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A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). The NPI has replaced the Unique Physician Identification Number (UPIN) as the required identifier for Medicare services, and is used by other payers ...
Health Net, LLC, a subsidiary of Centene, is an American health care insurance provider. Health Net and its subsidiaries provide health plans for individuals, families, businesses and people with Medicare and Medicaid, as well as commercial, small business, and affordable care insurance. [1] [2] In 2016, Centene acquired Health Net for $6.8 ...
Primaris has held the Medicare Quality Improvement Organizations contract for Missouri since the program was created. The firm offers several type of consulting services related to quality reporting and improvement for health care providers in addition to its Medicare-funded QIO services.
In 2011, the firm formed Centurion, a provider of correctional health care services, as a joint venture with MHM Services. [6] In 2018, it acquired MHM Services, including its stake in Centurion. [6] Centene began offering state-run Medicaid programs through Affordable Care Act exchanges in 2014. [7]
HCFA was renamed the Centers for Medicare and Medicaid Services on July 1, 2001. [9] [11] In 2013, a report by the inspector general found that CMS had paid $23 million in benefits to deceased beneficiaries in 2011. [12] In April 2014, CMS released raw claims data from 2012 that gave a look into what types of doctors billed Medicare the most. [13]
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WellCare began operations in 1985 in Tampa, Florida as a Medicaid provider for the State of Florida. [3] In 1992, Kiran Patel, a cardiologist and entrepreneur, purchased the company. [4] [5] In 2002, Patel sold it to a New York investment group led by George Soros and Todd Farha. [5] Also in 2002, Todd Farha joined the company as CEO. [6] [7]
While the majority of providers accept Medicare assignments, (97 percent for some specialties), [76] and most physicians still accept at least some new Medicare patients, that number is in decline. [77] While 80% of physicians in the Texas Medical Association accepted new Medicare patients in 2000, only 60% were doing so by 2012. [78]
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