Click on each question to get your answer What choices do I have for obtaining the directory information on Managed Care Organizations?

How is the data collected?

How many managed care plans are included in the directory?

What does each managed care plan record profile contain?

What executive contact names are included in the directory?

Does it break out all MCOs by state and provide info such as covered lives, products offered, counties, parishes covered per state?

Can I see a sample profile from the directory?

Can I get the number of plans and key executive counts?

How does your directory differ from the competitors?

Does the directory list managed Medicare and Medicaid plans?

Do you provide enrollment for Medicare and Medicaid?

What format is your print directory in?

Who uses the directory?

When was the data collected and when was it published?

What is the difference between the fourth and the third edition?

Is this directory available electronically?

What is the "Electronic Advantage"?

What is the difference between the Database on CD-ROM and the print?

Are there any updates included in the purchasing of the CD-ROM or Online Database?

How do I use the Online Database?

Is the Directory on line update daily, weekly, monthly, or quarterly?

We pulled up PPOs for the State of Louisiana and only four came up in the trial database. Will it pull up every PPO in the state and give us the above information?

How quickly can we become members?

Is enrollment data included?

What data does the Enrollment Module contain?

Is this directory available online?

How complete is the directory?

How soon can the Database on CD-ROM be put together and shipped?

Is the information on the database copyrighted?

Can I get a discount if I order multiple copies, for example 6?

Which version of the directory would be best for direct sales?

Is the information available on CD-ROM useful for national account/sales personnel?

How fast can I access the Expedite service?

Can applications other than IT applications use Expedite?
What choices do I have for obtaining the directory information on Managed Care Organizations?

The National Directory of Managed Care Organizations is available in print, database on CD-ROM with high-speed search and PDF output, and at our website as an online database. For the serious market researcher, we have an "Enrollment Module" which contains more comprehensive statistical data on the managed care organizations. All these products contain information on all aspects of managed care, HMOs, PPOs, POSs, PSOs, and specialty MCOs. The Directory provides information on 140 third party administrators if the plans profiled offer TPA services.
How is the data collected?

All the data in the National Directory of Managed Care Organizations has been collected directly from the organizations themselves, by regular surveys in the mail, by fax and e-mail, state government agencies with whom plans must file reports, CMS Medicare data, the MCOs' public Web site postings, other public sources of information, documents we obtain (annual and quarterly reports) news releases received here, proprietary data files developed, gathered and maintained by the Managed Care Information Center, and by extensive telephone interview research by our own staff.
How many managed care plans are included in the directory?

The database has information on more than 1500 managed care organizations. However, those 1500 plus MCOs offer more than 5100 plan types, for example HMOs, PPOs, point of service plans, etc. Our database contains information on all aspects of managed care, HMOs, PPOs, POSs, PSOs, and specialty MCOs. There are 8 different alphabetically indexes: managed care organizations, health maintenance organizations, preferred provider organizations, specialty HMOs, specialty PPOs, point of service organizations, miscellaneous, personnel. The directory provides service area down to county level and also can identify coverage offered and name of product.
What does each managed care plan record profile contain?

Each profile contains 196 fields of useful information on the database on CD-ROM. You are able to search on any criteria that you select. For instance on national company, or state or service area, or number of hospitals in the plan's network or number of physicians, or search on plan type, model, and service state. The Information You Need in Seconds

Profiles include such details as company name and address, parent company, telephone number, fax number, key executive contacts, model type, plan type, service area, enrollment data, benefits covered and products provided as well as other pertinent information.
What executive contact names are included in the directory?

There are more than 10,000 executives under more than 19 various titles. We can capture up to 26 fields of executive contact names per record. You can get executive contact counts at our bookstore:click here
  • Chairman of the Board ·
  • Chief Executive Officer
  • President
  • Chief Financial Officer
  • Chief Medical Officer
  • Chief Operations Officer
  • Chief Information Officer
  • Marketing Director
  • Sales Director
  • Pharmacy Director
  • Public Relations Director
  • Director of Provider Relations
  • Director of Health Promotion
  • Director of Human Resources
  • Director of New Product Development
  • Director of Case Management
  • Director of Medical Management
  • Director of Fraud Prevention and Investigation
Does it break out all MCOs by state and provide info such as covered lives, products offered, counties, parishes covered per state?

