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Keystone First is a medical assistance (Medicaid and Medicare) managed care health plan based in southeastern Pennsylvania. Keystone focuses on low-income residents in southeastern Pennsylvania counties including, Bucks, Chester, Delaware, Montgomery, and Philadelphia. The healthcare provider currently serves over 400,000 residents in the area. [1]
Health Partners Plans (HPP) is a non-profit hospital-owned health maintenance organization which provides Medicaid and Medicare to central and southeastern Pennsylvania residents. [1] Health Partners Plans has over 262,000 members throughout Pennsylvania and provides healthcare to low income residents in the counties of Bucks , Chester ...
Community Behavioral Health (often initialized as CBH) is a 501(c)(3) non-profit corporation headquartered in Philadelphia, Pennsylvania.As a behavioral health Medicaid managed care organization, CBH is contracted by the city of Philadelphia to manage the delivery and payment of mental health and substance use services to Philadelphia's Medicaid recipients. [1]
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FQHCs, often the sole providers of primary care in the most vulnerable communities, consistently deliver high-quality care that leads to better disease outcomes. [5] They have been instrumental in expanding access to health care for medically underserved and rural areas, low-income groups, and racial and ethnic minorities. [14]
There are two main forms of Medicaid managed care, "risk-based MCOs" and "primary care case management (PCCM)." [3] Managed care delivery systems grew rapidly in the Medicaid program during the 1990s. In 1991, 2.7 million beneficiaries were enrolled in some form of managed care. Currently, managed care is the most common health care delivery ...
Pennsylvania Department of Human Services that the current ban on Medicaid coverage for abortion services amounts to sex-based discrimination and sent this issue back to Commonwealth Court.
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 ...