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TennCare was established in 1994 under a federal waiver that authorized deviations from the standard Medicaid rules. It was the first state Medicaid program to enroll all Medicaid recipients in managed care. [1] When first implemented, it also offered health insurance to other residents who did not have other insurance. Over time, the non ...
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 ...
M. Medicaid managed care; Marietta Memorial Hospital Employee Health Benefit Plan v. DaVita Inc. Massachusetts health care reform; Maximus Inc. Mark McClellan
Selling insurance products under UnitedHealthcare, and health care services under the Optum brand, it is the world's ninth-largest company by revenue and the largest health care company by revenue. The company is ranked 8th on the 2024 Fortune Global 500. [4] UnitedHealth Group had a market capitalization of $460.3 billion as of December 20, 2024.
Since then, HEW, has been reorganized as the Department of Health and Human Services (HHS) in 1980. This consequently brought Medicare and Medicaid under the jurisdiction of the HHS. [8] In March 1977, the Health Care Financing Administration (HCFA) was established under HEW. [9] HCFA became responsible for the coordination of Medicare and ...
The Affordable Care Act of 2010 was designed primarily to extend health coverage to those without it by expanding Medicaid, creating financial incentives for employers to offer coverage, and requiring those without employer or public coverage to purchase insurance in newly created health insurance exchanges. This requirement for almost all ...
In 2004, he enacted a series of changes to TennCare, essentially removing 191,000 Medicaid-eligible patients and reducing benefits. [5] By 2006, these changes had reduced the program's cost by more than $500 million. [5] Bredesen used some of the savings to establish a "safety net" for health clinics affected by the cuts.
Managed care plans and strategies proliferated and quickly became nearly ubiquitous in the U.S. However, this rapid growth led to a consumer backlash. Because many managed care health plans are provided by for-profit companies, their cost-control efforts are driven by the need to generate profits and not providing health care. [5]