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Adventist Health Community Care-Hanford is a part of a division of Adventist Health known as the "Adventist Health/Central Valley Network," Adventist Health Hanford, Adventist Health Selma, Adventist Health Reedley, and over 42 Adventist Health/Community Care clinics throughout a 2,500-square-mile (6,500 km 2) region in the Central Valley.
In the United States, an independent practice association (IPA) is an association of independent physicians, or other organizations that contracts with independent care delivery organizations, and provides services to managed care organizations on a negotiated per capita rate, flat retainer fee, or negotiated fee-for-service basis. [1] [2]
An article in the American Journal of Managed Care reported cost reductions for intermediate risk patients of $500 (a 33% drop) and reductions for highest risk patients of $1,250 (a 35% drop). CareMore claims that 97% of its members are either very satisfied or somewhat satisfied with their CareMore health plan.
Amerigroup is an American health insurance and managed health care provider. Amerigroup covers 7.7 million seniors, people with disabilities, low-income families and other state and federally sponsored beneficiaries, and federal employees in 26 states, making it the nation's largest provider of health care for public programs. [1]
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 ...
The community health center (CHC) in the United States is the dominant model for providing integrated primary care and public health services for the low-income and uninsured, and represents one use of federal grant funding as part of the country's health care safety net. The health care safety net can be defined as a group of health centers ...
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Third-party administrators are prominent players in the health care industry and have the expertise and capability to administer all or a portion of the claims process. They are normally contracted by a health insurer or self-insuring companies to administer services, including claims administration, premium collection, enrollment and other ...