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In addition, dual-eligibles may choose a type of MA plan called a dual-eligible special needs plan (D-SNP), which is designed to target the needs of this population. For Medicaid benefits, beneficiaries generally enroll in their state's Medicaid FFS program or a Medicaid managed care plan administered by an MCO under contract with the state.
A special needs plan (or SNP, often pronounced "snip") is a category of the US Medicare Advantage plan designed to attract and enroll Medicare beneficiaries who fall into a certain special needs demographic. There are two types of SNPs. The exclusive SNP enrolls only those beneficiaries who fall into the special needs demographic.
The plan is one of several Special Needs plans (SNPs), a type of Medicare Advantage (Part C) plan for people who qualify for state and federal public health insurance programs. Not all states ...
In 1996, The Associated Group changed its name to Anthem Insurance Company. [17] In August 1997, Anthem acquired Blue Cross and Blue Shield of Connecticut. [18] It also sold Acordia to management. [19] In 1999, Anthem acquired Blue Cross and Blue Shield of New Hampshire and Blue Cross and Blue Shield of Colorado and Nevada. The acquisitions ...
Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...
This is a list of major companies and organizations in the Charlotte metropolitan area, through corporate or subsidiary headquarters or through significant operational and employment presence in and around the American city of Charlotte, North Carolina. The Charlotte metropolitan area is home to seven Fortune 500 companies, numbers in italics ...
Legally, Atrium Health is The Charlotte-Mecklenburg Hospital Authority, [6] a municipal hospital authority established under North Carolina's Hospital Authorities Act (North Carolina General Statutes chapter 131E, part 2). The authority is governed by a self-perpetuating board of commissioners which nominates new commissioners to fill its own ...
Novant Health is a four-state integrated network of physician clinics, outpatient centers and hospitals across the Southeast United States. Its network consists of more than 2,000 physicians and 40,000 employees at more than 850 locations, including 19 medical centers and hundreds of outpatient facilities and physician clinics.