AIS’s Directory of Health Plans: 2017

View Sample (PDF)

Highlights on this Page

Publication Details

  • Pub Code: GDHP14-11WEB
  • Pages: 564
  • ISBN: 978-1-939721-28-0
  • Copyright 2017

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: 2017

Now Shipping!

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.

Place your order through our secure shopping cart

Includes a free copy of the print version
$2,575.00
$765.00
Includes website access for up to 10 users
$8,675.00

2017 Health Insurance Plan Enrollment Data and Contact Information

Gathering accurate, timely payer and health plan enrollment data is hard. Understanding how health plan dynamics impact your business can be harder. AIS's Directory of Health Plans: 2017 delivers current and comprehensive health plan enrollment data and key executive contact information to power your planning, inform your analysis and bring every payer plan offered in the U.S. into sharp focus.

Whether you are launching a new product, evaluating the market potential for your health care services, advising a client considering an expansion into managed care, or prospecting for new customers, AIS's Directory of Health Plans provides the payer and plan-level enrollment details you need to engage the market with confidence.

Use AIS's Directory of Health Plans to:

  • Analyze current enrollment data and market share for every payer plan offered in the U.S.
  • Identify growth opportunities for your products and services across every market (Commercial, Medicare, Medicaid and Health Exchanges)
  • Simplify sales team prospecting with detailed executive contact information by plan and state
  • Empower your teams with comprehensive, reliable data to efficiently execute your payer strategy

Intuitive Tools to Support Your Business Objectives

  • Evaluate plan population changes and regional plan mix
  • Access health plan profile and contact data, including the key executives who impact your business
  • Power payer ROI analysis with plan-level and geo-specific lives data
  • Empower field sales teams with easy-to-access, role-specific prospecting data
  • Model your current and potential market to inform marketing and sales strategies

Formats and Licenses

AIS’s Directory of Health Plans puts a wealth of competitive intelligence in your hands so you can easily research one company, several plans, or enrollment by state or plan type. This unique resource 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.

Choose the format and licensing arrangement that works best for your team:

(1) Printed Book: AIS’s Directory of Health Plans provides current health plan enrollment data and key executive contact information for all health insurance companies operating in the United States. The comprehensive printed book contains more than 600 pages of directory listings, plus an “Executive Summary” of enrollment trends in quick-view tables and charts.

(2) USB Flash Drive: Get a head start on your analyses — and easily conduct market research, create detailed company profiles and prospective client lists for your sales team, and develop targeted mailing lists! When you purchase the USB flash drive version of the Directory, you’ll receive data from AIS’s exclusive health plan database as Excel, Access and CSV files that are compatible with most sales software, so you can easily create the specific kind of analysis you need. (Includes a free copy of the print version.)

(3) Interactive Website: With an intuitive design that allows you — and up to nine other users — to quickly search, sort, filter and export specific data selections directly to your desktop, you don’t need to be a spreadsheet expert to find exactly the data you need. The website includes new fields and records, such as additional state-level enrollment breakdowns that are not included in the book or USB. There’s even a lookup tool that calculates total enrollments for any user-defined category! Plus, a subscription to the online version includes a newsfeed and monthly email newsletter on activities that impact enrollment and market share, and bonus analyses and updates during the year. Learn more about the website at https://AISHealthData.com/DHP.

Need access for more than 10 users? Contact sales@aishealth.com for more information about purchasing an Enterprise License to AIS’s Directory of Health Plans.

Not sure which format is right for you? Click here to learn more about what uses are covered under each version of the Directory (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: 2017

  • U.S. Health Plans Ranked by Total Medical Enrollment
  • Health Plans by Type of Ownership
    • Number and Enrollment of Health Plans by Type of Ownership
    • Number and Enrollment of Health Plans by Tax Status
    • Number and Enrollment of Provider- Sponsored Health Plans vs. Other
    • Top 10 Provider- Sponsored Health Plans by Enrollment
  • Health Plan Enrollment by Risk, Sector and Program
    • Percentage of Health Plan Enrollment by Risk Type
    • Top 10 Health Plans by Total Risk Enrollment
    • Top 10 Health Plans by Total Self- Funded/ASO Enrollment
    • Percentage of Risk Enrollment by Sector (Public Sector vs. Commercial)
    • Percentage of Commercial Risk Enrollment by Market Segment (Individual, Group, Medicare Supplement)
    • Percentage of Group Enrollment by Group Size (Small Group vs. Large Group)
    • Top 10 Health Plans by Individual (non- Group) Enrollment
    • Top 10 Health Plans by Large Group Enrollment
    • Top 10 Health Plans by Small Group Enrollment
    • Percentage of Public Sector Enrollment by Program (Medicare Advantage, Managed Medicaid, Dual Eligibles, Medicaid FFS, CHIP)
    • Top 10 Health Plans by Medicare Advantage Enrollment
    • Top 10 Health Plans by Medicaid HMO Enrollment
    • Top 10 Health Plans by Medicare/Medicaid Dual Eligibles Enrollment
  • Health Plan Participation in Medicare Part D (Stand- Alone PDPs)
    • Medicare PDP Enrollment by Type of Contractor
    • Top 10 Health Plans by Total Medicare Part D (PDP) Enrollment
  • Health Plan Participation in Insurance Exchanges
    • Percentage of Health Plans by Public Exchange Participation, 2017
    • Percentage of Health Plans With Commercial Risk Enrollment, By Public Exchange Participation, 2017
    • Top 10 Health Plans by Public Exchange Enrollment, 2017
  • 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: NCQA Accreditation Status of U.S. Health Plans

Alphabetical Index

Electronic Version (on USB Flash Drive):

Methodology

All known health insurers are surveyed annually by AIS staff researchers. The survey is conducted during February-April of each year, with the goal of capturing enrollment data representing the current year's active health plans. Primary medical enrollment is counted and all specialty membership such as pharmacy, dental, vision, behavioral, etc. are excluded to avoid double-counting members.

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 company insiders 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 complete the record through other means. Survey data are audited against public records as available. Data from company websites, SEC filings, company press releases and published news reports are used to supplement the records.

A special effort is made to capture current-year data on populations that are known to start a bulk of new contracts as of January, or for which eligibility rules may change at the start of the year. Survey data are audited against public records as available. Discrepancies are usually found to be due to differences in definition and/or timing. AIS researchers work closely with health plan sources to identify the specific enrollees that should be attributed to the categories as defined in the AIS database.

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, 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 14 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 AIS Health. 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 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 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

USB and print versions of AIS's Directory of Health Plans: 2017 are 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.

Access to the online version is available as soon as your order is processed (usually within two business days). You will receive a username and password via email.

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: 2017

Place your order through our secure shopping cart

Includes a free copy of the print version
$2,575.00
$765.00
Includes website access for up to 10 users
$8,675.00