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In the United States, a third-party administrator (TPA) is an organization that processes insurance claims or certain aspects of employee benefit plans for a separate entity. [1] It is also a term used to define organizations within the insurance industry which administer other services such as underwriting and customer service.
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.
The HCBS Waiver currently has 28 services [1] and there is a spending cap based on the individuals needs. However, services must be "medically necessary". Individuals that meet the following criteria are eligible to receive services under the Home and Community Based Services Waiver: Be under 65 years of age; Be a Florida resident
Stop-loss insurance is a form of reinsurance that insures self-funded plans and their assets. Due to the limited assets at the disposal of an average employer as compared to an insurance company, an employer could easily bankrupt itself if its employees incur a large number of high-dollar claims and the employer is unable to fund them all. This ...
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 report found that 8 in 10 calls to Florida's Medicaid call center were automatically disconnected from the phone system. When people managed to get through, there were long delays to reach ...
Florida Department of Financial Services (FLDFS) is a state agency of Florida. Its headquarters are in Tallahassee . [ 1 ] In 2002 the Florida Legislature merged the Department of Insurance, Treasury and State Fire Marshal and the Department of Banking and Finance into one department, the Florida Department of Financial Services.
With 19,334 faculty and staff as of 2023, the University of Miami in Coral Gables is Miami-Dade County's second-largest employer after Baptist Health South Florida. [1] This is a list of major companies or subsidiaries headquartered in the Miami metropolitan area.