AIS’s Directory of Health Plans: 2015

View Sample (PDF)

Highlights on this Page

Publication Details

  • Pub Code: GDHP12-11WEB
  • Pages: 654
  • ISBN: 978-1-936230-88-4
  • Copyright 2015

3 Easy Ways to Order

  1. Secure Shopping Cart
  2. Call 800-521-4323
  3. Print a form to fax or mail

AIS’s Directory of Health Plans: 2015

All-new 12th edition of the most comprehensive resource available on the U.S. health plan market, with enrollment data and contact information for health plans operating in the U.S. The database is also available on CD or USB Flash Drive to permit the creation of specific analysis that suits the needs of each user.

Place your order through our secure shopping cart

(Includes a free print version)
$2,125.00
(Includes a free print version)
$2,125.00
$682.00
(Multi-user license covers up to 10 users)
$7,775.00

A thorough and definitive tool to calculate health plan market share

AIS’s Directory of Health Plans is the most current and comprehensive source of health plan enrollment data and key executive contact information for all health insurance companies operating in the U.S. The Directory listings include:

  • National and state-level enrollment data by company,
  • National enrollment by company, by sector,
  • Company contact information and ownership information, and
  • Key executives listed by job function.

AIS’s Directory of Health Plans makes it easy to look up details on specific health plan companies — who to contact, where they operate, what types of products they offer, what their enrollment size is and more. It can help you:

  • Discover which health plans offer certain types of plan models and which health plans operate in each state, so you can gauge your competitors' strengths and identify where your opportunities for market expansion lie.
  • Conduct accurate market research using the most currently available data.
  • Create targeted mailing lists and develop call lists to network and generate leads for prospective new partners and clients.
  • Track shifts in enrollment as ACA implementation, integrations, mergers and acquisitions change the competitive landscape.
  • See how the ACA requirement that all health plans must include a prescription drug benefit has affected pharmacy benefit enrollment.
  • Develop benchmarks for determining the prevalence of certain types of plan models and create projections about which areas are likely to grow.

AIS is proud to maintain this extensive, proprietary database and consistently publish reliable information that can help you evaluate market trends and succeed in the health care marketplace. By maintaining our impeccable research standards and strict methodology through twelve annual editions, AIS’s health plan data offers true year-over-year comparisons and extremely accurate and sensitive insight into developing trends.

Convenient, Easy-to-Use Formats

AIS’s Directory of Health Plans includes a CD or USB Flash Drive with enrollment and market data and verified contact names in mailing lists. Your order includes an accompanying book that contains the full directory and an “Executive Summary” of enrollment trends in quick-view tables and charts.

Data is included in three different file formats (Excel, Access, CSV), so you can easily create the specific kind of analysis you want. It includes key executives in mailing lists, so you can quickly sort and create targeted lists. The data files are compatible with most sales software so you can conduct marketing research and develop prospect lists, as well as create detailed company profiles and prospective client lists for your sales team.

The printed book is also sold separately (without the data files), but does not include the exclusive Excel files that give you a head start on your analyses.

Multi-user site licenses for AIS’s Directory of Health Plans are also available to save you money while providing an accurate data resource for analysts throughout your organization. Call Sales Director Bailey Sterrett at 202-775-9008 x3034 to learn more.

Not sure what type of license is right for you? Click here to learn more about what uses are covered by single- and multi-user licenses (PDF file).

Table of Contents

Print Version:

Introduction

  • Methodology
  • What’s New for This Edition
  • Evolution of AIS’s Directory of Health Plans
  • Tracking Pharmacy Benefit Membership in AIS’s Directory of Health Plans
  • Field Lists and Definitions
    • Contact Fields
    • Enrollment Fields
    • Sector Breakdowns
    • Funding Breakdowns
    • State Breakdowns
  • Customer Feedback

Chapter 1: Highlights from AIS’s Database of Health Plans

  • U.S. Health Plans Ranked by Total Medical Enrollment
  • Health Plans by Type of Ownership
    • Number of Health Plans and Enrollment by Type of Ownership
    • Number of Health Plans and Enrollment by Tax Status
  • Health Plan Enrollment by Risk, Sector and Program
    • Percentage of Health Plan Enrollment by Risk Type
    • Top 15 Health Plans by Total Risk Enrollment
    • Top 15 Health Plans by Total Self-Funded/ASO Enrollment
    • Percentage of Risk Enrollment by Sector
    • Percentage of Commercial Risk Enrollment by Market Segment
    • Percentage of Group Enrollment by Group Size
    • Top 15 Health Plans by Individual (non-Group) Enrollment
    • Top 15 Health Plans by Large Group Enrollment
    • Top 15 Health Plans by Small Group Enrollment
    • Percentage of Public Sector Enrollment by Program
    • Top 15 Health Plans by Medicare Advantage Enrollment
    • Top 15 Health Plans by Medicaid HMO Enrollment
    • Top 15 Health Plans by Medicare/Medicaid Dual Eligible Enrollment
  • Health Plan Participation in Medicare Part D (Stand-Alone PDPs)
    • Medicare PDP Enrollment by Type of Contractor
    • Top 25 Health Plans by Total Medicare Part D (PDP) Enrollment
  • Health Plan Participation in Insurance Exchanges
    • Percentage of Health Plans by Public Exchange Participation
    • Top 25 Health Plans by Public Exchange Enrollment, 2014
  • Health Plans Listed by Contracted or Affiliated PBM

