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CalOptima is a publicly funded health insurance plan for low-income citizens for Orange County, CA. With an annual budget of US$4 billion serving 940,000 members as of July 2022, [1] it is also the single largest county organized health insurer in the state. [2] Its current CEO is Michael Hunn. [2]
The first round of reviews took place between 2000 and 2004 and the second round took place between 2007 and 2010. [2] In both rounds, all States were required to implement Program Improvement Plans (PIPs) as part of the review process. The third round of CFSRs took place between 2015 and 2018; a complete aggregate report of those findings has ...
Healthy children and families make up the majority of Medicaid managed care enrollees, but an increasing number of states are expanding managed care to previously excluded groups, such as people with disabilities, pregnant women, and children in foster care. In 2003, Hudson Health Plan implemented a patient-specific pay for performance (P4P ...
Reviews in 2008 and 2009 review of research on the effects of health care ratings found that there was evidence that public ratings drove hospitals to improve their performance, but there was limited evidence that they affected how consumers choose health care providers or insurance plans, or that they changed the performance of individual ...
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The Health Insurance Premium Payment Program (HIPP) is a Medicaid program that allows a recipient to receive free private health insurance paid for entirely by their state's Medicaid program. A Medicaid recipient must be deemed 'cost effective' by the HIPP program of their state. Ultimately, the program was made optional, and its use is minimal ...
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 ...
Optima Telekom, a telecommunications operator in Croatia; Optima, a convenience store operated by Sunoco at Wal-Mart stores; Optima, a series of automotive batteries produced by Johnson Controls; Optima Card, a revolving credit card issued by American Express from 1987 to 2009; Optima Health, a managed-care plan by Sentara Healthcare