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A building occupied by the California Department of Health Care Services. A December 2014 audit of the DHCS's Medi-Cal dental care program (Denti-Cal) by the California State Auditor reported that: "Information shortcomings and ineffective actions" by DHCS are putting child beneficiaries at higher risk of dental disease.
Nurse-managed health centers provide health care to thousands of uninsured and underinsured people every year. The centers are usually affiliated with nursing schools, universities, or independent non-profit organizations. Nurse-managed health centers provide health care to vulnerable communities using a nursing model and is managed by advanced ...
Managed care plans and strategies proliferated and quickly became nearly ubiquitous in the U.S. However, this rapid growth led to a consumer backlash. Because many managed care health plans are provided by for-profit companies, their cost-control efforts are driven by the need to generate profits and not providing health care. [5]
The Department of Managed Health Care (DMHC) is a regulatory body governing managed health care plans, including Health Maintenance Organizations (HMOs) and most Medi-Cal managed care plans in California. The DMHC was created as the first state department in the country solely dedicated to regulating managed health care plans and assisting ...
The California Medical Assistance Program (Medi-Cal or MediCal) is the California implementation of the federal Medicaid program serving low-income individuals, including families, seniors, persons with disabilities, children in foster care, pregnant women, and childless adults with incomes below 138% of federal poverty level.
PPOs have now largely eclipsed the managed care model. But as health care costs continue to skyrocket, PPOs are instituting practices that resemble those of HMOs, particularly requiring approval ...
The generic model used in the United States is the chronic care model, which holds that health care does not only involve change in the patient and that high-quality disease care counts the community, the health system, self-management support, delivery system design, decision support, and clinical information systems as important elements in ...
The Department of Health and Human Services provided a four-year grant to On Lok to develop a model of care delivery for individuals with long-term care needs. [2] 1986-1987. 10 other organizations implemented the care delivery model developed by On Lok, with approval from the federal level. [3]