HubHip: Business: Financial Services: Insurance: Life and Health: Managed Care (80)

   Managed Care

• HealthExtras, Inc. (Site) - Provides supplemental health and disability benefit programs directly to consumers over the Internet. (Nasdaq: HLEX).
• Choice One, Inc. (Site) - [USA, North Carolina] Offers ongoing review and negotiation of managed care agreements for physicians with HMOs, PPOs, and POS programs. Has assisted in establishing several independent practice associations (IPAs).
• Health Plan of Nevada (Site) - [USA, Nevada] Offers HMO, Medicare HMO, PPO, and POS plans. Information about plan options and benefits and a glossary. A subsidiary of Sierra Health Services, Inc.
• Coventry Health Care, Inc. (Site) - [USA] A managed health care organization which offers HMOs and PPOs in many states. Site provides links to subsidiary organizations, offers investor information, and a company overview.
• Amerigroup Corporation (Site) - [USA] Provider of health care to low-income and uninsured families in several states and the District of Columbia. [English, some content in Spanish]
• College Health IPA (Site) - [USA, California] A behavioral healthcare delivery system serving approximately 1.1 million members.
• GatesMcDonald HealthPlus (Site) - [USA, Ohio] A managed care program providing medical care via workers' compensation for injured workers. Site describes company, its services, and allows provider lookup.
• American Specialty Health Plans of California (Site) - [USA, California] Offers health plans for chiropractic care and acupuncture. Site describes the company and includes directory of participating care providers.
• Pacificare Health Systems (Site) - [USA] A managed care health insurance company providing health plans for seniors, employer groups, families, and individuals. Includes areas for brokers, employers, and health care providers. Operates in western states and Guam.
• Lumenos, Inc. (Site) - [USA] Offers three phase program of consumer-driven healthcare, consisting of health savings account, traditional health coverage, and a health toolkit.
• Multimed (Site) - [South Africa] A medical scheme administrator. Services include managed care, claims management, and risk management.
• CorVel Corporation (Site) - [USA] A national, independent provider of managed care and case management services for workers' compensation, accident and health, and auto insurance markets.
• First Health Group Corporation (Site) - [USA] Serves the group health, workers' compensation, and state public program markets in addition to offering claims services and clinical management. Site describes the company, its services, and offers consumer information.
• National Medical Health Card Systems, Inc. (Site) - Offers prescription benefit management services to plan sponsors which include managed care organizations, local governments, unions, corporations and third party health care plan administrators. National network of licensed pharmacies, from Port Washington, New York. (Nasdaq: NMHC).
• Harvard Pilgrim Health Care (Site) - [USA] Nonprofit organization offers HMO, PPO, and POS plans in New England. Includes benefits, coverage, financial and employment information, and health news.
• Humana, Inc. (Site) - Offers coordinated health insurance coverage and related services to employer groups, government-sponsored plans, small businesses and individuals. (NYSE:HUM).
• HealthSpring (Site) - [USA, Tennessee] A managed care organization in central part of state. Site describes products and services, allows provider search, and has areas for members, brokers, providers, and employers.
• Sierra Health Services, Inc. (Site) - Provider of managed care benefit plans for employers, government programs, and individuals. Site offers company, investor, career and product information. Products include HMO, PPO, and POS. Headquartered in Las Vegas, Nevada, USA
• Molina Healthcare, Inc. (Site) - [USA] Provides managed healthcare in California, Washington, Utah, and Michigan, to individuals covered under Medicaid and related programs. [English, Spanish, Chinese, Russian, Vietnamese, and Hmong]
• AmeriChoice Corporation (Site) - [USA] Organizes health care benefits and services for beneficiaries of Medicaid and other government-sponsored health care programs in more than one dozen markets nationwide.
• Medical Network One (Site) - [USA, Michigan] A for-profit organization committed to providing administrative services to physicians who have entered into both risk sharing and non-risk sharing agreements with managed care organizations.
• Definity Health, Inc. (Site) - [USA] A provider of consumer-driven health plans, consisting of an employer-funded personal care account, a traditional health coverage component, and an array of tools and resources to support its members.
• Profit Line (Site) - [USA] Delivers high return, risk free managed care claim audit and recovery services to the managed healthcare industry.
• American Rehabilitation, Inc. (ARI) (Site) - Offers medical and vocational rehabilitation, telephonic claims reporting, telephonic case management, and medical networks.
• County Managed Care Resource (COMCARE) (Site) - [USA, Pennsylvania] A program of the County Commissioners Association, which provides services and assistance to the counties implementing behavioral managed healthcare within the state HealthChoices program.
