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This was done so through a nationwide MedCom project implemented in 1995 entitled The Danish Health Care Data Network. This TeleMed project aimed to expand the electronic communication between health service parties, and e-referrals were a part of this. [16] By 2004, forty-one percent of all referrals sent were electronic.
For example, if patients stay in a network of providers and seeks a referral to use a specialist, they may have a copayment only. However, if they use an out of network provider but do not seek a referral, they will pay more. POS plans are becoming more popular because they offer more flexibility and freedom of choice than standard HMOs.
Blue Cross Blue Shield of Michigan, a nonprofit mutual insurance company, provides and administers health benefits to more than 4.3 million members residing in Michigan in addition to members of Michigan-headquartered groups who reside outside the state. In 1998, BCBSM merged several HMOs it owned into the Blue Care Network HMO. [2]
Stark Law is a set of United States federal laws that prohibit physician self-referral, specifically a referral by a physician of a Medicare or Medicaid patient to an entity for the provision of designated health services ("DHS") if the physician (or an immediate family member) has a financial relationship with that entity.
The NHS e-Referral Service (ERS) is an electronic referral system developed for the Health and Social Care Information Centre by IT consultancy BJSS. It is used by NHS England and it replaced the Choose and Book service on 15 June 2015. [ 1 ]
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The member(s) are not required to use a gatekeeper or obtain a referral before seeing a specialist. In that case, the traditional benefits are applicable. If the member uses a gatekeeper, the HMO benefits are applied. However, the beneficiary cost sharing (e.g., co-payment or coinsurance) may be higher for specialist care. [3]
Blue Care is an agency of UnitingCare Queensland, the health and community arm of the Uniting Church in Queensland, Australia.Originally established as the Blue Nursing Service by the Methodist Church in 1953, it has grown into one of the largest not-for-profit providers of residential aged care, community care and retirement living in Queensland and northern New South Wales. [1]