AIS’s Directory of Health Plans: 2016

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Publication Details

  • Pub Code: GDHP13-11WEB
  • Pages: approximately 600
  • ISBN: 978-1-939721-13-6
  • Copyright 2016

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AIS’s Directory of Health Plans: 2016

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All-new 13th 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. — and reflecting results of the 2015 ACA open-enrollment season. Available as a printed book, as data files on a CD or USB Flash Drive, or — new for 2016 — as an interactive website, to permit the creation of specific analyses that suit the needs of each user.

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Need the Directory right now? The 2015 edition is still available! Click here to order.

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.

Containing a greater level of detail than past editions! As the health plan industry grapples with the far-reaching impact of the Affordable Care Act (ACA), the editors of AIS’s Directory of Health Plans have extended their research period to make the data more relevant for users in this volatile post-ACA market. The all-new 2016 edition will, for the first time, reflect results of the ACA open enrollment season, where the industry is experiencing numerous market shifts with health plans entering and exiting service areas. The data also will reflect the results of the Medicare Advantage open enrollment season.


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 will help you answer these and other important questions:

  • Where do you and your competitors stand nationwide and statewide in enrollment and market share?
  • What mix of product offerings is helping plans maintain and grow enrollment?
  • Who is participating in which exchanges? Who is sponsoring ACOs? What has been the effect of public exchange enrollment?
  • Which states have the greatest opportunity for growth?
  • What are the top health plans in commercial, Medicare and Medicaid markets?
  • Who is the best person to contact at a particular company?

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 13 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 market 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.

New for 2016: AIS’s Directory of Health Plans also is available online! With tools to search, sort, filter and export specific data selections directly to your desktop, additional state-level enrollment breakdowns that are not available elsewhere, and access for up to 10 users, the website provides a cost-effective way to make sure your staff has access to the information they need to make a difference in your sales, research or marketing goals. Learn more at www.AISHealthData.com/dhp.

Need access for more than 10 users? Contact Sales Director Bailey Sterrett at (202) 775-9008 x3034 or bsterrett@aishealth.com for more information about purchasing an Enterprise License to AIS’s Directory of Health Plans.

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).


Special Offer: Exclusive FREE Report on Provider-Sponsored Plans!

When you reserve AIS’s Directory of Health Plans: 2016 today, you’ll get Market Overview of Provider-Sponsored Health Plans, an exclusive free report from AIS researchers that illuminates the universe of provider-sponsored health plans and how they are positioned in various markets as compared with traditional insurers. A snapshot of 70 different provider-owned health plans, Market Overview of Provider-Sponsored Health Plans includes data on service area and markets in which each plan operates, and average deductibles, out-of-pocket limits and monthly premiums are calculated for the provider-based plans offered on individual exchanges for 2016 plan. (Not sold separately, this report is available only to buyers of AIS’s Directory of Health Plans: 2016. You will receive your report immediately after purchase.)


Table of Contents (2015 Edition)

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 are surveyed annually by AIS staff researchers. The survey for the 2016 edition will be conducted in February-April 2016. Organizations are 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, commercial enrollment is from state insurance department filings and/or SEC filings. Medicare enrollment is from Centers for Medicare and Medicaid Services (CMS) records. Medicaid enrollment, when not provided by the company, is collected from state Medicaid agency reports. See specific data sets for source dates.

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

Data Fields (2015 Edition)

  • 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 12 years, 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

All versions of AIS's Directory of Health Plans: 2016 will begin shipping, via FedEx, in the spring of 2016. Please give us your street address when you order (FedEx does not deliver to PO boxes.) Shipping and handling cost is $12 per item.

Your exclusive free report, Market Overview of Provider-Sponsored Plans, will be sent immediately after submitting your order through our secure shopping cart; look for an email with a link directing you to download the PDF file of the report. If you place your order via phone, fax or mail, the report will be emailed to you when your order is processed (usually within 1 business day). Shipping costs will not be charged for this item.

Need the Directory right now? The 2015 edition is still available! Click here to place your order for immediate delivery.

View Sample (PDF)

AIS’s Directory of Health Plans: 2016

Save When You Reserve Now for Spring 2016 Delivery —
And Get a FREE Report Immediately!

Place your order through our secure shopping cart

(Includes a free copy of the print version) Save $200 AND get a free report!
$2,075.00
was $2,275.00
(Includes a free copy of the print version) Save $200 AND get a free report!
$2,075.00
was $2,275.00
Save $60 and get "Market Overview of Provider-Sponsored Health Plans," a FREE report!
$675.00
was $735.00
Includes printed book, CD or USB flash drive, and website access for up to 10 users
$8,075.00

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