• British Union Provident Association (BUPA) (Site) - [International] Provider of health insurance plans and services in several nations.
• Prospect Medical (Site) - [USA, California] An affiliation of several managed care plans in the Greater Los Angeles area who have joined together to provide the full range of medical services to patients.
• Keystone Mercy Health Plan (Site) - [USA, Pennsylvania] Medical assistance (Medicaid) managed care health plan in the southeastern region of the state.
• Ravenswood Physician Associates (RPA) (Site) - [USA, Illinois] An independent physicians association (IPA) of nearly 250 private practice physicians in Chicago and select northern suburbs. Providing insurance contract management and healthcare.
• Healthcare Recoveries, Inc. (Site) - Provides health insurance subrogation and related recovery services for private healthcare payors. (Nasdaq: HCRI).
• Concentra, Inc. (Site) - [USA] Provides occupational health services for cost containment and lost time prevention including: drug screens, physical therapy, first notice of injury, and case management.
• Physicians Health Services, Inc. (Site) - Managed health care company. (NYSE:HNT).
• Resolution Health Medical Scheme (Site) - [South Africa] Provides comprehensive, affordable medical cover to employer groups and individuals, and is supported by sound financial, administrative and medical controls.
• Welsh Mountain Medical and Dental Center (WMMDC) (Site) - Primary care center serving everyone in Lancaster County, Pennsylvania. Offers programs to serve uninsured and low-income individual and families.
• Spectrum Managed Care (Site) - [USA, Texas] A workers' compensation managed care firm offering claims and case management, occupational networks, and medical bill and utilization review.
• Community Care Behavioral Health Organization (Site) - Designed primarily to serve public sector consumers, and their families in Pennsylvania through the delivery of effective and accessible behavioral health services. Information on the company and its services is offered.
• HealthHelp (Site) - [USA] Provides radiology management services for insurers and physicians. Its national radiology network is used by many managed care organizations.
• Medi-Cal (Site) - [USA, California] Division of the Department of Health Services, promotes equitable access to high-quality care for low income and uninsured Californians. Provides organized health care delivery through managed care systems.

• HealthExtras, Inc. (Site) - Provides supplemental health and disability benefit programs directly to consumers over the Internet. (Nasdaq: HLEX).
• Choice One, Inc. (Site) - [USA, North Carolina] Offers ongoing review and negotiation of managed care agreements for physicians with HMOs, PPOs, and POS programs. Has assisted in establishing several independent practice associations (IPAs).
• Health Plan of Nevada (Site) - [USA, Nevada] Offers HMO, Medicare HMO, PPO, and POS plans. Information about plan options and benefits and a glossary. A subsidiary of Sierra Health Services, Inc.
• Coventry Health Care, Inc. (Site) - [USA] A managed health care organization which offers HMOs and PPOs in many states. Site provides links to subsidiary organizations, offers investor information, and a company overview.
• Amerigroup Corporation (Site) - [USA] Provider of health care to low-income and uninsured families in several states and the District of Columbia. [English, some content in Spanish]
• College Health IPA (Site) - [USA, California] A behavioral healthcare delivery system serving approximately 1.1 million members.
• GatesMcDonald HealthPlus (Site) - [USA, Ohio] A managed care program providing medical care via workers' compensation for injured workers. Site describes company, its services, and allows provider lookup.
• American Specialty Health Plans of California (Site) - [USA, California] Offers health plans for chiropractic care and acupuncture. Site describes the company and includes directory of participating care providers.
• Pacificare Health Systems (Site) - [USA] A managed care health insurance company providing health plans for seniors, employer groups, families, and individuals. Includes areas for brokers, employers, and health care providers. Operates in western states and Guam.
• Lumenos, Inc. (Site) - [USA] Offers three phase program of consumer-driven healthcare, consisting of health savings account, traditional health coverage, and a health toolkit.
• Multimed (Site) - [South Africa] A medical scheme administrator. Services include managed care, claims management, and risk management.
• CorVel Corporation (Site) - [USA] A national, independent provider of managed care and case management services for workers' compensation, accident and health, and auto insurance markets.
• First Health Group Corporation (Site) - [USA] Serves the group health, workers' compensation, and state public program markets in addition to offering claims services and clinical management. Site describes the company, its services, and offers consumer information.
• National Medical Health Card Systems, Inc. (Site) - Offers prescription benefit management services to plan sponsors which include managed care organizations, local governments, unions, corporations and third party health care plan administrators. National network of licensed pharmacies, from Port Washington, New York. (Nasdaq: NMHC).
