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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 ...
Sachin H. Jain (born 1980) is an American physician who held leadership positions in the Center for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC). [1] From 2015 to 2020, he served as president and chief executive officer of the CareMore Health System.
The California Medical Assistance Program (Medi-Cal or MediCal) is the California implementation of the federal Medicaid program serving low-income individuals, including families, seniors, persons with disabilities, children in foster care, pregnant women, and childless adults with incomes below 138% of federal poverty level.
The California Budget Act of 1995 had required the Health and Welfare Agency Data Center (now the California Office of Systems Integration), in collaboration with the County Welfare Directors Association, to develop a plan to consolidate the systems to no more than four county consortia; ABX1 of 2011 required OSI to oversee the LRS contract and ...
As of 2018, about one-third of California was covered by Medi-Cal. It is administered by the California Department of Health Care Services, which operates it in accordance with California's Medicaid State Plan and Title XIX of the Social Security Act. [7] California relies on Affordable Care Act (ACA) funding to support the Covered California ...
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 ...
The California Department of Health Care Services (DHCS) is a department within the California Health and Human Services Agency that finances and administers a number of individual health care service delivery programs, including Medi-Cal, which provides health care services to low-income people.
Medicaid managed care; Marietta Memorial Hospital Employee Health Benefit Plan v. DaVita Inc. Massachusetts health care reform; Maximus Inc. Mark McClellan; Medi-Cal; Medicaid coverage gap; Medicaid Drug Rebate Program; Medicaid Home and Community-Based Services Waivers; Medicaid waiver; Medical necessity; Medical savings account (United States ...