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Leveraging sophisticated technology, data analytics, and a team rich with industry experience, MultiPlan interprets customers’ needs and customizes innovative solutions that combine its payment and revenue integrity, network-based, data and decision science, and analytics-based services. MultiPlan delivers value to more than 700 healthcare ...
The 19 states, as of 2014, had a 15% higher poverty rate than the 32 states that chose to expand their services. California was one of the states to expand its Medicaid program. [6] As of 2018, about one-third of California was covered by Medi-Cal.
The lawsuit alleged that Health Net denied claims based on its own definition of "medical necessity" rather than standards set forth by California law. [26] A judge ruled in Health Net's favor in July 2013. [27] In 2016, Health Net Federal Services became a wholly-owned subsidiary of Centene, ending its time as a publicly traded company. [28]
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 ...
An enlargeable map of the 58 counties of the state of California. This is a list of hospitals in California (), grouped by county and sorted by hospital name. In healthcare in California, only a general acute care hospital or acute psychiatric hospital, as licensed by the California Department of Public Health, can be referred to as a "hospital."
Covered California is the health insurance marketplace in the U.S. state of California established under the federal Patient Protection and Affordable Care Act (ACA). The exchange enables eligible individuals and small businesses to purchase private health insurance coverage at federally subsidized rates.
The California Medical Assistance Program (Medi-Cal or MediCal) is the California implementation of the federal Medicaid program serving low-income individuals, including families, seniors, persons with disabilities, children in foster care, pregnant women, and childless adults with incomes below 138% of federal poverty level.
However, Ross-Loos Medical Group, established in 1929, is considered to be the first HMO in the United States; it was headquartered in Los Angeles and initially provided services for Los Angeles Department of Water and Power (DWP) and Los Angeles County employees. 200 DWP employees enrolled at a cost of $1.50 each per month.