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Medicaid is the largest revenue source for FQHCs, but Medicare offers financial incentives, such as higher per-visit fees compared to non-FQHC providers, making FQHC status attractive. Under the Affordable Care Act, Medicare transitioned to a Prospective Payment System (PPS) in 2014, offering additional payments for preventive services and new ...
By 2010, the company was the third largest Medicaid HMO in the country, with $2.5 billion in revenue and 800,000 members across Ohio and Michigan. [12] In 2010, CareSource announced expansion of its provider network in Southeastern Ohio through a partnership with Quality Care Partners (QCP), a physician-hospital organization (PHO). [13]
Aspen Dental Management, Inc. (ADMI) is an American dental service franchise with over 1100 offices in the United States. [1] Its headquarters is in Chicago, Illinois. [2]The chain is best known for its corporate dentistry locations, which are targeted at individuals which do not currently have a relationship with traditional dentistry practices or otherwise face financial barriers.
The reasons for low use are many, but a lack of dental providers who participate in Medicaid is a key factor. [69] [70] Few dentists participate in Medicaid – less than half of all active private dentists in some areas. [71] Cited reasons for not participating are low reimbursement rates, complex forms and burdensome administrative requirements.
About 97% of dental benefits in the United States is provided through separate policies from carriers—both stand-alone and medical affiliates—that specialize in this coverage. Typically, these dental plans offer comprehensive preventive benefits. However, major dental expenses, such as crowns and root canals, are just partially covered.
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