Medicare Managed Care Directory

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  • Regular price $227.00

  • The ideal networking and business intelligence resource for Medicare plan stakeholders
  • Available in 560 page pdf format, with optional database available
  • 735 organizations and 2,970 employees included in Directory listings
  • Directory of 676 Medicare contracted health plans including Medicare Advantage and related plans
  • Directory of 59 Medicare Prescription Drug Plans (PDPs)
  • Directory of 51 relevant CMS Medicare executives
  • Summary plan data including enrollment, and detailed CMS contract information
  • Organization and employee contact information included
  • Three separate indexes provided for navigational convenience

The Medicare Managed Care Directory, compiled by HealthExecWire’s HealthQuest Publishers, offers a unique resource for Medicare Advantage health plan and Medicare Prescription Drug Plan stakeholders and others monitoring Medicare managed care. Included are Organizational Directories of Medicare health plans and Medicare PDPs. Key staff are listed for each organization. Also included are Executive Profiles of CMS Medicare executives and staff, as well as indexes for referencing individuals and organizations included in this Directory.

The scope of the Medicare organizations listed in this Directory includes Medicare contracted Medicare Advantage and related health plans and Medicare contracted Prescription Drug Plans (PDPs.). For convenience, organizations with multiple Medicare contracts being served from the same location are merged into one listing in this Directory.

735 organizations and 2,970 employees are included in the Directory listings. Some employees are listed in multiple organizations, based upon their simultaneous assumption of responsibilities for applicable organizations involving their parent or affiliated organizations.

The Medicare Managed Care Directory is available for $227 in electronic pdf format. An optional database is available for purchasers of the book or pdf, for an additional $225. Pricing is for individual use, with copying of electronic files or making available on a server prohibited. Site licenses are available for up to a specified number of users, and an enhanced database is available for site license users purchasing the database for five or more users. Contact us for a site license quote.

Learn more by checking out sample pages and statistics on the directory below:

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Updated Information

The Medicare Managed Care Directory reflects extensive updates to the previous Directory, including:

  • Addition of 69 new health plans and PDPs and deletion of 46 prior listed plans and PDPs
  • Addition of 1,693 new employees not previously listed in the directory
  • Update of mailing addresses, phone numbers, email or faxes, or 26 website addresses to 78% of prior listed plans or PDPs
  • Update of enrollment and contract data for all listed plans and PDPs
  • Listing of 24 new CMS excutives

Medicare Health Plan Directory

The Medicare Health Plan Directory includes summary information by state for 676 Medicare health plans, as well as a listing of 2,725 key relevant health plan staff. Health plan staff with no Medicare relevance are not listed, such as with positions specific to Medicaid or commercial products.

For each organization, the following information is provided:

  • Mailing Address
  • Phone
  • Fax or General E-mail address (available for 47% of plans listed)
  • Web Site
  • Contract name (Entity name entering into the contract)
  • Parent Company (when applicable)
  • Total Enrollment

For each Medicare contract the organization serves at that location, the following summary information is provided:

  • Contract Name (Entity name entering into the contract)
  • Plan Name
  • Contract #s (multiple listed with combined data for same contract type)
  • Contract Type: (1876 Cost; Demo: Medicare-Medicaid Plan; HMO/HMOPOS; HCPP - 1833 Cost; Local CCP: HMO/HMOPOS; Local CCP: Local PPO; MSA; National PACE; PFFS; or Regional CCP: Regional PPO)
  • Contract Effective Date
  • Contract Enrollment

Medicare PDP Directory

The Medicare PDP Directory includes summary information listed alphabetically nationally for 59 Medicare Prescription Drug Plans, as well as a listing of 186 key relevant PDP staff. Staff with no PDP relevance are not listed. 

For each PDP, the following information is provided:

  • Mailing Address
  • Phone
  • Fax or General E-mail address (available for 24% of MCOs listed)
  • Web Site
  • Parent Company (when applicable)
  • Contract name (Entity name entering into the contract)
  • Plan Name
  • Contract #s (multiple listed with combined data for same contract type)
  • Contract Effective Date
  • Total Enrollment

For applicable key Medicare health plan and PDP staff listed for each organization, the following information is provided:

  • Employee Name
  • Title
  • Phone (only listed when a direct number different from the main organization phone number is available – for 9% of employees listed, otherwise use the main organization number listed)
  • e-mail (available for 9% of employees listed)

CMS Medicare Executive Profiles

The Medicare Managed Care Directory also includes CMS Medicare Executive Profiles of 51 relevant CMS Medicare executives. The Directory is provided by applicable CMS Office, listing the relevant CMS executives. The Directory includes the following information:

  • Title and Office within CMS
  • CMS Mailing Address
  • Phone (61%), & email (100%)

Directory Indexes

The following Indexes have been provided in the Medicare Managed Care Directory, which incorporate organizations and individuals listed in both the Organizational Directories and the Executive Profiles.

  • Individuals by State
  • Organizations by Name
  • Organizations by Parent Organization

Directory Database

A database in Microsoft Excel is also available, only for purchasers of the Directory pdf, for an additional $225 (if purchased later - or with additional savings if purchased as a bundle) that provides the organization and employee contact information including mailing address, phone, web, and email (email when available). The database is subject to applicable terms and conditions of use