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  2. Managed care - Wikipedia

    en.wikipedia.org/wiki/Managed_care

    The term managed care or managed healthcare is used in the United States to describe a group of ... 2 One of the earliest examples is a 1910 "prepaid ...

  3. Case management (US healthcare system) - Wikipedia

    en.wikipedia.org/wiki/Case_management_(US...

    The amount of involvement an insurer can have in managing high cost cases depends on the structure of the benefit plan. In a tightly managed plan case management may be integral to the benefits program. In less tightly managed plan, participation in a case management program is often voluntary for patients. [5]

  4. Health maintenance organization - Wikipedia

    en.wikipedia.org/wiki/Health_maintenance...

    It is an organization that provides or arranges managed care for health insurance, self-funded health care benefit plans, individuals, and other entities, acting as a liaison with health care providers (hospitals, doctors, etc.) on a prepaid basis.

  5. Medicaid managed care - Wikipedia

    en.wikipedia.org/wiki/Medicaid_managed_care

    Currently, managed care is the most common health care delivery system in Medicaid. In 2007, nearly two-thirds of all Medicaid beneficiaries are enrolled in some form of managed care – mostly, traditional health maintenance organizations (HMO) and primary care case management (PCCM) arrangements. [citation needed] This amounted to 29 million ...

  6. What to know about Medicare managed care plans - AOL

    www.aol.com/know-medicare-managed-care-plans...

    The term “managed care” originally involved prepaid health plans, typically health maintenance organizations (HMOs). However, the term expanded to include preferred provider organizations (PPOs).

  7. Medicare Advantage - Wikipedia

    en.wikipedia.org/wiki/Medicare_Advantage

    Most MA plans are managed care plans (e.g., Preferred Provider Organizations (PPO) or Health Maintenance Organizations (HMO)). Both types develop lists of providers ("networks") based on the provider's willingness to accept the plan's terms for fees and other matters.

  8. Everything to know about Medicaid, the largest US public ...

    www.aol.com/everything-know-medicaid-largest-us...

    The expansion of Medicaid through the Affordable Care Act made adults with incomes of up to 138% of the federal poverty level, or about $20,783 for an individual, eligible in 2024, according to ...

  9. Independent practice association - Wikipedia

    en.wikipedia.org/wiki/Independent_practice...

    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]