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American CareSource and HealthSmart Extend Relationship to Provide Innovative Healthcare Solutions to Self-Insured Employers Alliance expands to encompass opportunities in secondary, workers ...
In January 2018, a class action lawsuit accused Centene's Ambetter marketplace healthcare plans of misleading enrollees about plan benefits. [36] [37] According to the lawsuit, people who bought Centene's plans had difficulty finding medical providers that accepted patients covered under Centene's policies. [38]
In April 2017, HMS Holdings acquired the Eliza Corporation, a privately held health engagement management and member analytics firm providing comprehensive and personalized member-centric outreach and engagement solutions, for a cash purchase price of $170 million. [7] In 2019, the company acquired Accent for a reported $155 million. [8]
Optum serves employers, government agencies, health plans, life science companies, care providers and individuals and families offering products in data and analytics, pharmacy care services, health care operations and delivery, population health management and advisory services. [7]
Patient portals benefit both patients and providers by increasing efficiency and productivity. Patient portals are also regarded as a key tool to help physicians meet "meaningful use" requirements in order to receive federal incentive checks, especially for providing health information to patients. [ 2 ]
This article explores the concept, benefits, challenges, and future prospects of CDSS. What is a Clinical Decision Support System (CDSS)? A Clinical Decision Support System (CDSS) is a computerized tool designed to assist healthcare providers in making clinical decisions by integrating medical knowledge with patient data.
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Out-of-Network Provider: A health care provider that has not contracted with the plan. If using an out-of-network provider, the patient may have to pay full cost of the benefits and services received from that provider. Even for emergency services, out-of-network providers may bill patients for some additional costs associated.
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quote.firstquotehealth.com has been visited by 10K+ users in the past month