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Primary Care Case Management (PCCM) is a system of managed care in the US used by state Medicaid agencies, in which a primary care provider is responsible for approving and monitoring the care of enrolled Medicaid beneficiaries, typically for a small monthly case management fee in addition to fee-for-service reimbursement for treatment. [1]
WellCare Health Plans, Inc. is an American health insurance company that provides managed care services primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug plans for members across the United States. WellCare began operations in 1985 and has its headquarters in Tampa, Florida.
2014: Molina Healthcare acquires Florida Medicaid assets from First Coast Advantage. [20] 2015: Molina Healthcare enters Chicago market, acquiring MyCare Chicago's Medicaid assets. [21] 2015: Molina Healthcare enters Puerto Rico. 2015: Molina Healthcare of Washington is the first health care company in the state to cover "Virtual Urgent Care ...
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.
The most common managed care financial arrangement, capitation, places healthcare providers in the role of micro-health insurers, assuming the responsibility for managing the unknown future health care costs of their patients. Small insurers, like individual consumers, tend to have annual costs that fluctuate far more than larger insurers.
As many Floridians' Medicaid coverage has been terminated, the number of people enrolled in the Affordable Care Act has spiked. Florida leads the country in ACA enrollment, with 4.2 million ...
A number have deeming power for Medicare and Medicaid. American Association for Accreditation of Ambulatory Surgery Facilities [2] (AAAASF) Accreditation Association for Ambulatory Health Care (AAAHC) Accreditation Commission for Health Care (ACHC) American Board for Certification in Orthotics, Prosthetics & Pedorthics (ABC)
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related to: medicaid managed care florida portal provider list of doctors