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The principal function of the Managed Care Ombudsman is to help Virginia consumers who have health care insurance provided by a Managed Care Health Insurance Plan (MCHIP), such as a Health Maintenance Organization or Preferred Provider Organization. The Managed Care Ombudsman can assist consumers in understanding and exercising their rights of ...
Blue Cross Blue Shield Association, also known as BCBS, BCBSA, or The Blues, is a United States–based federation with 33 independent and locally operated BCBSA companies that provide health insurance to more than 115 million people in the U.S. as of 2022.
CareSource celebrated 25 years as one of the nation's largest Managed Medicaid Plans and the largest in Ohio in 2014. The company then served more than 1 million consumers in Ohio and Kentucky. [30] In 2019 and 2020, CareSource earned a high quality rating in the Ohio Department of Medicaid (ODM) Managed Care Plans Report Card. [31] [32]
Inova Health System is a not-for-profit health organization based in Falls Church, Virginia, United States, near Washington, D.C. The system is a network of hospitals, outpatient services, assisted living and long-term care facilities, and healthcare centers in the Northern Virginia market.
The term “managed care” originally involved prepaid health plans, typically health maintenance organizations (HMOs). However, the term expanded to include preferred provider organizations (PPOs).
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 ...
Proposition 35 would spell out how the tax on health insurance providers like Anthem Blue Cross and L.A. Care, known as managed care organizations, can be used.
Sentara Health is a not-for-profit healthcare organization serving Virginia, northeastern North Carolina and Florida. It is based in Hampton Roads, Virginia, and offers services in 12 acute care hospitals, with 3,739 beds, 1.2 million members in its health plan, [1] [2] [3] 10 nursing centers, and three assisted living facilities across the two states.