AIS’s Directory of Health Plans: 2017

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Publication Details

  • Pub Code: GDHP14-11WEB
  • Pages: Approximately 600
  • Copyright 2017

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AIS’s Directory of Health Plans: 2017

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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.

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Includes printed book, USB flash drive and website access for up to 10 users
$8,675.00

AIS’s Directory of Health Plans: 2016 is still available for immediate delivery! Click here to order.


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.

Convenient, Easy-to-Use Formats

(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. (Includes a free copy of the print version and a USB flash drive.)

Need access for more than 10 users? Contact BJ Taylor at (202) 775-9008 x3067 or bjtaylor@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).

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 for more than 13 years, AIS’s health plan data offers true year-over-year comparisons and extremely accurate and sensitive insight into developing trends. Reserve and save today!

Table of Contents (2016 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: 2016

  • 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, SCHIP)
    • 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, 2016
    • Percentage of Health Plans With Commercial Risk Enrollment, By Public Exchange Participation, 2016
    • Top 10 Health Plans by Public Exchange Enrollment, 2016
  • 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

Appendix: New Health Plans

Alphabetical Index

Electronic Version (on USB Flash Drive):

Methodology

All known health insurers are surveyed annually by AIS staff researchers. The survey for the 2016 edition was 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

  • 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 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 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 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 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 will ship, via FedEx, in the spring of 2017. Please give us your street address when you order (FedEx does not deliver to PO boxes.) Shipping and handling cost is $12 per item.

Access to the online version will be available as soon as the 2017 data is uploaded in the spring. You will receive a username and password via email.

AIS’s Directory of Health Plans: 2016 is still available for immediate delivery! Click here to order.

View Sample (PDF)

AIS’s Directory of Health Plans: 2017

Save Up to $200 With This Early-Bird Discount Offer!

Place your order through our secure shopping cart

Save $200! (Includes a free copy of the print version)
$2,375.00
was $2,575.00
Save $75!
$690.00
was $765.00
Includes printed book, USB flash drive and website access for up to 10 users
$8,675.00