Chapter 2: Directory of Health Insurance Companies

Chapter 3: Health Plan Enrollment by State

Chapter 4: Medicare Part D Directory and Enrollment

Chapter 5: Health Plan Participation in Health Insurance Exchanges

Chapter 6: Health Plan Participation in Accountable Care Organizations (ACOs) and Similar Partnerships

Chapter 7: NCQA Accreditation Status of U.S. Health Plans

Appendix: New Health Plans

Alphabetical Index

Electronic Version (on CD or USB Flash Drive):

Methodology

All known health insurers were surveyed by AIS staff researchers between Oct. 1, 2014, and Dec. 31, 2014. Organizations were contacted individually and offered options to fill out an online or paper survey, or to provide information via email, fax, mail or telephone interviews. Data provided directly by companies via survey is deemed the most accurate and up-to-date information on that company. For companies that do not return a survey, or where blanks are left on responses, researchers endeavor to complete the record through other means.

Survey data are audited against public records as available. For listed entities that prefer for AIS to fill out enrollment information from publicly available data sources, fully insured commercial enrollment is from third-quarter 2014 state insurance department filings. Medicare enrollment was updated from the December 2014 Centers for Medicare and Medicaid Services (CMS) records. Medicaid enrollment, when not provided by the company, was collected from state Medicaid agency reports ranging in date from September to December 2014, whichever was the latest available report as of Dec. 31.

Data from company websites, SEC filings, company press releases and published news reports were used to supplement the records.

Data Fields

  • Company information — Company Name, Company Owner, Profit Status, Private/Public, Stock Symbol, Aliases, Contracted PBM, Contracted Specialty Pharmacy Vendor, States Served
  • Contact information — Address, URL, Business Phone, Automated Phone, Fax
  • Executives by job function — CEO, President, Operations, Finance, Medical/Clinical, General Counsel/Legal Affairs, Provider Relations/Network, Marketing/Sales, Member Relations, Pharmacy, Public Relations, Information Systems, Purchasing, Claims Management, DM/Wellness; Human Resources; Government Relations; Medicare Operations
  • Enrollment data — Total Medical, Total Fully Funded, Commercial Risk (Total/Individual/Small Group/Large Group), Medicare Supplement, Public Sector Risk, Total Medicare Advantage, Medicare Coordinated Care Plans, Medicare Cost Plans, Medicare PFFS, PACE Programs, Dual-Eligibles, Medicaid HMO, Medicaid FFS, SCHIP and Other Public-Sector, Unspecified Risk, Self-Funded/ASO, Medicare Part D, Public Exchanges, FEHBP/FEP, and enrollment specific to each state, DC and Puerto Rico, plus other foreign enrollment.

Honors

For the twelfth year in a row, America’s Health Insurance Plans (AHIP) — the national trade association representing health plans — has selected AIS’s Directory of Health Plans as the official directory resource.

Written By

AIS’s Directory of Health Plans is published by Atlantic Information Services, Inc. (AIS). The research and data tracking is conducted by in-house researchers who work exclusively for AIS.

To produce AIS’s Directory of Health Plans, AIS’s on-staff researchers personally interview or survey a knowledgeable person at each health plan — including subsidiaries and parent companies — to get a clear picture of product offerings, contracts and markets. We work hard to ensure that each covered life is counted only once, and is categorized by plan models that are defined in a consistent and meaningful manner which reflect the current industry. By maintaining impeccable research standards and strict methodology, AIS’s health plan data offers true year-over-year comparisons and extremely accurate and sensitive insight into developing trends.

Written For

  • Health plan executives, managed care and managed markets directors
  • Analysts, market researchers and business development managers
  • Network directors, contract and payer relations managers
  • Health care policy makers
  • Sales and marketing directors, brand managers
  • Account executives, product managers
  • Benefits advisors
  • Actuaries

AIS Guarantee

Order AIS’s Directory of Health Plans for a 30-day risk-free inspection and test for yourself the value of this highly practical resource. If within 30 days you're not interested in keeping it, just return it to AIS and we will send you a prompt, full refund or credit. For CD or USB Flash Drive purchasers, refunds will not be made once the seal on the package has been broken. Please review your copy of the print version prior to breaking the seal.

Shipping Information

This item is shipped via FedEx. Please give us your street address when you order (FedEx does not deliver to PO boxes.) You should receive your order within 5-7 business days. Shipping and handling cost is $12 per item.

Rush orders: Please call us at 800-521-4323 to place a rush order. We will overnight your order for an additional charge of $45, or you can give us your FedEx or UPS account number and we will charge the shipping to your account. Rush orders placed after 3:00pm EST will not be shipped out until the next business day.

View Sample (PDF)

AIS’s Directory of Health Plans: 2015

Place your order through our secure shopping cart

(Includes a free print version)
$2,125.00
(Includes a free print version)
$2,125.00
$682.00
(Multi-user license covers up to 10 users)
$7,775.00

Shopping Cart

View your shopping cart.

Renewal Center

Renew your subscriptions to AIS newsletters and looseleaf publications at the Renewal Center