Yes. You can search by state or by size of enrollment or by name of MCO. You also will get their products offered ie HMO by name of product, etc. Enrollment numbers are in the database. We have service area in some, but not all records, down to the county level.
Can I see a sample profile from the directory?

A sample profile of a typical managed care organization is provided to show you what each record contains, click here
Can I get the number of plans and key executive counts?

Yes, the number of Managed Care Organizations by type and key contacts by title are available,click here
How does your directory differ from the competitors? The National Directory of Managed Care Organizations is the only reference that identifies and lists:
  • Specialty HMOs and PPOs
  • Point of Service Plans
  • Provider Sponsored Organizations
  • Utilization Review Organizations
  • Medicare + Choice Demonstration Project Plans
  • Consumer Driven Health Plans/HSAs
  • EPOs, ASOs
  • Pharmaceutical Benefit Management Companies
  • MCIC has more information and more years of PPO experience and know-how than any other source.
  • This is not just a directory of HMOs and PPOs.

Our directories are verified by an in-house, trained professional staff. At national industry conferences on managed care, we have been told over and over again that other products available do not compare to this directory. At trade shows like the NMHCC, users tell us our book is more current that any other directory.

In fact, we have had several book buyers call and send us letters telling us that through the use of this directory they have made numerous sales because of the accuracy of our data. Another thing about our directory is that we show you the entire picture of the managed care organizations within the profile. You will be able at a glance tell what products and benefits that the company provides. Also, a nice feature of our directory is that there is a comments field where we list important tracking information such as company name changes, acquisitions, mergers, etc. So you can see the history of the changes that took place since our last edition.
Does the directory list managed Medicare and Medicaid plans?

Yes, If an organization provides a Medicare or Medicaid plan it is noted in their profile data.
Do you provide enrollment for Medicare and Medicaid?

We do collect this data, but it is not available in the print directory. However it is available on CD-ROM in our Enrollment Module.
What format is your print directory in?

It has perfect bound binding with a soft cover. Its dimensions are 8 1/2 X 11. It has over 700 pages including 8 indexes.
Who uses the directory?

Managed care organizations, pharmaceutical companies, integrated healthcare delivery systems and physician organizations, medical and research libraries, consultants, executive search firms, information technology companies, associations and individuals or organizations interested in monitoring the managed care industry.
When was the data collected and when was it published?

Extensive data for the print edition was collected and verified during the fourth quarter of 2005 and the first quarter of 2006. Changes were being made up until press time. We are consistently contacting state offices, resurveying the MCOs and monitoring all forms of news media to uncover changes and additions to our database of MCOs. The online database is updated with new information as soon as it is received here.
What is the difference between the fourth and the fifth edition?

There have been as many as 12,000 changes in data from the prior edition. Changes include mergers and acquisitions, promotions, appointments, resignations, area code or zipcode changes, service area changes, withdrawal from Medicare+Choice, new products, or address changes.
Is this directory available electronically?

Yes, the directory is available in a database on CD-ROM format that imports into software programs you already know how to use. You can import it into Access, Excel, Act, Goldmine, etc. You don't have to worry about learning a new program. You can search on any field and print reports from you search results easily. There are more than 197 fields of data. When you license the CD-ROM you receive a package with field structures for each database that list the fields and what data each field contains. You receive your data on a CD-ROM with instructions to easily import into your software. You will be up and running in a few minutes. The "electronic" edition includes a free six-month update. A great benefit of the CD-ROM version is that when your order is processed, you receive the most current data in our database. The CD-ROM is "burned" the day we ship it to you.
       
