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  2. Medi-Cal - Wikipedia

    en.wikipedia.org/wiki/Medi-Cal

    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.

  3. From PPO to HMO, what's the difference between the 5 most ...

    www.aol.com/news/ppo-hmo-whats-difference...

    As insurance premiums have surged, families with employer-sponsored health care plans have paid nearly 5% of their total earnings over a 32-year period, according to a 2024 report investigating ...

  4. Healthcare in California - Wikipedia

    en.wikipedia.org/wiki/Healthcare_in_California

    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. It is administered by the California Department of Health Care Services, which operates it in accordance with California's Medicaid State Plan and Title XIX of the Social Security Act. [7]

  5. California Department of Managed Health Care - Wikipedia

    en.wikipedia.org/wiki/California_Department_of...

    The DMHC regulates the majority of state-regulated health care coverage in California including 96% of commercial and government health plan enrollment in state-regulated plans. However, not all health plans operating in California are under the jurisdiction of the DMHC; for example, some preferred provider organizations are regulated by the ...

  6. Medicaid - Wikipedia

    en.wikipedia.org/wiki/Medicaid

    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 ...

  7. Medicaid managed care - Wikipedia

    en.wikipedia.org/wiki/Medicaid_managed_care

    A variety of different types of health plans serve Medicaid managed care programs, including for-profit and not-for-profit, Medicaid-focused and commercial, independent and owned by health care providers such as community health centers. In 2007, 350 health plans offered Medicaid coverage. Of those, 147 were Medicaid-focused health plans that ...

  8. Healthcare Effectiveness Data and Information Set - Wikipedia

    en.wikipedia.org/wiki/Healthcare_Effectiveness...

    NCQA has an on-line reporting tool called Quality Compass that is available for a fee of several thousand dollars. It provides detailed data on all measures and is intended for employers, consultants and insurance brokers who purchase health insurance for groups. NCQA's web site includes a summary of HEDIS results by health plan.

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