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PacifiCare Health Systems is one of
the nation's largest consumer health organizations with
more than 3 million health plan members and approximately
9 million specialty plan members nationwide, and has annual
revenues of about $11 billion.
PacifiCare is celebrating its 25th anniversary as one
of the nation's largest consumer health organizations,
offering individuals, employers and Medicare beneficiaries
a variety of consumer-driven health care and life insurance
products. Currently, more than 99 percent of PacifiCare's
commercial health plan members are enrolled in plans that
have received Excellent Accreditation by the National
Committee for Quality Assurance (NCQA). PacifiCare's specialty
operations include behavioral health, dental and vision,
and complete pharmacy and medical management through its
wholly owned subsidiary, Prescription Solutions. |
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PacifiCare
Employees
7,500 employees nationwide |
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PacifiCare Membership
Health Plan Members: 3 million
Specialty Plan Members: 9 million |
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Pacificare
Companies
Secure Horizons Senior Solutions
Pacificare Dental & Vision
Prescription Solution
Pacificare Behavioral Health
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PacifiCare Foundation
PacifiCare Health Systems operates a nonprofit organization
that is devoted to charitable and educational causes that
enhance the health, wellness and welfare of individuals,
families and the public at large.
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PacifiCare
Corporate U.S. Mail Address:
PacifiCare Health Systems, Inc.
5995 Plaza Drive
Cypress, CA 90630 |
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PACIFICARE
CALIFORNIA
Quality
Standards
In 1992, PacifiCare of California became the state's
first health maintenance organization to earn a three-year,
full accreditation from the NCQA. The plan subsequently
earned a one-year accreditation in 1995 and a second
three-year, full accreditation in 1997. In 1999, PacifiCare
of California earned Commendable accreditation from
the NCQA.
The NCQA accreditation is a nationally recognized evaluation
that purchasers, regulators and consumers can use to
assess managed care plans. The NCQA accreditation evaluates
how well a health plan manages all parts of its delivery
system, physicians, hospitals, other providers, and
administrative services, in order to continuously improve
health care for its members. |
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Strong, Stable
Provider Relationships
PacifiCare develops true alliances with health care providers
furnishing them with educational tools, training and other
resources, rather than just contracts. PacifiCare is committed
to developing long-term strategies for technical and information
system integration and capture of encounter data. PacifiCare
has developed strategic alliances with key medical groups
throughout most of California. |
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Comprehensive
Network
With a contracted commercial provider network of more
than 230 hospitals, 30,000 primary care and specialty
physicians, and 4,695 pharmacy locations, PacifiCare has
one of the largest networks in the state. Members have
the added freedom to switch primary care physicians (PCPs)
as often as once per month and each family member can
select a different PCP. |
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Health plan products and services are offered
by PacifiCare of California and PacifiCare Behavioral Health
of California, Inc. |
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Indemnity insurance products (including PPO
products) offered in California are underwritten by PacifiCare
Life and Health Insurance Company. |
| Other products and services are offered by PacifiCare
Health Plan Administrators, Inc., RxSolutions, Inc., and PacifiCare
Behavioral Health, Inc. |
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PacifiCare® is a federally registered
trademark of PacifiCare Life and Health Insurance Company. |
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