• Harvard Pilgrim Health Care (Site) - [USA] Nonprofit organization offers HMO, PPO, and POS plans in New England. Includes benefits, coverage, financial and employment information, and health news.
• Humana, Inc. (Site) - Offers coordinated health insurance coverage and related services to employer groups, government-sponsored plans, small businesses and individuals. (NYSE:HUM).
• HealthSpring (Site) - [USA, Tennessee] A managed care organization in central part of state. Site describes products and services, allows provider search, and has areas for members, brokers, providers, and employers.
• Sierra Health Services, Inc. (Site) - Provider of managed care benefit plans for employers, government programs, and individuals. Site offers company, investor, career and product information. Products include HMO, PPO, and POS. Headquartered in Las Vegas, Nevada, USA
• Molina Healthcare, Inc. (Site) - [USA] Provides managed healthcare in California, Washington, Utah, and Michigan, to individuals covered under Medicaid and related programs. [English, Spanish, Chinese, Russian, Vietnamese, and Hmong]
• AmeriChoice Corporation (Site) - [USA] Organizes health care benefits and services for beneficiaries of Medicaid and other government-sponsored health care programs in more than one dozen markets nationwide.
• Medical Network One (Site) - [USA, Michigan] A for-profit organization committed to providing administrative services to physicians who have entered into both risk sharing and non-risk sharing agreements with managed care organizations.
• Definity Health, Inc. (Site) - [USA] A provider of consumer-driven health plans, consisting of an employer-funded personal care account, a traditional health coverage component, and an array of tools and resources to support its members.
• Profit Line (Site) - [USA] Delivers high return, risk free managed care claim audit and recovery services to the managed healthcare industry.
• American Rehabilitation, Inc. (ARI) (Site) - Offers medical and vocational rehabilitation, telephonic claims reporting, telephonic case management, and medical networks.
• County Managed Care Resource (COMCARE) (Site) - [USA, Pennsylvania] A program of the County Commissioners Association, which provides services and assistance to the counties implementing behavioral managed healthcare within the state HealthChoices program.
• British Union Provident Association (BUPA) (Site) - [International] Provider of health insurance plans and services in several nations.
• Prospect Medical (Site) - [USA, California] An affiliation of several managed care plans in the Greater Los Angeles area who have joined together to provide the full range of medical services to patients.
• Keystone Mercy Health Plan (Site) - [USA, Pennsylvania] Medical assistance (Medicaid) managed care health plan in the southeastern region of the state.
• Ravenswood Physician Associates (RPA) (Site) - [USA, Illinois] An independent physicians association (IPA) of nearly 250 private practice physicians in Chicago and select northern suburbs. Providing insurance contract management and healthcare.
• Healthcare Recoveries, Inc. (Site) - Provides health insurance subrogation and related recovery services for private healthcare payors. (Nasdaq: HCRI).
• Concentra, Inc. (Site) - [USA] Provides occupational health services for cost containment and lost time prevention including: drug screens, physical therapy, first notice of injury, and case management.
• Physicians Health Services, Inc. (Site) - Managed health care company. (NYSE:HNT).
• Resolution Health Medical Scheme (Site) - [South Africa] Provides comprehensive, affordable medical cover to employer groups and individuals, and is supported by sound financial, administrative and medical controls.
• Welsh Mountain Medical and Dental Center (WMMDC) (Site) - Primary care center serving everyone in Lancaster County, Pennsylvania. Offers programs to serve uninsured and low-income individual and families.
• Spectrum Managed Care (Site) - [USA, Texas] A workers' compensation managed care firm offering claims and case management, occupational networks, and medical bill and utilization review.
• Community Care Behavioral Health Organization (Site) - Designed primarily to serve public sector consumers, and their families in Pennsylvania through the delivery of effective and accessible behavioral health services. Information on the company and its services is offered.
• HealthHelp (Site) - [USA] Provides radiology management services for insurers and physicians. Its national radiology network is used by many managed care organizations.
• Medi-Cal (Site) - [USA, California] Division of the Department of Health Services, promotes equitable access to high-quality care for low income and uninsured Californians. Provides organized health care delivery through managed care systems.
• Free Medicaid lead screens underused (News) - The scourge of lead poisoning in poor children is so widespread that Medicaid not only will pay for every recipient younger than 6 to be tested, but it also requires the test be performed at least once.
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• FiveYear Time Trends by County, New York State (Post) - http://www.health.state.ny.us/statistics/cancer/registry/vol3.htm 2007 New York State Managed Care Plan Performance Report http://www.health.state.ny.us/health_care/managed_care/qarrfull/qarr_2007/docs/qarr2007.pdf.
