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Providence Health Plan provides or administers health coverage to more than 375,000 members nationwide. [15] Providence has 51 hospitals and over 1,100 clinics in seven U.S. states—Alaska, Washington, Montana, Oregon, California, New Mexico, and Texas—as of 2022. [16] These facilities include the following: [17]
WellCare Health Plans, Inc. is an American health insurance company that provides managed care services primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug plans for members across the United States. WellCare began operations in 1985 and has its headquarters in Tampa, Florida.
In the 1980s, as Medicaid managed care expanded across the county, safety net providers, such as Community Health Centers (CHCs) and public hospitals, feared that managed care would reduce reimbursements for Medicaid-eligible services, making it more difficult for them to provide care to the un- and under-insured, and result in a loss of Medicaid volume, as beneficiaries would choose to see ...
Oct. 30—Providence Health plans to spin off its home-health services along with hospice and palliative care into a new joint venture that will be managed by a private company. The move will ...
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GuideWell, formally GuideWell Mutual Holding Corporation (holding company for Florida Blue), is a mutual insurance holding company primarily focused on health insurance in Florida. It was created in 2013 by a reorganization initiated by Florida Blue, a member company of the Blue Cross Blue Shield Association . [ 4 ]
Providence Health Systems was established by the Sisters of Providence of Holyoke in 1984. In 1998, Providence Health of Holyoke, Massachusetts merged with Allegany Health System and Eastern Mercy Health System in Radnor, Pennsylvania to form "Catholic Health East", which has 23 hospitals from Maine to Florida and was the eighth-highest-grossing hospital chain in the nation.
HIPAA–covered entities such as providers completing electronic transactions, healthcare clearinghouses, and large health plans were required by regulation to use only the NPI to identify covered healthcare providers by May 23, 2007.