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  2. Medicare Advantage - Wikipedia

    en.wikipedia.org/wiki/Medicare_Advantage

    MA grew from almost zero in 1998 to 33.8 million subscribers in 2024, or 55% of Medicare recipients. 98%+ were enrolled in a zero-premium MA-PD plan (including prescription drug coverage). [5] In 2022, 295 plans (up from 256 in 2021) covered all Medicare services, plus Medicaid-covered behavioral health treatment or long term services and ...

  3. NC Medicaid to cover weight-loss drugs like Wegovy, after ...

    www.aol.com/nc-medicaid-cover-weight-loss...

    Medicaid beneficiaries in North Carolina will soon be able to get GLP-1 drugs like Wegovy, Saxenda and Zepbound covered. NC Medicaid to cover weight-loss drugs like Wegovy, after access cut for ...

  4. Medicaid Drug Rebate Program - Wikipedia

    en.wikipedia.org/wiki/Medicaid_Drug_Rebate_Program

    The Medicaid Drug Rebate Program is a program in the United States that was created by the Omnibus Budget Reconciliation Act of 1990 (OBRA'90). The program establishes mandatory rebates that drug manufacturers must pay state Medicaid agencies related to the dispensing of outpatient prescription drugs covered by Medicaid.

  5. Molina Healthcare - Wikipedia

    en.wikipedia.org/wiki/Molina_Healthcare

    Molina Healthcare was founded in 1980 by C. David Molina, an emergency room physician in Long Beach, California. [4] He had seen an influx of patients using the emergency room for common illnesses such as a sore throat or the flu because they were being turned away by doctors who would not accept Medi-Cal.

  6. Implementation history of the Affordable Care Act - Wikipedia

    en.wikipedia.org/wiki/Implementation_history_of...

    Molina Healthcare, a major Medicaid provider, said that it was considering exiting some markets in 2018, citing "too many unknowns with the marketplace program." Molina lost $110 million in 2016 due to having to contribute $325 million more than expected to the ACA "risk transfer" fund that compensated insurers with unprofitable risk pools.

  7. CVS Health - Wikipedia

    en.wikipedia.org/wiki/CVS_Health

    CVS Specialty is the specialty pharmacy division that provides specialty pharmacy services for individuals with chronic or genetic diseases who require complex and expensive drug therapies. CVS Health operate 24 retail specialty pharmacy stores and 11 specialty mail order pharmacies, making them the largest specialty pharmacy in the United States.

  8. WellCare - Wikipedia

    en.wikipedia.org/wiki/Wellcare

    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.

  9. Blue Cross Blue Shield Association - Wikipedia

    en.wikipedia.org/wiki/Blue_Cross_Blue_Shield...

    Blue Cross Blue Shield Association, also known as BCBS, BCBSA, or The Blues, is a United States–based federation with 33 independent and locally operated BCBSA companies that provide health insurance to more than 115 million people in the U.S. as of 2022.

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