The CD-ROM version is composed of the following databases:
  • Main database -- contains contact information on more than 1,640 MCOs with company name, address, mailing address, phone, fax, plan type, model type, type of coverage, benefits covered, statistics (enrollment, revenue, etc.), service are and more.
  • Executive database -- contains names and exact titles for more than 10,000 executives employed by the MCOs.
  • PBM database -- contains more than 160 listings of pharmacy benefit management companies with addresses and a contact information.
  • PSO database -- contains approximately 27 provider sponsored organizations contact information and some statistical data.
What is the "Database Advantage"?

The "Database Advantage" is that you can do whatever analysis you choose. You can pull up or use any criterion that meets your specific information needs. You have easy, mouse click access to company, state, or region specific market information.
What is the difference between the Database on CD-ROM and the print?

The print directory and the Database on CD-ROM contain the same data. However, database edition is more comprehensive because we are always adding to it. Also, the CD-ROM can be searched and sorted on any of the data elements. More organizations are opting to get the database information this way to insure its accuracy. This also makes it easy to create mailing lists, telesales cards, or sales territory assignments.

The chief advantage of the CD or online file is that you can manipulate the data, divide it up by sales region, and identify your greatest prospects. You can also spot the largest companies with the greatest number of members\enrollees, or spot the top 25-50 top prospects, cluster sell, or, carve it up by city or service area. We also try to advise clients and potential clients of the benefits and cost saving efficiencies of the CD-ROM version.
Are there any updates included in the purchasing of the CD-ROM or Online Database?

The online database is updated continuously. The database on CD-ROM comes with a free six- month update.
How do I use the Online Database?

We can walk you through a live demo of the online database. It's the easiest way to see how it is set up and works. It is difficult to obtain a good overview on the trial data base because of the limited resources. The live demo is suggested. Best for decision making. For a live demo call 1-800-516-4343
Is the Directory on line update daily, weekly, monthly, or quarterly?

Regularly as we gather updated information. We are continually updating information. However, as a practical matter the uploads of the new information are batched and not done daily but done more often than monthly.
We pulled up PPOs for the State of Louisiana and only four came up in the trial database. Will it pull up every PPO in the state and give us the above information?

Yes, the search will pull up all plans if you select by state, or you can filter the search by selecting plans of a certain enrollment size.
How quickly can we get access to the Online Database?

Put the fee on a credit card, and we can have you working in the file this afternoon.
Is enrollment data included?

Yes, in the print book we include the 1998-2005 total enrollments. We also include 2003 and 2004 net income and 2003 and 2004 total revenue figures.

The National Directory of Managed Care Organizations database on CD-ROM provides enrollment information on the health plans. Our database also provides state enrollment by plan. However, our information is much more complete for HMOs. We do not have as much enrollment data for PPOs. You can get total enrollment and enrollment by state in our CD-ROM database. Our print directory offers total enrollment only.
What data does the Enrollment Module contain?

The Enrollment Module contains enrollment figures broken down by plan type (HMO, PPO, POS, etc.) by Type of coverage (Commercial, Individual, Medicare, Medicaid, Federal Employee Health Benefit Plans-FEHBP, TriCare, etc.), and geographically by state.

Also included are premiums, net worth, liabilities, assets, total expenses, administrative expenses. It also contains a commentary field which when available contains some company history such as mergers, acquisitions, etc. The Enrollment Module works in conjunction with the standard CD-ROM module as a supplemental product. When you purchase the Enrollment Module you will also received a 6-month update of the data contained in this module. The current Enrollment Module contains 2000-2004 data. We have historical statistical data for year 1995 to 1999 that can be purchased by year.
Is this directory available online?

