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Since its inception in 1982 as the 1st PPO in the state of Minnesota, America's PPO has
established itself as a market leader in the PPO industry, servicing members in their direct services areas
and also providing seamless national PPO coverage through its preferred regional and national PPO relationships.
Independently owned, America's PPO is known for their innovation and quality level of service, committing
themselves to ensuring flexibility, responsiveness and a competitive PPO network for their valued members.
Serving over 500 clients and payor groups, America's PPO continues to strengthen and build its PPO network,
which currently consists of over 240 hospitals, and over 26,000 providers throughout Minnesota, South Dakota,
North Dakota, Iowa, and western Wisconsin. For more information, please visit their website by clicking on the
attached link: www.americasppo.com
America’s TPA is a regional benefit administrator with more than 24 years experience in the healthcare industry,
and has been designing high-deductible health plans for self-insured employers since 1997. America’s TPA helps
clients control their health plan costs through flexible plan design and aggressive medical management programs,
and offers the HealthEZ’s consolidated statement, easy-to-understand Explanation of Benefits, and flexible payment
service. For more information, please visit their website by clicking on the attached link:
www.americastpa.com
AmeriScript is a nationally recognized full service Prescription Benefit Manager (PBM) dedicated to providing solutions
for the escalating cost of prescription programs and positively affecting outcomes. The AmeriScript transparency approach
removes the barriers between the Client and the PBM allowing the Client to see where their money is being spent, putting
the Client in a better position to truly manage cost. AmeriScript’s pharmacy benefit management plans are designed to meet
the individual needs of the Client, not to provide a “one size fits all” approach. AmeriScript stands ready to provide the
solutions to the rising high cost of offering prescription benefits. For more information, please
visit www.interplanhealth.com.
Established in 2002 by Dr. Paul Thomas, Cardinal PreferredCare is an Independent Physician’s Association based in Cleveland,
Ohio. With a provider panel of over 7,000 physicians, Cardinal Preferred provides clients with exceptional medical claims
savings and customer care in the Northeast Ohio, Youngstown, Columbus and Cincinnati markets. Cardinal Preferred EPO
offers access to the University Hospital System in Northeast Ohio in addition to the physician network. For more information,
please email Todd Bliss @ tbliss@enablingpartners.com.
Emerald Health Network (EHN) is an organization dedicated to providing value to its payors, providers and healthcare
consumers by investing in people and technology. EHN achieves this commitment by contracting with healthcare providers,
accumulating and comparing significant data generated by each patient encounter, and analyzing such data in order to
continually improve its healthcare strategies and those of its customers. Emerald offers broad network access, highly
competitive discounts, strong network management, and healthcare cost containment services to clients throughout the
entire state of Ohio. Emerald services national and regional self-funded employers, labor unions, school boards,
insurance carriers and third party administrators. For more information, please
visit www.emeraldhealth.com.
Encore Health Network is one of the largest PPO in the state of Indiana, currently serving over 631,000
members. With over 16,000 physicians and 165 hospitals, Encore's provider penetration saturates both urban
and rural markets throughout the state of Indiana, and key service areas throughout Illinois, Michigan,
Kentucky and Ohio. Through preferred partnerships with the best PPO's throughout the nation, Encore offers
national PPO access for members, coupled with added-value services through proprietary discount programs
such as Healthyroads, 10,000 Steps, and the Encore Vision Discount Program. Through a special transplant
program with The Clarian Transplant Center (one of the top transplant centers in the country) costly transplant
access fees are waived while providing competitive transplant rates. For more information, please visit Encore
by clicking on the attached link: www.encorehealthnetwork.com
 Health Cost & Risk Management LLC performs predictive modeling
services for Third Party Administrators, Brokers, Provider Networks, Physician Groups and other clients using historical
medical and pharmacy claims data. Utilizing the MEDai system, HCRM provides monthly predictions of clinical events and
associated costs for each member in their database. For each person the system predicts medical costs, pharmacy costs,
emergency room visits and inpatient days for the next 12 month period while also assessing compliance with national standards
of care for 20 chronic diseases. The information is used for disease management, large case management and others to address
the health care needs of the members. Extensive reporting is available for employer groups and providers to understand the
health cost drivers at work and to take corrective action. For more information, please contact Todd Bliss at
tbliss@enablingpartners.com
HealthSpan, Inc., headquartered in Cincinnati, is a comprehensive provider owned network serving over 130,000 members throughout
Greater Cincinnati, Dayton/Springfield, Northern Kentucky and Southeastern Indiana. HealthSpan is a leader in providing convenient
access to care, with provider participation including 86 hospitals, 9,000+ physicians, and 1,000+ ancillary services. In addition,
HealthSpan provides substantial hospital discounts and negotiated physician fees that are completely passed on to the client.
