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CareFirst BlueCross BlueShield is a health insurance provider serving 3.5 million individuals and groups in Maryland and the Washington metropolitan area.It has dual headquarters in Baltimore, Maryland and Washington, D.C. [2] [3] It is a nonprofit organization and an independent licensee of the Blue Cross Blue Shield Association.
In U.S. health insurance, a preferred provider organization (PPO), sometimes referred to as a participating provider organization or preferred provider option, is a managed care organization of medical doctors, hospitals, and other health care providers who have agreed with an insurer or a third-party administrator to provide health care at ...
The newest hospital, Viera, opened in 2011. It cost $166 million. [1] It has 100 beds, 273,000 square feet (2.54 ha). There are 250 employees. [2]The Viera location also has a separate medical plaza where diagnostic tests are performed, the outpatient family pharmacy resides, and multiple provider offices are located.
In the centralized configuration (e.g., The Santa Cruz Community and the Michigan UP Network), all providers send their data to the RHIO's central repository on a periodic basis (daily). In the federated model, the RHIO acts as a record locator service, the data stays at its original location, and the RHIO only has a "pointer" to that information.
The terms "open panel" and "closed panel" are sometimes used to describe which health care providers in a community have the opportunity to participate in a plan. In a "closed panel" HMO, the network providers are either HMO employees (staff model) or members of large group practices with which the HMO has a contract.
Healthgrades has amassed information on over three million U.S. health care providers. [7] The company was founded by Kerry Hicks, David Hicks, Peter Fatianow, John Neal, and Sarah Lochran, and is based in Denver, Colorado. [3] Jeff Hallock serves as RVO Health's CEO. [3]
In the United States, a health maintenance organization (HMO) is a medical insurance group that provides health services for a fixed annual fee. [1] It is an organization that provides or arranges managed care for health insurance , self-funded health care benefit plans, individuals, and other entities, acting as a liaison with health care ...
GHI – originally named Group Health Association of New York – was established in 1937 to provide New York's working families access to medical services. [4] [5] This new health care model was built around a network of participating providers and was a precursor to today's preferred provider organization (PPO). [5] [6]
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