• enrollment
  • Finally, the rule eliminates certain requirements viewed by state agencies as impediments to the growth of managed care programs, such as the enrollment composition requirement, the right to disenroll without cause at any time, and the prohibition against enrollee cost-sharing. (gao.gov)
  • 3) Existing law requires the State Department of Health Care Services to develop and prepare one or more reports issued on at least a quarterly basis and make the reports public within 30 days for the purpose of informing the California Health and Human Services Agency, the California Health Benefit Exchange, the Legislature, and the public about the enrollment process for all insurance affordability programs. (ca.gov)
  • Enrollment in this degree program is possible for interested students who fulfill the following admission requirements: complete transcripts of previous education (high school and bachelor education), minimum 50% score in GMAT, satisfactory score in TOEFL for international students, two letters of recommendation, and a receipt of submitted application fee. (excite.com)
  • A follow-up report in January 2004 identified options that ranged from returning to the original Medicaid program to setting limits on enrollment and benefits. (wikipedia.org)
  • While these efforts contribute to a smoother enrollment experience for Maryland consumers, at the same time, Maryland families still often must work with multiple entry points, if they happen to have members who qualify for coverage on different grounds or require both healthcare and social services. (lexology.com)
  • As in Maryland, states around the country are taking a new look at how best to improve and coordinate enrollment into health and social service programs. (lexology.com)
  • Establish unified oversight of health and social service programs and a consolidated eligibility and enrollment system. (lexology.com)
  • Implement a shared platform to reduce duplications and streamline eligibility and enrollment processes across programs. (lexology.com)
  • My Health LA Program Key Demographics and Enrollment Summary" (PDF). (wikipedia.org)
  • healthcare
  • The Master of Health Services is a chance to develop an understanding of how to effectively deliver services in the healthcare sector. (excite.com)
  • The healthcare sector is vital to the modern economy and encompasses considerations of how to finance these services and deliver them in an efficient manner. (excite.com)
  • Career prospects and average salary Those with a Master of Health Services are able to increase their prospects for working in a number of jobs in the healthcare sector, such as in hospitals, clinics and the public sector. (excite.com)
  • This article presents the result of a literature review examining possible ways to improve healthcare services in rural areas. (rrh.org.au)
  • While there is abundant literature on making healthcare programs integrated, interdisciplinary and managed in order to reduce fragmentation and improve continuity and coordination of care, only some part of this relates to rural issues. (rrh.org.au)
  • Healthcare providers in rural areas face challenges in providing coherent and integrated services. (rrh.org.au)
  • We conducted a literature study to explore evidence on how to promote continuity and integration in healthcare services in order to meet the special demands of populations in rural areas. (rrh.org.au)
  • The US Family Health Plan (USFHP) is a U.S. Department of Defense-sponsored healthcare plan that serves military family members exclusively. (wikipedia.org)
  • CareStar, Inc. (CareStar) is a private, Ohio-based healthcare corporation which provides home and community-based case management services in government, agency and residential operations. (wikipedia.org)
  • Data indicating whether this increase in use was due to voluntary or optional service purchases or the sudden access lower-income citizens had to basic healthcare is not available here at this time. (wikipedia.org)
  • Despite managed care's mandate to control costs, U.S. healthcare expenditures has continued to outstrip the overall national income, rising about 2.4 percentage points faster than the annual GDP since 1970. (wikipedia.org)
  • In 1998, Medlantic Healthcare Group merged with Helix Health, a group of four Baltimore, Maryland hospitals. (wikipedia.org)
  • She is an advocate of outcomes measurement in healthcare, something which is novel in mental health. (wikipedia.org)
  • In 2013, over 2 million individuals benefited from projects in the following top program areas: Women's Empowerment Education & Job Skills Healthcare & HIV/AIDS Financial Inclusion Capacity Building Loren Finnell founded TRF in 1987 to empower the working poor in Latin America and the Caribbean to break the cycle of dependence and poverty and build better lives for themselves, their families and their communities. (wikipedia.org)
