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2. L.A. Care Health Plan - Wikipedia

   en.wikipedia.org/wiki/L.A._Care_Health_Plan

   In 1998, L.A. Care became involved in the Healthy Families program, California's version of the Children's Health Insurance Plan (CHIP), and then in 2003 launched L.A. Care's Healthy Kids program for children ages 0–5, funded in partnership with First 5 LA and the Children's Health Initiative of Greater Los Angeles. Healthy Kids was ...

3. Prior authorization - Wikipedia

   en.wikipedia.org/wiki/Prior_authorization

   After a request comes in from a qualified provider, the request will go through the prior authorization process. The process to obtain prior authorization varies from insurer to insurer but typically involves the completion and faxing of a prior authorization form; according to a 2018 report, 88% are either partially or entirely manual.

4. Utilization management - Wikipedia

   en.wikipedia.org/wiki/Utilization_management

   Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...

5. Medicare Access and CHIP Reauthorization Act of 2015

   en.wikipedia.org/wiki/Medicare_Access_and_CHIP...

   Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), (H.R. 2, Pub. L. 114–10 (text)) commonly called the Permanent Doc Fix, is a United States statute.. Revising the Balanced Budget Act of 1997, the Bipartisan Act was the largest scale change to the American health care system following the Affordable Care Act

6. Health maintenance organization - Wikipedia

   en.wikipedia.org/wiki/Health_maintenance...

   It is an organization that provides or arranges managed care for health insurance, self-funded health care benefit plans, individuals, and other entities, acting as a liaison with health care providers (hospitals, doctors, etc.) on a prepaid basis.

7. Advance healthcare directive - Wikipedia

   en.wikipedia.org/wiki/Advance_healthcare_directive

   As a result, health care organizations make available a "Combined Living Will & Health Care Power of Attorney Example Form from Pennsylvania Act 169 of 2006." Several states offer living will "registries" where citizens can file their living will so that they are more easily and readily accessible by doctors and other health care providers.