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Managed care ...
From Wikipedia, the free encyclopedia

The term managed care is used in the United States to describe a variety of techniques intended to reduce the cost of providing health benefits and improve the quality of care ("managed care techniques") for organizations that use those techniques or provide them as services to other organizations ("managed care organization" or "MCO"), or to describe systems of financing and delivering health care to enrollees organized around managed care techniques and concepts ("managed care delivery systems").

Managed Health Care Services Sector: ...
Found on 1800miti.Com, the Commerce Resource dB

This Industry comprises establishments with physicians and other medical staff primarily engaged in providing a range of outpatient medical services to the health maintenance organization (HMO) subscribers with a focus generally on primary health care.
  • Amerigroup Corporation - Provider of health care to low-income and uninsured families in 4 states and the District of Columbia.
  • CCN USA - Preferred provider (PPO) network. A wholly owned, independent subsidiary of Columbia/HCA Healthcare Corp.
  • Consumer Health Network - Preferred Provider Organization in New Jersey and the Northeast. Site includes a provider search and hospital directory.
  • Coventry Health Care - A managed health care organization that covers groups in Nebraska, Kansas, Iowa, Missouri, Illinois, Indiana, Ohio, Pennsylvania, Maryland, Delaware, West Virginia, Virginia, North Carolina, Georgia, and Louisiana.
  • EMSA Military Services - Providers of healthcare to Veterans and the military.
  • Flora Midwest LLC - A regional PPO / Managed Care Organization; site includes a list of partners and a provider search.
  • GatesMcDonald HealthPlus - A managed care program developed by the Ohio Bureau of Workers’ Compensation to provide quality medical care for Ohio’s injured workers.
  • Health Plan of Nevada - Includes information about plan options and benefits and a glossary.
  • HealthMetrix Research - Offers independent Medicare health maintenance organization (HMO) annual cost comparisons for seniors in over 50 cities; an HMO finder by zip code; and an on-line form to request detailed HMO plan information.
  • Indiana Health Network - The largest Preferred Provider Organization (PPO) in Indiana. Includes a provider directory.
  • Managed Cost Consortium LLC - Provider in 10 south and midwest states; site includes provider directories (in .pdf format)and payer forms.
  • Neighborhood Health Plan - A Massachusetts HMO covering MassHealth recipients and small businesses.
  • New York Health Care Alliance - An integrated managed care network offering health care in the Tri-State area through a full continuum of post-acute, sub-acute, and community-based health services.
  • Pacificare Health Systems - A managed care health insurance company providing health plans for seniors, Medicare beneficiaries, employer groups, families and individuals. Includes areas for brokers, employers, and health care providers.
  • PersonalCare Health Management, Inc. - Illinois managed care provider; site includes online plan handbooks, formulary list, participating hospitals and information on benefit plans.
  • Santa Clara Family Health Plan - Plan serving uninsured and underinsured residents through the Medi-Cal and Healthy Families programs.
  • Venture Health Partnership Group (VHPG) - A venture equity corporation which acquires distressed provider-owned HMOs and manages the turnaround and ongoing operation of these companies.
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