HMO/PPO directory; detailed profiles of U.S. managed healthcare organizations & key decision makers; 2014, 26th ed. de Laura Mars and Diana Delgado - 2014

Grey House Publishing, Inc., 2014. Paperback. New Book. Paperback. This resource text contains data for some 1200 managed care organizations in the US, including information for HMO, PPO, POS, and vision and dental plans. A timeline of key features of the Affordable Care Act, by year, covers changes since 2010 through a 2015 provision tying physician payments to the quality of care they provide. The "State Statistics and Rankings" tables that follow feature state-by-state numbers of individuals covered by type of health plan, and state rankings by numbers of health plan enrollees. The 475 pages of HMO/PPO profiles are arranged alphabetically by state. Each includes a state summary chart detailing health insurance coverage status and type of coverage by age. The plan listings that follow are alphabetical by plan name, each providing key contact information and a detailed plan summary. The text also contains a glossary of health insurance terms and list of industry websites, and is indexed by plan type, executives and their organizations, membership enrollment, primary care physician, and referral/specialty care physician. The Directory is also available for subscription as an online searchable database; users can print out prospect sheets and download data into their own spreadsheet or database. (2014 Ringgold, Inc., Portland, OR)