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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. [1] [2]
Evaluation of results for each patient & adjustment of the care plan; Evaluation of overall program effectiveness & adjustment of the program [4] In the context of a health insurer or health plan it is defined as: [5] A method of managing the provision of health care to members with high-cost medical conditions.
Carenet began in 1988 as a patient-management operation within the Christus Santa Rosa Health System in San Antonio, Texas.In 2004, an investor group purchased Carenet from Christus and transitioned the company into a nationwide business processing outsourcer offering medical contact center services that support member and patient programs for healthcare organizations including health plans ...
Beacon Health Partners, based in Garden City, NY, is a physician-owned Accountable Care Organization (ACO). Made up of primary care physicians and specialists, Beacon's mission is to improve ...
Aetna is working with health care organizations across the country to develop products and services that support value-driven, patient-centered care. Aetna's solutions help all types of patients ...
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]
Medical case management may include, but is not limited to, care assessment, including personal interview with the injured employee, and assistance in developing, implementing and coordinating a medical care plan with health care providers, as well as the employee and his/her family and evaluation of treatment results.
CareSource is a nonprofit that began as a managed health care plan serving Medicaid members in Ohio. Today, it provides public health care programs including Medicaid, Medicare, and Marketplace. The company is headquartered in Dayton, Ohio. It is the largest Medicaid plan in Ohio and is second largest in the United States. [2] [3]