Sentences with phrase «managed care company»

«Speak their language,» said Sheila Strand, vice president at managed care company OptumCare.

It's important to us to preserve the integrity of the therapeutic process and avoid issues with a managed care company at times requiring personal therapy data and details about your treatment.

Try to get an actual authorization number from the managed care company to be sure you are authorized.

From 1993 to 2003, Paul was in health care management, as a case manager for a behavioral health managed care company with the majority of this period engaged in health care management at Virginia Mason Medical Center in Seattle, including management of the Psychiatry Department.

If your insurance or managed care company requires me to provide them with patient information, I may release information to them needed to determine coverage or reimbursement.

Gain employment as a pharmacist with a pharmacy benefit manager (PBM), managed care company, pharmaceutical company, community health organization, or other non-traditional role that offers opportunities for professional growth and career advancement.

Goal: To provide Admissions, Emergency Department or Unit Case Management for Acute Care Hospital or Managed Care Company.

RN / LPN Prior Authorization Office Based needed for a very large managed care company, located near the Sacramento, CA area.

Represent a managed care company that markets and administers health insurance in various internal investigations regarding regulatory compliance

Triple - S Management Corporation (GTS), a managed care company in Puerto Rico that operates under the Blue Cross name, continued its strong run after posting results that beat consensus estimates.

He did say the «vast majority» of the proceeds of the lease - back paid off real estate - related mortgages, and helped finance the startup of Crystal Run's insurance company and managed care company.

«Centene remains the only larger - cap publicly - traded managed care company to show strong performance in its individual exchange efforts,» Cantor Fitzgerald analysts said.

Medicare spending is roughly 20 percent (or roughly $ 650 billion) of total health - care spending, yet Medicare Advantage (offered by private companies) is only 32 percent penetrated by managed care companies, according to the CMS.

He represents a wide array of clients in the health industry, both on the provider side (including multihospital systems and individual hospitals of all sizes, correctional healthcare providers, long - term care facilities and nursing homes, and physician groups), and on the payor side (including managed care companies, HMOs, and prepaid health service plans).

Meanwhile, there's a medical malpractice case out of Nevada that medical malpractice and insurance expert, Professor Tom Baker at University of Pennsylvania Law School called a possible «sea change» for managed care companies.

For example, it was argued that the definition expanded the Start Printed Page 82614power of government and other third party «payors,» turning them into controllers along with managed care companies.

Contacted physicians» offices for prescriptions, referrals and pre-authorization, as appropriate, and obtained pre-authorizations from managed care companies if required.

Private payers may reimburse for non-physician providers» services differently, and it is important to review the physician participation agreement for the managed care companies your practice contracts with, as well as your state's laws.4

Professional Summary: I have over 17 years experience in Case Management in the provider setting as Director of Case Management, Lead Case Manager and Key account Manager for Managed Care Companies, Physicians, Hospitals and Home Health Care Agencies.

* An expert in securing the endorsement of the managed care companies with a record of success full large scale product placement...

Medical mediators can work to address problems between doctors and managed care companies.

Intake / extended assessment referrals for Wraparound (BHRS) can be made by parents, social workers, teachers or managed care companies.

I have received awards and commendations from managed care companies for clinical excellence in diminishing symptoms and getting problems resolved.»

Providers are not being paid by managed care companies.

Managed care companies often have negotiated contracts with us that set your co-pay to a specific amount such as $ 10 or $ 20.

After years as a social worker employee, working for managed care companies and in private practices, I found myself ready to leave the field.

Not exact matches

Once a modest - size Medicaid provider, the managed - care company has expanded quickly — vaulting from No. 453 to 66 on the Fortune 500 in five years» time — and it has done so, in part, by entering markets that rivals have fled (Medicare Advantage, prison health care, the precarious Obama - care exchanges).

• Centerbridge Partners closed its acquisition of a majority stake in Davis Vision, a San Antonio, Texas - based managed vision care company.

