consumer-driven health care, an approach that's sweeping away old ideas about how health care works. The Company's goal is to improve consumers' health outcomes, and by doing so, to achieve long-term cost efficiency for employers. The concept is simple: improve health care by returning control of health care dollars to consumers, giving them a direct incentive to demand higher quality, more responsive service and better value. And at Lumenos, we've gone even further. Our vision is to foster health care that actually cares about health. So we created a family of health plans that give people accounts, information, services and incentives to maintain and improve their health. These plans offer everything other health plans offer, and a whole lot more. Based in Alexandria, Virginia, Lumenos pioneered consumer-driven health care and offers consumer-driven health care plans in all 50 states. Clients include a growing number of Fortune 500 companies representing the retail, pharmaceutical, technology and manufacturing industries. In June of 2005, Lumenos became a wholly owned operating division of WellPoint, Inc., the largest publicly traded commercial health benefits company in the United States.
Centene Corporation is a multi-line healthcare enterprise operating primarily in two segments: Medicaid Managed Care and Specialty Services. The Company’s Medicaid Managed Care segment provides Medicaid and Medicaid-related health plan coverage to individuals through government subsidized programs, including Medicaid, the State Children’s Health Insurance Program (SCHIP) and Supplemental Security Income Program (SSI). As of December 31, 2007, Medicaid accounted for 74% of the Company’s membership, while SCHIP and SSI accounted for 20% and 6%, respectively. Centene Corporation’s Specialty Services segment provides specialty services, including behavioral health, life and health management, long-term care programs, managed vision, nurse triage, pharmacy benefits management and treatment compliance, to state programs, healthcare organizations and other commercial organizations, as well as to its own subsidiaries on market-based terms. (Source: 10-K)
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