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Sharp Health Plan is a not-for-profit HMO that serves employers throughout San Diego and southern Riverside County. Formed in 1992, the plan provides comprehensive coverage, including mental health coverage as a standard benefit. Sharp Health Plan company has special options for small businesses and offers supplemental benefits such as prescription drug and vision coverage; it also sells to individuals and families. Sharp Health Plan's provider network includes about 3,000 primary care and specialist physicians and more than a dozen hospitals.

SHPS wants to turn employees into savvy consumers of health care.SHPS company provides administrative services that integrate traditional benefits administration with disease management programs and decision-support tools that encourage users to stay healthier and use benefits more wisely; the hoped-for end result is lower overall health care costs. SHPS provides its services -- including online benefits administration, program design, call center support, and absence management programs -- to midsized and large employer groups and government agencies; it also provides services to insurers, third-party administrators, and other health care companies. Investment firm Welsh, Carson, Anderson & Stowe owns SHPS.

South Dakota State Medical Holding Company, operating under the name DAKOTACARE, is a statewide HMO plan. Product offerings include comprehensive group and individual medical plans, flexible spending and COBRA plans, Medicare Advantage coverage, and dental, life, and disability policies. All hospitals and nearly all physicians in South Dakota contract with the firm. In addition to serving some 100,000 customers in its home state, third-party administration (TPA) subsidiary DAKOTACARE Administrative Services is active in over a dozen neighboring states. Founded in 1986, DAKOTACARE is the managed care affiliate of the South Dakota State Medical Association.

The Heart & Family Health Institute of Port St. Lucie (HFHI), the name pretty much says it all. HFHI is a hospital serving the "Treasure Coast" area in and around Port St. Lucie, Florida. It provides specialized medical services for the treatment of cardiovascular disease, as well as diagnostic and therapeutic services for a variety of health problems. The institute's 25-plus physicians offer services in areas such as radiology, audiology, nutrition, osteopathy, urology, and nuclear medicine. HFHI was founded in 1984 and serves about 40,000 patients annually.

The Puerto Rican Family Institute (PRFI) wants to keep families intact and healthy. It offers more than 20 social and health care programs to families who live in primarily Latino neighborhoods in New York and New Jersey, as well as Puerto Rico. Services include mental health treatment through clinics in the Bronx, Brooklyn, Jersey City, Manhattan, and Queens; crisis intervention; foster care placement prevention programs; and Head Start programs. PRFI also reaches out to the mentally and developmentally disabled by operating intermediate care and residential alternative facilities. The not-for-profit serves those infected with AIDS through counseling, psychiatric services, and case management.

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