Search results
Results from the WOW.Com Content Network
Eligibility for Medicaid coverage is based on income, family size, disability status and age, and can vary from state to state. The expansion of Medicaid through the Affordable Care Act made ...
In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a ...
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]
In the 1980s, as Medicaid managed care expanded across the county, safety net providers, such as Community Health Centers (CHCs) and public hospitals, feared that managed care would reduce reimbursements for Medicaid-eligible services, making it more difficult for them to provide care to the un- and under-insured, and result in a loss of Medicaid volume, as beneficiaries would choose to see ...
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.
Just about every state taxes entities such as hospitals, nursing homes and ambulances to help pay for their share of Medicaid. Since 2005, California has taxed managed care organizations — the private companies that contract with the state to provide Medicaid benefits. But unlike with most taxes, the companies don’t have to pay all of it.
AHCA has just awarded six-year contracts to the private payers administering the program with longstanding records of mismanagement and profiteering. Doctor: Our state’s ability to provide ...
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.