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  2. Preferred provider organization - Wikipedia

    en.wikipedia.org/wiki/Preferred_provider...

    Unlike EPO members, however, PPO members are reimbursed for using medical care providers outside of their network of designated doctors and hospitals. However, when they use out-of-network providers PPO members are reimbursed at a reduced rate that may include higher deductibles and co-payments, lower reimbursement percentages, or a combination ...

  3. McLaren Health Care Corporation - Wikipedia

    en.wikipedia.org/wiki/McLaren_Health_Care...

    McLaren Health Care Corporation, headquartered in Grand Blanc, Michigan, includes 12 hospitals in Michigan, ambulatory surgery centers, imaging centers, a 490-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 732,838 lives in Michigan and Indiana, home health, infusion and hospice providers, pharmacy services, a clinical laboratory ...

  4. Physician Quality Reporting System - Wikipedia

    en.wikipedia.org/wiki/Physician_Quality...

    The 2007 Medicare, Medicaid, and SCHIP Extension Act extended the program through 2008 and 2009. ... Nutrition Professional, ... direct submission from an electronic ...

  5. Medicare Advantage could lead to lower hospital credit ...

    www.aol.com/finance/medicare-advantage-could...

    A recent report from the Medicare Payment Advisory Commission (MedPAC), noted that MA plans have cost CMS $83 billion this year, or 122% more on average, compared to if the same enrollees were ...

  6. Centers for Medicare & Medicaid Services - Wikipedia

    en.wikipedia.org/wiki/Centers_for_Medicare...

    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.

  7. Elevance Health - Wikipedia

    en.wikipedia.org/wiki/Elevance_Health

    The logo of Anthem Blue Cross Blue Shield. Elevance Health, Inc. is an American for-profit health insurance provider. Prior to June 2022, Elevance Health was named Anthem, Inc. [2]

  8. A $310,000 Fort Lauderdale healthcare fraud: selling 2.6 ...

    www.aol.com/310-000-fort-lauderdale-medicare...

    If you think your Medicare or medical information has been stolen, call either the Health and Human Services Office of the Inspector General at 800-HHS-TIPS (800-447-8477) or the Centers for ...

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