  • BDFRMS Hospitals Health System's goal is to provide comprehensive primary and community-based care-the kind of healthcare people need most-as well as access to the highest quality specialty care when necessary. (wikipedia.org)
  • Disease management is defined as "a system of coordinated healthcare interventions and communications for populations with conditions in which patient self-care efforts are significant. (wikipedia.org)
  • For people who can access health care practitioners or peer support it is the process whereby persons with long-term conditions (and often family/friend/carer) share knowledge, responsibility and care plans with healthcare practitioners and/or peers. (wikipedia.org)
  • It may reduce healthcare costs and/or improve quality of life for individuals by preventing or minimizing the effects of disease, usually a chronic condition, through knowledge, skills, enabling a sense of control over life (despite symptoms of disease) and integrative care. (wikipedia.org)
  • Los Angeles County Department of Health Services Los Angeles County Board of Supervisors Healthy Way LA Healthcare availability for undocumented immigrants in the United States Immigrant health care in the United States Florido, Adrian (30 September 2014). (wikipedia.org)
  • Centers
  • and northern Connecticut St. Vincent Catholic Medical Centers (1-800-241-4848) - serving New York City, Long Island, southern Connecticut, New Jersey, Philadelphia and area suburbs CHRISTUS Health (1-800-678-7347) - serving southeast Texas and southwest Louisiana Pacific Medical Centers (1-888-958-7347) - serving the Puget Sound area of Washington State. (wikipedia.org)
  • MedStar also operate nursing homes, senior housing, adult day care, rehabilitation and ambulatory centers, as well as maintain MedStar Physician Partners, a comprehensive physician network in Maryland and the Washington, D.C., region. (wikipedia.org)
  • Both a specialty facility and comprehensive community hospital, MedStar Good Samaritan has Centers for Excellence in Arthritis, Joint Replacement, Rehabilitation, Good Health Center, Spine Health, and Surgical Services. (wikipedia.org)
  • 1996
  • In 1993, the USTFs developed a managed care plan, called the Uniformed Services Family Health Plan, and in 1996, became "TRICARE Designated Providers"-the first DoD-sponsored, full-risk managed health care plan and the first to serve the military 65 and older population (other than on a limited demonstration basis). (wikipedia.org)
  • Beacon Health Strategies was established in 1996 in the USA by Elizabeth Pattullo developing publicly funded mental health managed care programs - starting with Boston, Massachusetts. (wikipedia.org)
  • Kaiser Permanente is administered through eight regions, including one parent and six subordinate health plan entities, one hospital entity, and nine separate, affiliated medical groups: In addition to the regional entities, in 1996, the then-twelve Permanente Medical Groups created The Permanente Federation, a separate entity, which focuses on standardizing patient care and performance under one name and system of policies. (wikipedia.org)
  • 2016
  • 18 years of age with an asthma diagnosis between January 2011 and January 2016 were extracted from the computerized databases of Texas Children's Health Plan. (aappublications.org)
  • MHLA succeeded the County's previous program, Healthy Way LA. As of September 2016, MHLA has enrolled 147,314 patients. (wikipedia.org)
  • As of December 31, 2016, the non-profit Kaiser Foundation Health Plan and Kaiser Foundation Hospitals entities reported a combined $1.9 billion in net income on $64.6 billion in operating revenues. (wikipedia.org)
  • hospitals
  • or by receiving assistance from local health department staff, local department of social services staff, navigators, certified applications counselors, hospitals or insurance brokers. (lexology.com)
  • Bahrain Royal Medical Services (also known as Bahrain Defense Force Hospital) is one of the major hospitals in the Kingdom of Bahrain, and the only hospital where free health care is provided exclusively for non-civilians in the country. (wikipedia.org)
  • Nearly 4,000 physicians and employees comprise BDFRMS Hospitals Health System. (wikipedia.org)
  • KP's quality of care has been highly rated and attributed to a strong emphasis on preventive care, its doctors being salaried rather than paid on a fee-for-service basis, and an attempt to minimize the time patients spend in high-cost hospitals by carefully planning their stay. (wikipedia.org)