The distinction between «free from» the necessity to turn a profit and «non-profit» is important: These companies are not only willing to experiment with new ideas for delivering and managing care, they're eager to do so — whatever the time (and presumably, financial) investment might be.

With Fitbit, Park is partnering with a host of companies and his gadget company is increasingly embedded in the traditional health care sector as it works with insurers, medical device companies, and employers to try to figure out how to motivate and engage individuals in behaviors that can help manage chronic conditions as well as general wellness.

That helps take care of a long - standing problem, and the only way it could be managed was if we hedged the currency as a global company.

Company director and former WA attorney general Cheryl Edwardes has been appointed as the new chairperson for agribusiness CropLogic while St John of God Health Care has appointed Azure Capital managing partner Adrian Arundell to its board.

It's part of a wave of Canadian companies aiming to transform health care and bring the country's hospitals into the digital age — a massive opportunity to modernize the country's aging health - care system, and to meet the expectations of a clientele increasingly used to managing every aspect of their lives through a screen.

Best Managed Companies value diversity and inclusion, and care about the community and sustainability, and those ideals are embedded in the business model.

Through its more than 9,800 retail locations, more than 1,100 walk - in medical clinics, a leading pharmacy benefits manager with more than 94 million plan members, a dedicated senior pharmacy care business serving more than one million patients per year, expanding specialty pharmacy services, and a leading stand - alone Medicare Part D prescription drug plan, the company enables people, businesses and communities to manage health in more affordable and effective ways.

But the company also has a massive technology arm that supplies the healthcare industry with electronic health care records, data analysis and software for managing medical facilities.

The healthcare company provides programs and services to users of government healthcare programs Medicare and Medicaid and is the country's largest Medicaid managed care organization.

Managed - care companies service $ 1.3 trillion [62 percent], leaving an $ 800 billion untapped market opportunity [$ 430 billion in Medicare, $ 386 billion in Medicaid].)

As my research demonstrates, we have these problems because insurance companies are at the center of the system, where they both finance and manage medical care.

The company makes software to manage medical records but expanded into the business of building and managing health care clinics after rising health care costs prompted Cerner (CERN) to build its own in - house clinic in 2006.

Ranking at No. 855 on the Inc. 5000, this health company offers peer review programs to more than 60 workers» compensation and managed - care organizations to assist in the claims management process.

CVS will extend use of Epic's EHR technology to its specialty care programs for managing complex and chronic medical conditions and rare diseases, the company announced on Friday.

PERTH - based Endeavour Health Care Limited has announced plans to list on the Australian Stock Exchange later this year.Endeavour managing director Garry Garside said the company was established to provide health care practitioners with equity parCare Limited has announced plans to list on the Australian Stock Exchange later this year.Endeavour managing director Garry Garside said the company was established to provide health care practitioners with equity parcare practitioners with equity part...

Endeavour managing director Garry Garside said the company was established to provide health care practitioners with equity participation at a seed level as opposed to outright business acquisition and would secure improved patient care through better integration of services.

According to Rock Health Managing Director Malay Gandhi, health care reform underpins the massive deluge of funding flowing into new software - based health - related companies.

In September, Hill had predicted an «inflection point» ahead for CVS should the company transform itself by acquiring a managed care organization like Aetna.

The company manages its operations through five operating segments which include Primary Care, Specialty Care and Oncology, Established Products and Emerging Markets, Animal Health and Consumer Health Care, and Nutrition.

Prior to that he cofounded ikaSystems, a leader in enterprise managed care platform company raised over $ 140 mm in private equity funding.

Dr. Pagidipati is an active investor in many companies including Clinicast, a predictive analytics company; Rise, direct to consumer mobile app focused on nutrition and weight - loss; and ikaSystems, a managed care enterprise platform company.

Before reaching legal settlements, Aetna also battled medical societies over accusations that managed - care companies improperly delayed and denied claims and reduced reimbursement to doctors.