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HealthPlanOne, LLC., now known as HPOne, is a sales and marketing organization that operates across multiple segments of the Medicare [2] and health insurance marketplaces. The company provides outsourced sales, marketing and contact services for national and regional health plans, operates exchanges for individual consumers and employer-based ...
In October, Allscripts sold its EPSi business, a provider of financial decision support and planning tools for hospitals and health systems, to Strata Decision Technology for $365 million. [14] Later, in December 2020, Allscripts closed the sale of its care coordination business, CarePort Health, to Wellsky for $1.35 billion.
The Knox-Keene Health Care Service Plan Act of 1975 is a set of Californian laws that regulate Healthcare Service Plans. Under these laws, pharmacy benefit managers with contracts to Health care service plans are required by law to be registered with the Department of Managed Health Care to disclose information. [58] SB 966: Pharmacy benefits
Medicare is a federal health insurance program designed for people aged 65+ and older, as well as younger individuals with certain disabilities or medical conditions. More than 66 million people ...
There are five types of Medicare Advantage plans to choose from:. Health Maintenance Organization (HMO) Preferred Provider Organization (PPO) Private Fee-for-Service (PFFS) plan. Special Needs ...
Catamaran Corporation (formerly SXC Health Solutions) is the former name of a company that now operates within UnitedHealth Group's OptumRX division (since July 2015). It sells pharmacy benefit management and medical record keeping services to businesses in the United States [3] and to a broad client portfolio, including health plans and employers. [4]
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 ...
The tension between health systems and Medicare Advantage insurers has been rising over the past few years. The increased unpopularity of MA plans with health systems, some of which have stopped ...