  • According to Form 990 governance questions, Kaiser Foundation Hospitals and Kaiser Foundation Health Plan do not have members with the power to appoint or elect board members, meaning that the board itself nominates and appoints new members. (wikipedia.org)
  • The health plans are not-for-profit and provide infrastructure for and invest in Kaiser Foundation Hospitals and provide a tax-exempt shelter for the for-profit medical groups. (wikipedia.org)
  • Clinical
  • Sign up for Insight Alerts highlighting editor-chosen studies with the greatest impact on clinical care. (aappublications.org)
  • The contract agreed with Birmingham South Central Clinical Commissioning Group requires the consortium to deliver services for children, adolescents and adults under 25 over five years. (wikipedia.org)
  • UConn Health (formerly known as the UConn Health Center) is the branch of the University of Connecticut that oversees clinical care, advanced biomedical research, and academic education in medicine. (wikipedia.org)
  • practices
  • This index reflects characteristics of rural and remote general practices and the communities they serve, including their access to secondary care facilities, to centres of decision- making and to professional education and support. (rrh.org.au)
  • Based on the analysis of Maryland entry points and emerging best practices in other states, the report identifies a series of recommendations for further improving the efficiency and effectiveness of entry points to Maryland's health coverage programs. (lexology.com)
  • insurance
  • When first implemented, it also offered health insurance to other residents who did not have other insurance. (wikipedia.org)
  • citation needed] So although consumers faced rising health insurance premiums over the period, lower out-of-pocket costs likely[citation needed] encouraged consumers to use more health care. (wikipedia.org)
  • Nevertheless, according to the trade association America's Health Insurance Plans, 90 percent of insured Americans are now enrolled in plans with some form of managed care. (wikipedia.org)
  • Health Net, Inc. is an American health care insurance provider. (wikipedia.org)
  • Disease management is of particular importance to health plans, agencies, trusts, associations and employers that offer health insurance. (wikipedia.org)
  • preventive
  • The US Family Health Plan provides a full continuum of care, from preventive and wellness programs to more intensive disease and case management initiatives for members with chronic or multiple conditions. (wikipedia.org)
  • University Dentists, the group practice based on the Health Center's Farmington campus, provides preventive, corrective and restorative care for patients of all ages. (wikipedia.org)
  • Medical
  • The US Bureau of Labor Statistics reports that related professionals, such as medical records and health information technicians had a median annual salary of $35,900 as of May 2014. (excite.com)
  • The programs are administered by the N.C. Department of Health and Human Services' Division of Medical Assistance . (ncdhhs.gov)
  • Progress toward the managed care model has provided an opportunity to "create a program that is innovative and highly effective in addressing medical and non-medical drivers of health to improve the health and well-being of North Carolinians," he said. (ncdhhs.gov)
  • Partnership adds medical care to the long-term support services available in Family Care. (wisconsin.gov)
  • Managed care is now nearly ubiquitous in the U.S, but has attracted controversy because it has had mixed results in its overall goal of controlling medical costs. (wikipedia.org)
  • Managed care plans are widely credited with subduing medical cost inflation in the late 1980s by reducing unnecessary hospitalizations, forcing providers to discount their rates, and causing the health care industry to become more efficient and competitive. (wikipedia.org)
  • MedStar has comprehensive services including primary, urgent and subacute care, medical education and research. (wikipedia.org)
  • MedStar Health is the official medical team of the Baltimore Ravens, the Washington Nationals, as well as other professional, college and recreational teams in the area. (wikipedia.org)
  • MedStar Franklin Square Medical Center is an acute-care teaching hospital, located in the Rosedale area of Northeastern Baltimore County, offering a full range of services for children and adults. (wikipedia.org)
  • Often described as the medical readiness mission, this effort involves medical testing and screening of recruits, emergency medical treatment of troops involved in hostilities, and the maintenance of physical standards of those in the armed services. (wikipedia.org)
  • Such care has been made available since 1966, (with certain limitations and co-payments), through the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) and its successor, TRICARE. (wikipedia.org)
