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The conflict included a lawsuit by Highmark against UPMC alleging that UPMC over-billed it by $300 million for cancer drugs, [9] [10] arbitrators ordered Highmark to pay $188 million. [ 11 ] [ 12 ] In 2014, a gay couple criticized Highmark for not providing family coverage to same-sex couples under the Affordable Care Act. [ 13 ]
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.
A variety of different types of health plans serve Medicaid managed care programs, including for-profit and not-for-profit, Medicaid-focused and commercial, independent and owned by health care providers such as community health centers. In 2007, 350 health plans offered Medicaid coverage.
The Medicaid Drug Rebate Program is a program in the United States that was created by the Omnibus Budget Reconciliation Act of 1990 (OBRA'90). The program establishes mandatory rebates that drug manufacturers must pay state Medicaid agencies related to the dispensing of outpatient prescription drugs covered by Medicaid .
HealthCare.gov is a health insurance exchange website operated by the United States federal government under the provisions of the Affordable Care Act (ACA), informally referred to as "Obamacare", which currently serves the residents of the U.S. states which have opted not to create their own state exchanges.
The logo of Anthem Blue Cross Blue Shield. Elevance Health, Inc. is an American for-profit health insurance provider. Prior to June 2022, Elevance Health was named Anthem, Inc. [2]
We are an insurance safety net and partner in the insolvency system, fairly serving the people of Texas in an efficient and cost-effective way. TPCIGA, Mission statement According to the Texas State Auditor's Office, the "Association's purpose is to pay, fairly and in a timely manner, valid insurance claims involving insolvent property and ...
Fidelis Care operates several government-sponsored health insurance programs, including Medicare, Medicaid and Child Health Plus, which was introduced in 1997. [7] [6] [8] The company also offers managed long-term care plans [9] and Qualified Health Plans on the NY State of Health Marketplace. [10] [11] [12]