HealthSpan also offers Complete Care Management which includes UM/CM, Disease Management, and Wellness services including
Health Risk Assessments. HealthSpan's Care Management team specializes in early identification and intervention in addition to
managing large cases that have the greatest impact on healthcare utilization and healthcare dollars. For more information, please
visit us at our website: www.healthspannetwork.com
HFN Inc., established in 1985, is an Illinois based Preferred Provider Organization (PPO) that serves TPAs, Brokers, Carriers and Employers
throughout the Midwest. HFN is recognized as Illinois largest and most comprehensive healthcare network, offering managed health oriented
solutions for the Group Health, Workers’ Compensation, Casualty & Disability, and Medicare markets. Using superior customer service and advanced
technology, HFN delivers innovation, service and results to all our customers.
HFN prides itself on being recognized by both our providers
and members as the most “service oriented” PPO in the Midwest! For more information, please
visit us at our website: www.hfninc.com
Health Payors Organization (HPO) is a national healthcare provider network which reduces medical expenses
by contracting with hospitals, doctors and ancillary facilities across the United States. Established in
1994 to offer payors a Managed Care Network that is national in scope. HPO is one of the largest “directly
contracted” acute care hospital networks complete with over 3,400 hospitals, supported by 39,500 ancillary
and 286,000 physicians throughout the U.S. (with emphasis in various markets to meet client needs). Being
a well-defined but flexible network is key in accommodating the many different types of clients and
benefit designs available in the marketplace today. HPO’s versatility allows for a seamless transition
into any existing healthcare plan and can co-exist with other networks, PPOs, HMOs or non-managed care
business. HPO may be implemented using solely EOB identification, or the network can be significantly
expanded by using ID card logos. HPO offers EDI connectivity, web repricing, and even rate loads in
select cases to efficiently and effectively serve the dynamic healthcare market. For more information, please
visit www.hpoltd.com.
Interplan Health Group is more than a PPO network – IHG is a national healthcare management company
dedicated to successfully navigating our clients to better outcomes. With providers spanning the United
States, IHG’s comprehensive network offers a full spectrum of services to the global market. IHG contracts
with providers directly, ensuring an efficient and personal relationship while tailoring the network to
meet the needs of our customers. The result is an outcome-oriented network that truly cares about the
people it serves. For more information, please
visit www.interplanhealth.com.
i/mx, founded in 1990 by J. D. Dyer, its Chairman and CEO, is a privately held, national
company headquartered in Tempe, Arizona. The i/mx Companies provide managed healthcare
and insurance services to more than one million covered lives, and consists of over 100,000 healthcare
providers and 50,000 pharmacies. With office locations in Arizona, Nevada, Hawaii and Illinois,
the i/mx , Companies offer a full array of health plans to employers, health and welfare
trust funds, government entities and individuals.
i/mx, Inc. Family of Companies:
NevadaCare, Inc.
i/hx Iowa and Illinois Health Solutions, Inc.
Summerlin Life and Health Insurance Company
HMA, INC.
HMN, Inc.
R/xx Pharmacy Solutions, Inc.:
Medical Management Services, Inc.:
For more information, please visit i/mx@www.imxinc.com.
Established in 1996, Prime Health Services (Prime Health) is a privately-owned Managed Care Organization based
in Tennessee that offers a full spectrum of national and international PPO services. Prime Health has over 600,000
preferred providers and facilities in all 50 states forming the Prime Health National Delivery System ready for
workers’ compensation, group health, general and auto liability claims payors nationwide. With competitive claims
savings and provider penetration in rural and urban markets throughout the U.S., Prime Health provides a competitively
priced, national solution to clients and remains committed to providing exceptional customer service. For more information,
please click on the web link below: www.primehealthservices.com
Since 1989, Script Care, Ltd. has been successfully fulfilling clients’ needs through utilizing the most basic philosophy - the
customer comes first. Unlike most pharmacy benefit managers today, Script Care is a true independent pbm. We are not controlled
nor owned by a pharmacy chain, a drug manufacturer, or another pbm. This allows us to focus on providing truly dedicated, hands-on
customer service – a Script Care benchmark. We couple that dedication with highly innovative, money saving plan design options and
a new, CLEAR pricing approach that takes the guesswork out of pbm proposals, uncovering the real value of our pharmacy benefit management
services.For more information, please visit Script Care at www.scriptcare.com
Superien Health Network (SHN) offers you a single, easy-to-navigate point of contact for one of the largest national
provider panels available in the United States, including over 5,000 hospitals, all top-rated tertiary care facilities,
and hundreds of thousands of the most respected physicians and healthcare providers in the country. One point of contact
creates time and cost savings for clients, less confusion for members, and ease of administration with all claims in one
central location. SHN’s concept is simple: A national network customized to your exact needs. Personalized partnerships,
superior service – The Superien Guarantee. For more information, please
visit www.interplanhealth.com.
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