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1997 - Medical Mutual expanded beyond health insurance and created Antares Management Solutions to leverage the company's computer systems. 2001 - Medical Mutual's Preferred Provider Organization (PPO), SuperMed Plus, is recognized as the first PPO in the United States to earn Full Accreditation from the National Committee for Quality Assurance.
In U.S. health insurance, a preferred provider organization (PPO), sometimes referred to as a participating provider organization or preferred provider option, is a managed care organization of medical doctors, hospitals, and other health care providers who have agreed with an insurer or a third-party administrator to provide health care at ...
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]
OhioHealth is a not-for-profit system of hospitals and healthcare providers based in Columbus and the Central Ohio area. The system consists of 15 hospitals, 200+ ambulatory sites, hospice, home health, medical equipment and other health services spanning 47 Ohio counties. [1]
The terms "open panel" and "closed panel" are sometimes used to describe which health care providers in a community have the opportunity to participate in a plan. In a "closed panel" HMO, the network providers are either HMO employees (staff model) or members of large group practices with which the HMO has a contract.
The IPA assembles care providers in self-directed groups within a geographic region to invent and implement health improvement solutions, form collaborative efforts among care providers to implement these programs, and exert political influence upward within the community to effect positive change. [citation needed]
The Ohio Department of Health (ODH) is the administrative department of the Ohio state government [1] responsible for coordinating activities for child and family health services, children with medical handicaps, early intervention services, nutrition services, and community health services; ensure the quality of both public health and health care delivery systems; and evaluates health status ...
With the funding from the name sale, CorVel began building a national preferred provider organization (PPO). During the mid '90s, CorVel doubled its office network again, and expanded its software offerings. [5] PPO services became an important part of most healthcare management sales. Out of network medical review was added to the portfolio of ...
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