Yes. The Online Database has a built-in search engine, and includes the fields that users told us were important. These fields include company name, actual location, mailing address, key executives, total revenue, net income, total enrollment, profit status, parent company, model type (IPA, staff, group, etc.), plan type (HMO, PPO, UR, TPA), and service area. The benefit of the Online database is that it has an easy to use search engine that you select what you want to search on and it displays your search results. With the Online database you can search on any combination of:

    1. plan type (HMO, PPO, etc.)
    2. company name
    3. total enrollment
    4. state enrollment
    5. service area
    6. model type (IPA, staff, group, etc.)
    Benefits of the Online database are:

    1. Data is constantly updated -- when you use the data you will have information from our most current files.
    2. The database can be accessed from wherever you are as long as you have online access.
    3. The built in search engine allows for doing easy multiple searches without having to learn all the details of how to use the features of a database or spreadsheet program.
    4. The search results can be saved as ASCII text to your desk top and you can import your findings into other programs for further research.


Demo our database at Click here
How complete is the directory?

Although we try to be as accurate as possible, no publisher of this kind of information has 100% of the fields full. We have been told by buyers that we have the most complete and comprehensive data available. To insure that your managed care data file is as complete as possible, we devote thousands of hours each year to the most thorough research gathering including telephone interviews with the managed care plan executives. The rate of change among contact names within managed care organizations is more than double the normal attrition, our research staff has found. Any data you're using that's over a year old is woefully out-of-date.

The managed care industry is very fluid and transient. Most direct marketing experts agree that at any given time any list can have an up to 20 percent "nixie" rate. (Undeliverable as addressed, addressee no longer there, bad address or zip code.) We take collecting the data very seriously. We are constantly adding new fields of information to our databases each year. Despite our very thorough data gathering research and rounds of verification, it is unrealistic to believe that a print directory can ever possibly be 100 percent current after a couple of months of going to the printer.

Even now, in between editions, there are HMOs being sold, merged, or going out of business. We get names of new executive appointments and promotions weekly. Names of MCOs change, they exit the Medicare+Choice managed care program, telephone company area codes continue to change, and plans expand or shrink service areas.

We advise executives who wish to use our database for ongoing sales efforts, mailings or telemarketing, that a more cost effective investment would be our National Directory of Managed Care Organizations Database on CD-ROM. It costs more, but it is kept up to date on a regular basis here and is as current as can be when it is delivered to you. The database on CD-ROM contains the same size and deep profile information that is found in our print directory.
How soon can the Database on CD-ROM be put together and shipped?

We ship your database by overnight carrier. You'll always get the freshest data, name and company changes, with the CD-ROM choice. The Database on CD-ROM is "burned" with the most current data, the day we ship your order.

Is the information on the database copyrighted?

The National Directory of Managed Care Organizations Database is protected under copyright laws. You may use the database for building mailing lists and/or for telemarketing is permitted under the license agreement. You are allowed unlimited use at your desktop for the full year of the license. If more than one person will be using the database, that user must have a license to comply with our license and copyright laws.


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Can I get a discount if I order multiple copies, for example 6?

Yes, there would be a discount for the purchase of multiple copies. Besides a discount off the regular price, there could be a savings on shipping if the directories were being shipped to just one location.
Which version of the directory would be best for direct sales?

For direct sales purposes we recommend the Database on CD-ROM. You can import the database into your sales lead management program like ACT! or Goldmine, or import it into Access or Fox Pro of other desktop database application
Is the information available on CD-ROM useful for national account/sales personnel?

For direct sales purposes we recommend the Database on CD-ROM. You can import the database into your sales lead management program like ACT! or Goldmine, or import it into Access or Fox Pro of other desktop database application
How fast can I access the Expedite service?

It will only take a couple of hours to set up access to the Expedite service. A login and password will be created and you can be in business.
Can applications other than IT applications use Expedite?

Expedite is not for IT applications only. You can receive information on MCOs drawn from our Managed Care Information Service. Information about specific MCOs, statistics, revenue, trends, enrollment, mergers, acquisitions, developments, Medicare-Medicaid, reimbursement, significant industry news, and coverage of major meetings and conferences.