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In 2012, the company announced a partnership with Humana. This partnership worked to serve dual-eligible populations, or individuals who qualify for both Medicare and Medicaid in Ohio. In October 2012, the company expanded into Kentucky Medicaid with Humana, where the plan was known as Humana - CareSource. [14]
The state’s Medicare Advantage plan allows members to see out-of-network providers for the same out-of-pocket costs as in-network providers, as long as they accept Medicare.
Humana pulled out of the acquisition after United stock dropped $2.9 billion in value. [9] In 2001, Humana was a cofounder of Avality. [10] In 2005, Humana entered into a business partnership with Virgin Group, offering financial incentives to members for healthy behavior, such as regular exercise. [11]
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.
In late 2013, the Obama Administration announced a transitional relief program that would let states and carriers allow non-compliant individual and small group policies to renew at the end of 2013. In March 2014, HHS allowed renewals as late as October 1, 2016.
An application service provider (ASP) is a business providing application software generally through the Web. [1] ASPs that specialize in a particular application (such as a medical billing program) may be referred to as providing software as a service .
Fidelis Care was formed in 1993 as the NYC Catholic Health Plan Inc. [2] by the Catholic Medical Center of Brooklyn and Queens, Inc. and the Diocese of Brooklyn to serve the poor and medically underserved.
The New York State Division of Housing and Community Renewal (DHCR) is an agency of the New York state government [1] responsible for administering housing and community development programs to promote affordable housing, community revitalization, and economic growth. Its primary functions include supervising rent regulations through the State ...