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In the United States, an exclusive provider organization (EPO) is a hybrid health insurance plan in which a primary care provider is not necessary, but health care providers must be seen within a predetermined network. Out-of-network care is not provided, and visits require pre-authorization.
Requires health care providers that have spent over $100 million in any 10-year period on anything other than direct patient care, and operated multifamily housing with over 500 high-severity health and safety violations, to spend 98% of the revenues from federal discount prescription drug program on direct patient care.
Proposition 35, titled Managed Care Organization Tax Authorization Initiative, was a successful California ballot proposition in the 2024 general election on November 5. [1] The proposition makes permanent an existing tax on managed health care insurance plans to fund Medi-Cal services pending federal approval. [2]
The state’s Medicare Advantage plan allows members to see out-of-network providers for the same out-of-pocket costs as in-network providers, as long as they accept Medicare.
You can buy tickets to the state fair online. Early bird tickets cost $14, or $10 for seniors 62 years and older and $8 for kids 5 to 12 years old. Children 4 and under are free.
The Federally Facilitated Marketplace is established in a state by the HHS Secretary for states that chose not to set up their own marketplace or did not get approval for one. [2] Individuals (i.e. citizens of a state) and employers will have the ability to find and purchase Qualified Health Plans through the FFM and its partners. [1]
In 2022, the State Fair hosted its first cannabis competition where vendors participated in a marijuana exhibit. Last year, the fair allowed attendees aged 21 and older to purchase CBD-infused ...
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