  • Before the Civil War, medical care in the military was provided largely by the regimental surgeon and surgeons' mates. (wikipedia.org)
  • While attempts were made to establish a centralized medical system, care provision was largely local and limited. (wikipedia.org)
  • Care began on the battlefield and was then transferred to successively better levels of medical capability. (wikipedia.org)
  • Furthermore, the Air Force, originally part of the Army, was created as a separate military service with its own separate Medical Service. (wikipedia.org)
  • citation needed] Changes in the perception of health care after World War II and an assessment of medical services provided to dependents caused Congress to re-evaluate the dependent health care benefit in the late 1950s. (wikipedia.org)
  • A 1956 Department of Defense estimate was that 40 percent of active duty dependents did not have access to federal facilities due to distance, incomplete medical coverage at the federal facility, or due to the saturation of services at military treatment facilities. (wikipedia.org)
  • Congress responded by passing the Dependents Medical Care Act of 1956 and the Military Medical Benefits Amendments of 1966. (wikipedia.org)
  • These acts created the program known as the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS). (wikipedia.org)
  • The company's subsidiaries also offer managed health care products related to prescription drugs, and offer managed health care product coordination for multi-region employers and administrative services for medical groups and self-funded benefits programs. (wikipedia.org)
  • The university owns and operates many smaller clinics around the state that contain UConn Medical Group, UConn Health Partners, University Dentists and research facilities. (wikipedia.org)
  • Medical, mental health, dental and ancillary services are provided in all 18 facilities across the state. (wikipedia.org)
  • The MD program is accredited by the Liaison Committee on Medical Education. (wikipedia.org)
  • Most notably, medical and dental students share an essentially common curriculum during the first two years of their four-year degree programs. (wikipedia.org)
  • As of 2010, a study using National Ambulatory Medical Care Survey data estimated that 21.3% of patients in the U.S. with at least one chronic condition use disease management programs. (wikipedia.org)
  • Each Permanente Medical Group operates as a separate for-profit partnership or professional corporation in its individual territory, and while none publicly reports its financial results, each is primarily funded by reimbursements from its respective regional Kaiser Foundation Health Plan entity. (wikipedia.org)
  • The medical groups are for-profit partnerships or professional corporations and receive nearly all of their funding from Kaiser Foundation Health Plans. (wikipedia.org)
  • outpatient
  • Outpatient services include primary care, OB/GYN, dermatology. (wikipedia.org)
  • The 300,000-square-foot outpatient ambulatory care center was supported with $203 million in private financing, and will house existing services and support the work of new faculty that will be joining the UConn Health Center. (wikipedia.org)
  • implementation
  • Towards this goal, it is expected that successful applicants will evaluate their implementation programs using appropriate concurrent comparison groups, document the costs and resources associated with the programs, identify key components of the model and organizational conditions that resulted in successful implementation, and evaluate transferability to other settings. (nih.gov)
  • It has become the essentially exclusive system of delivering and receiving American health care since its implementation in the early 1980s, and has been largely unaffected by the Affordable Care Act of 2010. (wikipedia.org)
  • Occupational Health
  • Along with DPH faculty members Jack Caravanos and Frank Mirer, DPH student Bill Sothern (Environmental and Occupational Health, 2010 Cohort) presented "Evaluating the Effectiveness of Mold Remediation Methods Post-Superstorm Sandy" on the panel for environmental assessment, laboratory methods, control, and remediation at the 7th International Conference and Training Meeting of the Fungal Research Group Foundation in Galloway, New Jersey, March 13-15. (cuny.edu)
  • waiver
  • Addition of 320 waiver slots for Alzheimer's disease and related disorders to the Community Alternatives Program for Disabled Adults. (ncdhhs.gov)
  • state's
  • Its operations addressed a myriad of issues that directly impacted the state's economic vitality and quality of life including transportation, public safety, affordable housing, international trade, financial services, tourism, and managed health care. (wikipedia.org)