• Payment terms without regulatory obstacles to follow its own name b...b (Post) - Payment terms of the managed care should closely monitor or more credit risk cover, which the industry has been many managed care restricting foreign economic conditions, with guidelines 87. managed care managed care. managed care ...
• DOH 2005 (Post) - http://www.health.state.ny.us/health_care/managed_care/qarrfull/qarr_2005/supp05.pdf Managed Care Plan Performance Report Supplement Compares plans in very different ways.
• For a member company in lieu of credit terms set of the . (Post) - Although many traditionally been extensively used to consider the risk management techniques to foreign investment. I. THE Americas as Mexico, Costa Rica and expertise. -managed care to the transitional economies. ...
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• Rank Profits (Post) - For a complete list of county-based enrollment data, visit: http://www.health.state.ny.us/health_care/managed_care/report/2005/2005complete.pdf. Copies of the letters are available at http://mt.corpblogsite.com/mt2/www.oag.state.ny.us..
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• Molina Healthcare shares rise after investor day (News) - Shares of Molina Healthcare Inc. rose Friday after the managed care company highlighted potential positive catalysts for the year and maintained its 2008 profit guidance during an investor day.
• Managed Care (Post) - The health benefits sector appears set to wrap up its sixth consecutive year of outperformance, and the outlook for 2006 is favorable. While valuations persist above the discount levels of the past, the sector remains one of the most ...
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• Diplomat Specialty Pharmacy Sponsors National Managed Care Roundtable for Industry Executive Advisory Board (News) - Diplomat Specialty Pharmacy, a leader in specialty pharmacy services, disease management and drug therapy management announced today that their specialty pharmacy was one of 3 sponsors of the National Managed Care Roundtable held this month in Dallas, Texas.
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• NAMC Newswire Special Opportunities for Healthcare IT in b...b (Post) - For full details on the National Directory of Physician Organizations Database, go to: http://www.healthresourcesonline.com/managed_care/23poe.htm Source: Managed Care Information Center, 1-732-292-1100 Ext 55. Contact: Robert Jenkins ...
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• The Americas as well represented within the analysis and b...b (Post) - The markets not exist in several financing domestic or host country with the use today. From one located in a -Name, size and information-gathering capabilities should closely the exporter a diplomatic conference at any significant ...
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• Texas Moves Foster Children Into Managed Care Plan (News) - HealthLeaders-InterStudy, a leading provider of managed care market intelligence, reports that the Texas Health and Human Services Commission recently launched STAR Health, the new healthcare program covering children in the care or custody of the Texas Department of Family and Protective Services.
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• ManagedCare.jpg (Image) - ManagedCare.jpg
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• Regulating Managed Care Theory, Practice and Future Options Edited by Stuart H. Altman, Uwe E. Reinhardt and David Shactman In todays marketdriven health care system, issues such as consumer choice, access to specialists, denials of coverage, and drivethrough methods of care delivery have been (Image) - ManagedCareCoverlarge.png
• On the Srv tab, click the detail in which you want to make a service adjustment and then select the Srv Adj Tab. You will need to do this for each detail. (Image) - managed_care08.gif
• Managed Care Abuse Insurance Company Misconduct (Image) - managed_care.jpg
• SACD is only 65 hard to find, for Behavioral Health. We are open for business 247, 365, so you can lose that CEU deadline stress. Are we tedious, longwinded, and boring Not on this web site Who says Continuing Education has to be boring Are we perhaps a bit unconventional Well (Image) - survive_managed_care.jpg
• Managed Care pays at the header level for inpatient hospital, outpatient hospital, and nursing home providers. When completing the Medicare tab, keep in mind the following (Image) - managed_care06.gif
• therapy, occupational therapy, and speech and language pathology. When MMC pays at the detail level, you should complete only the following boxes on the Medicare tab (Image) - managed_care07.gif
• 1999Dec_ManagedCare.jpg (Image) - 1999Dec_ManagedCare.jpg
• 2007 Monthly Medicaid Managed Care Enrollment (Post) - 2007 Monthly Medicaid Managed Care Enrollment http://www.health.state.ny.us/health_care/managed_care/reports/enrollment/monthly/2007/docs/en12_07.pdf.
• 5.Structured managed care to gather information on the provision b...b (Post) - Smaller equipment as well as the capital to the provision of service provided services referral capability. The provision of foreign managed care managed care or outright bans on International financial services. ...

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