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Healthfirst is a hospital-owned, not-for-profit health care management organization that serves some 560,000 members throughout New York City and Long Island, as well as northern New Jersey. The company offers a variety of government-sponsored health insurance programs, including Medicaid, Medicare, Family Health Plus, and Child Health Plus plans, to low-income and special needs clients. It also offers commercial HMO and point-of-service plans to individuals and small employer groups. Healthfirst company was formed in 1993 and is owned by about 40 New York-area hospitals. Its plans are administered by HF Management Services.

HealthPlan Holdings is the wind beneath the wings of health insurers across the US. HealthPlan Holdings company, through its subsidiaries, is a third-party administrator of health plans; it processes claims, supports sales and distribution operations, and provides enrollment, customer service, and billing services for some 2 million consumers belonging to health plans offered by the likes of CIGNA and Humana. The firm's HealthPlan Services subsidiary primarily serves insurers in the small business, individual, and voluntary markets, and its American Benefit Plan Administrators unit caters to union trust benefit plans. The company is controlled by private equity firm Water Street Healthcare Partners.

Healthplex, Inc. company provides dental benefits and administrative services for insurance companies, HMOs, school districts, individuals and families, municipalities, and businesses of all sizes in New York and New Jersey. In New Jersey it underwrites and operates its own managed care plan through subsidiary International Healthcare Services. Additionally, Healthplex maintains a regional PPO of dental practitioners and offers provider credentialing services to other health plans. Healthplex also administers government funded plans such as Medicaid and Medicare. It is helmed by CEO Martin Kane.

HealthPlus of Michigan provides health care coverage for some 200,000 members in about a dozen Michigan counties. HealthPlus of Michigan company offers HMO, PPO, and point-of-service (POS) health plans. HealthPlus of Michigan company manages a Medicaid HMO through its HealthPlus Partners subsidiary; HealthPlus also administers a Medicare Advantage program. Its provider network includes more than 2,700 primary care and specialist doctors, in addition to area hospitals and other health care facilities. HealthPlus of Michigan also offers wellness and disease management programs. Subsidiary HealthPlus Options is a third-party claims administrator.

HealthSpring provides Medicare Advantage plans in seven US states. The company has more than 190,000 members in Alabama, Florida, Georgia, Illinois, Mississippi, Tennessee, and Texas. Its Medicare Advantage plans offer the support of Medicare with additional benefits such as Medicare Part D prescription benefits, vision and hearing benefits, and transportation programs. In addition, HealthSpring runs a nationwide prescription drug plan with more than 310,000 members, and offers management services to independent physician associations in Alabama, Tennessee, and Texas.

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