Employee Health Systems and
ACA Administrators are affiliated entities operating under
the same management structure. We are physician-owned and
offer comprehensive medical management providing specialized
administrative and development services to physician organizations,
hospitals, employers, health plans and Taft-Hartley ERISA
trust plans.
Employee Health Systems (EHS) is a medical professional corporation
and integrated health care delivery system that was founded
in 1985 for the purpose of contracting with self-funded Taft-Hartley
ERISA Trust Funds and the State of California’s Medi-Cal
Primary Care Case Management (PCCM) program in Los Angeles
County. EHS has prudently expanded its managed care provider
networks on a national basis. In the Greater Los Angeles area,
the EHS network currently consists of over 450 primary care
physicians, 1,500 specialists, 20 hospitals, and all required
ancillary services. EHS is also one of the top five enrollment
entities for the Healthy Families program, California’s
version of the federal Children’s Health Insurance Program
(CHIP), providing subsidized health care for uninsured children
of families making less than 250% of the federal poverty level.
All medical direction and quality of care issues are managed
by EHS.
ACA Administrators is a management services organization
and licensed Third Party Administrator (TPA). The company
was formed in 1990 for the purpose of separating the practice
of medicine and associated quality of medical care issues
from the day-to-day administrative functions of managing a
health benefits program.
Our organization has developed and manages over thirty (30)
provider networks in twelve (12) states, serving tens of thousands
of commercial, Medicaid, Healthy Families, self insured employers
and union members and their dependents. We are delegated by
most of our HMO plan partners for a number of administrative
functions normally performed by a plan. These include claims
administration and processing, utilization management, quality
management, member services and credentialing.
The combination of a professional medical corporation and third
party administrator allows for a unique combination of services.
We have the ability to design health care benefits to available
dollars, provide a fully integrated health care delivery system
for those benefits, and administer both the day-to-day operations
and the quality of care to the member.
Employee Health Systems and/or ACA Administrators
have a presence in the following states
* Please take the mouse on map to see the name of States where
we do business.
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