  • acute care
  • MedStar Georgetown University Hospital is a not-for-profit, acute care teaching and research hospital with 609 beds located in Northwest Washington, D.C. Founded in the Jesuit principle of cura personalis - caring for the whole person - MedStar Georgetown offers a variety of innovative diagnostic and treatment options. (wikipedia.org)
  • The hospital is an acute care facility and operates the only full service emergency department in the Farmington Valley. (wikipedia.org)
  • 2000
  • Merrill Matthews, "Lessons From Tennessee's Failed Health Care Reform," Heritage Foundation website, 7 April 2000. (wikipedia.org)
  • On July 1, 2000, Georgetown University Hospital became part of MedStar Health. (wikipedia.org)
  • In November 2000 Foundation Health Systems officially changed its name to Health Net, Inc. when the company started trading on the New York Stock under the symbol HNT. (wikipedia.org)
  • quality
  • The Impact of Privatization on Profitability, Cost, and Quality" for a program on Critical Dialogues: How Do You Make Claims for Social Welfare in the Era of Neoliberalism? (cuny.edu)
  • Medicaid plays a vital role in the lives of many North Carolina families, covering more than half the births and more than half the children in North Carolina, meeting the needs of residents with disabilities and providing quality care to thousands of senior citizens. (ncdhhs.gov)
  • Today, we continue his mission of providing high quality and cost-effective health care to those who need it most. (globenewswire.com)
  • Both Family Care and Partnership are voluntary and offer you cost-effective choices in where you receive services and focus on your own goals for your health and quality of life. (wisconsin.gov)
  • Affordable, quality health care. (commonwealthfund.org)
  • Proponents and critics are also sharply divided on managed care's overall impact on the quality of U.S. health care delivery. (wikipedia.org)
  • The backlash included vocal critics, including disgruntled patients and consumer-advocacy groups, who argued that managed care plans were controlling costs by denying medically necessary services to patients, even in life-threatening situations, or by providing low-quality care. (wikipedia.org)
  • However, Kaiser has had disputes with its employees' unions, repeatedly faced civil and criminal charges for falsification of records and patient dumping, faced action by regulators over the quality of care it provided, especially to patients with mental health issues, and has faced criticism from activists and action from regulators over the size of its cash reserves. (wikipedia.org)
  • public
  • Sonia Gonz├ílez was also given the New Media Lab's History and Public Health Award for her digital project "Where Can I Get an HIV Test? (cuny.edu)
  • In 1981, Congress enacted the Omnibus Reconciliation Act designating certain former U.S. Public Health Service facilities as Uniformed Services Treatment Facilities (USTFs). (wikipedia.org)
  • Having long served military families, the US Family Health Plan in 2008 was awarded an Emmy Award from the National Academy of Television Arts & Sciences for a 2007 public service announcement series, "Now is Our Time to Serve". (wikipedia.org)
  • Meanwhile, insurers responded to public demands and political pressure by beginning to offer other plan options with more comprehensive care networks-according to one analysis, between the years 1970 and 2005 the share of personal health expenditures paid directly out-of-pocket by U.S. consumers fell from about 40 percent to 15 percent. (wikipedia.org)
  • Telehealth EConsult Social determinants of health Partnership HealthPlan is governed by a board of commissions composed of 33 members representing all 14 counties, including physicians, county officials, hospital leaders, providers, PHC health plan members, and public representatives. (wikipedia.org)
  • Headquartered in Edmonton, Alberta, AIMCo manages the assets of 32 clients, a diverse set of public sector pensions, endowments and government funds. (wikipedia.org)
  • specialty care
  • The fourth quarter was highlighted by the company's announcement to sell its diabetes business as part of the continued evolution of its successful BioPharma strategy to a specialty care model. (thestreet.com)
  • We are looking forward to 2014 as an important year to advance our specialty care BioPharma model and deliver on key opportunities in immuno-oncology and hepatitis C that will position us well for long-term growth. (thestreet.com)
  • In December, the company announced plans to sell its global diabetes business that was part of its collaboration with AstraZeneca, enabling its continued evolution to a specialty care BioPharma company. (thestreet.com)
  • state
