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  2. Association for Community Affiliated Plans - Wikipedia

    en.wikipedia.org/wiki/Association_for_Community...

    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 ...

  3. Mass General Brigham - Wikipedia

    en.wikipedia.org/wiki/Mass_General_Brigham

    In 2013, Mass General Brigham's plan to take over 378-bed South Shore Hospital in Weymouth was reviewed due to fears that the expansion plan is anticompetitive, a conduct Mass General Brigham had been accused of over the past four years in other cases. [71] [72] In 2015, the system abandoned their plans to invest $200 million into the hospital ...

  4. EmblemHealth - Wikipedia

    en.wikipedia.org/wiki/EmblemHealth

    Health Insurance Plan of Greater New York (HIP) was incorporated in 1944 as the first health insurance plan for public service workers. [9] The company was founded by David M. Heyman with the support of New York City mayor Fiorello La Guardia, who wanted to offer medical services to New Yorkers of “moderate means.” [10] HIP got its first members in 1947.

  5. Community health centers in the United States - Wikipedia

    en.wikipedia.org/wiki/Community_health_centers...

    The Office of Economic Opportunity (OEO) established what was initially called "neighborhood health centers" as a War on Poverty demonstration program. [1] The aim of these clinics was to provide access points to health and social services to medically under-served and disenfranchised populations.

  6. Preferred provider organization - Wikipedia

    en.wikipedia.org/wiki/Preferred_provider...

    In U.S. health insurance, a preferred provider organization (PPO), sometimes referred to as a participating provider organization or preferred provider option, is a managed care organization of medical doctors, hospitals, and other health care providers who have agreed with an insurer or a third-party administrator to provide health care at ...

  7. Massachusetts health care reform - Wikipedia

    en.wikipedia.org/wiki/Massachusetts_health_care...

    The Division of Health Care Finance and Policy defined by regulation what contribution level meets the "fair and reasonable" test in the statute. The regulation imposes two tests. First, employers are deemed to have offered "fair and reasonable" coverage if at least 25% of their full-time workers are enrolled in the firm's health plan.

  8. Community health - Wikipedia

    en.wikipedia.org/wiki/Community_health

    Community health volunteers are members of a local community who have experience and training on the health problems prevalent in their community and care services available, in order to identify and link those in need with local providers. Community health volunteers may be referred to by different titles depending on their local health system ...

  9. Carelon Health - Wikipedia

    en.wikipedia.org/wiki/Carelon_Health

    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 ...

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