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Carelon Health, (formerly CareMore) a subsidiary of Elevance Health through its Carelon brand, is an integrated health plan and care delivery system for Medicare and Medicaid patients. The company was founded in 1992 as CareMore by Sheldon Zinberg and Johnn Edelston, President of HealthPro Associates through the merger of Community IPA managed ...
Sachin H. Jain (born 1980) is an American physician who held leadership positions in the Center for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC). [1] From 2015 to 2020, he served as president and chief executive officer of the CareMore Health System.
Elevance Health, Inc. is an American for-profit health insurance provider. Prior to June 2022, ... In 2011, WellPoint acquired CareMore, a Cerritos, ...
In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a ...
Medicare Prescription Drug Price Negotiation Act; Medicare Prescription Drug, Improvement, and Modernization Act; Medicare Prompt Pay Correction Act; Medicare Quality Cancer Care Demonstration Act; Medicare Rights Center; Medicare Shared Savings Program; Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999; Medigap; Minimum Data Set
Currently, managed care is the most common health care delivery system in Medicaid. In 2007, nearly two-thirds of all Medicaid beneficiaries are enrolled in some form of managed care – mostly, traditional health maintenance organizations (HMO) and primary care case management (PCCM) arrangements.
HCFA was renamed the Centers for Medicare and Medicaid Services on July 1, 2001. [9] [11] In 2013, a report by the inspector general found that CMS had paid $23 million in benefits to deceased beneficiaries in 2011. [12] In April 2014, CMS released raw claims data from 2012 that gave a look into what types of doctors billed Medicare the most. [13]
The California Medical Assistance Program (Medi-Cal or MediCal) is the California implementation of the federal Medicaid program serving low-income individuals, including families, seniors, persons with disabilities, children in foster care, pregnant women, and childless adults with incomes below 138% of federal poverty level.