  • The state shifted more than 800,000 individuals from standard Medicaid coverage to coverage through a managed care company, and extended program benefits to 500,000 more people who were not Medicaid-eligible, but were uninsured or deemed uninsurable due to pre-existing conditions. (wikipedia.org)
  • In response to these reports and to stem the growth in costs, in 2005 the state implemented several program changes, including removing about 190,000 participants, imposing limits on the number of prescription medications each participant could receive, and reducing some other benefits. (wikipedia.org)
  • The Family Care and Partnership programs are funded by state and federal tax dollars. (wisconsin.gov)
  • In Family Care and Partnership, each MCO receives a monthly payment from the State of Wisconsin for each member. (wisconsin.gov)
  • Family Care and Partnership are health and long-term care programs available in most areas of the state. (wisconsin.gov)
  • Unusually, it was programmed by state employees rather than an external contractor. (wikipedia.org)
  • Managed Care Manual: Medicaid and State Health Reform. (wikipedia.org)
  • As the lead State Agency for economic development, BT&H strove to maintain and enhance California's leading role in the global economy through the Agency's programs. (wikipedia.org)
  • UConn Health Center is part of a plan introduced by Connecticut Governor Dannel P. Malloy, called "Bioscience Connecticut," and approved by the Connecticut General Assembly in 2011, to stimulate the economy in the state of Connecticut. (wikipedia.org)
  • The Correctional Managed Health Care (CMHC) program, a partnership with the Department of Correction, delivers comprehensive managed health care to State of Connecticut inmates. (wikipedia.org)
  • provides
  • Although the program is non-accredited, it follows American Society of Health-System Pharmacists suggested guidelines and standards to ensure the program provides a structured learning experience. (amcp.org)
  • The report also provides overviews of the most highly-used Medicaid programs and services and includes snapshots of families and individuals and how they benefitted from services provided through Medicaid. (ncdhhs.gov)
  • Each MCO has a Member Handbook (called the Evidence of Coverage booklet in Partnership) that provides more information about MCO services and member rights. (wisconsin.gov)
  • Family Care provides a wide range of health and long-term care services. (wisconsin.gov)
  • The Military Health System is the enterprise within the United States Department of Defense that provides health care to active duty and retired U.S. Military personnel and their dependents. (wikipedia.org)
  • The MHS also provides, where space is available, health care to dependents of active duty service members, to retirees and their dependents, and to some former spouses. (wikipedia.org)
  • UConn John Dempsey Hospital is a 137-bed university hospital that provides services in geriatrics, maternal fetal medicine, cardiology, cancer care and orthopaedics. (wikipedia.org)
  • Kaiser Permanente provides care throughout eight regions in the United States. (wikipedia.org)
  • plans
  • Through our locally operated health plans in 12 states across the nation and in the Commonwealth of Puerto Rico, Molina serves approximately 4.7 million members. (globenewswire.com)
  • Because many managed care health plans are provided by for-profit companies, their cost-control efforts created widespread perception that they were more interested in saving money than providing health care. (wikipedia.org)
  • By 2015 AIMCo was managing four endowment funds, seven pension plans, nine government funds, eight specialty funds, and style other balanced funds. (wikipedia.org)
  • St. Louis-based Centene announced on July 2, 2015 that it plans to buy Health Net for $6.8 billion. (wikipedia.org)
  • The hospital foundations are not-for-profit and rely on the Kaiser Foundation Health Plans for funding. (wikipedia.org)
  • rehabilitation
  • For more than 30 years, the hospital has been affiliated with the Johns Hopkins School of Medicine, with special programs in physical and rehabilitation medicine, orthopaedics, and rheumatology. (wikipedia.org)
  • system
  • In a unified system, preserve consumers' right to choose elected health and social service programs. (lexology.com)
  • In September, 2009, St. Mary's Hospital in Leonardtown, Maryland merged with MedStar Health, becoming the ninth hospital in the system, and the first in Southern Maryland. (wikipedia.org)
  • The actual cost of having a government-run health care system for the military is higher because the wages and benefits paid for military personnel who work for the MHS and the retirees who formerly worked for it, is not included in the budget. (wikipedia.org)