Sentences with phrase «managed health care plans»

Advocate that home - visitation programs be incorporated into managed health care plans, on a cost - added basis to avoid being compromised by capitation; and

Following testimonials that managed health care plans often fail to adequately cover the full costs for rehab programs, the legislation now prohibits insurers from requiring prior approval for emergency supplies of these medications.

Seminerio was scheduled to be sentenced in October after admitting to setting up a fake consulting company to take in roughly $ 1 million in illegal payments, including $ 390,000 from Jamaica Hospital and its Medicaid - managed health care plan.

One complication in choosing a counselor may be the restrictions in a managed health care plan.

Not exact matches

Shares of Florida - based WellCare Health Plans hit an all - time high Tuesday, rising 10 % after the managed care health insurer absolutely smashed analyst projections in its latest earnings rHealth Plans hit an all - time high Tuesday, rising 10 % after the managed care health insurer absolutely smashed analyst projections in its latest earnings rhealth insurer absolutely smashed analyst projections in its latest earnings report.

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.

After all, success in consulting is largely the art of identifying a client's problems before he even knows they exist, says Mary Ann Galloway, a health care consultant in Saluda, N.C. Starting out 20 years ago, Galloway's business was designing managed - care plans.

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 pHealth 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 phealth care practitioners with equity parcare practitioners with equity part...

Such risks and uncertainties include, but are not limited to: our ability to achieve our financial, strategic and operational plans or initiatives; our ability to predict and manage medical costs and price effectively and develop and maintain good relationships with physicians, hospitals and other health care providers; the impact of modifications to our operations and processes; our ability to identify potential strategic acquisitions or transactions and realize the expected benefits of such transactions, including with respect to the Merger; the substantial level of government regulation over our business and the potential effects of new laws or regulations or changes in existing laws or regulations; the outcome of litigation, regulatory audits, investigations, actions and / or guaranty fund assessments; uncertainties surrounding participation in government - sponsored programs such as Medicare; the effectiveness and security of our information technology and other business systems; unfavorable industry, economic or political conditions, including foreign currency movements; acts of war, terrorism, natural disasters or pandemics; our ability to obtain shareholder or regulatory approvals required for the Merger or the requirement to accept conditions that could reduce the anticipated benefits of the Merger as a condition to obtaining regulatory approvals; a longer time than anticipated to consummate the proposed Merger; problems regarding the successful integration of the businesses of Express Scripts and Cigna; unexpected costs regarding the proposed Merger; diversion of management's attention from ongoing business operations and opportunities during the pendency of the Merger; potential litigation associated with the proposed Merger; the ability to retain key personnel; the availability of financing, including relating to the proposed Merger; effects on the businesses as a result of uncertainty surrounding the proposed Merger; as well as more specific risks and uncertainties discussed in our most recent report on Form 10 - K and subsequent reports on Forms 10 - Q and 8 - K available on the Investor Relations section of www.cigna.com as well as on Express Scripts» most recent report on Form 10 - K and subsequent reports on Forms 10 - Q and 8 - K available on the Investor Relations section of www.express-scripts.com.

Fidelis, a nonprofit health plan with more than 1.6 million members, currently offers plans on the ACA marketplaces as well as Medicaid, Medicare Advantage, Dual Advantage, Child Health Plus, Essential Plan and managed long - term care polhealth plan with more than 1.6 million members, currently offers plans on the ACA marketplaces as well as Medicaid, Medicare Advantage, Dual Advantage, Child Health Plus, Essential Plan and managed long - term care policplan with more than 1.6 million members, currently offers plans on the ACA marketplaces as well as Medicaid, Medicare Advantage, Dual Advantage, Child Health Plus, Essential Plan and managed long - term care polHealth Plus, Essential Plan and managed long - term care policPlan and managed long - term care policies.

But by planning in advance and talking about what to expect, you'll help your child successfully manage his or her own health care when the time comes.

The next difficulty was that more and more people were covered by managed care health plans with prescribed hospitals they could use for deliveries.

You and your child's other caregivers need to actively manage your child's condition with a customized treatment plan, and your child's health care team will review it periodically as he gets older.

As a participating provider with Medicare and most Medicaid plans and a contracted supplier with hundreds of managed care plans, MPCS helps payers by providing access to diagnosis - specific products and solutions that may lead to better health outcomes for their members.

That's why Delaware health, sports and school officials are advancing a uniform action plan for documenting, managing and caring for young athletes who get a concussion while playing a sport.

The May 1, 2011 - April 30, 2015 agreements with police dispatchers, telecommunications operators, and public works and building maintenance employees and upper police management: • * increase required employee contributions to participate in conventional preferred provider organization health plans, • * provide financial incentives to employees to switch to consumer - directed plans or managed - care plans, • * provide village funding of 40 percent of the deductible for high deductible health plans with health savings accounts and • * require employee participation in annual wellness and health risk assessment screenings in order to qualify for best rates.

She also manages health literacy and advancer care planning training for Maine's largest health system.

«During my tenure as Governor, I have held the line on the rate of cost escalation for health care providers and managed care plans; implemented reimbursement reforms to right - size hospital inpatient reimbursement; made investments in critically needed, less costly outpatient and primary care services; and implemented measures to make New York Medicaid a smarter purchaser of prescription drugs and transportation services for patients.

As community relations manager at the time for The Bronx Health Plan (now rebranded as Affinity), I would promote CHP and Medicaid managed care enrollments.

Among the proposals not included by the Assembly: a sweeping policy change that would give the state wide latitude in determining value - based payments for health care providers, a plan to allow private equity investing in hospitals and a plan that would limit how much providers can charge for drugs in Medicaid - managed care plans.

The Cuomo administration's own Office of Mental Health stated in its most recent five year plan that current «state psychiatric hospital capacity can not be responsibly and rapidly reduced without managed investments in community care.»

The Cuomo administration's own Office of Mental Health stated in its most recent five - year plan that current «state psychiatric hospital capacity can not be responsibly and rapidly reduced without managed investments in community care.»

The union says the provision is necessary to prevent employers from reducing workers» pay as the state continues to move nursing home patients into managed - care health plans.

Given the trend toward women having children later in life, health officials should emphasize improvements in prenatal care, including family planning education and increased training of birth attendants to manage and encourage deliveries for women of advanced maternal age at health - care facilities.

«A significant part of adulthood is managing health care, which includes regular trips to the doctor, following treatment plans, and being aware of symptoms and changes in health,» said Nancy Cheak - Zamora, an assistant professor in the MU School of Health Professions and researcher in the Thompson Center for Autism and Neurodevelopmental Disohealth care, which includes regular trips to the doctor, following treatment plans, and being aware of symptoms and changes in health,» said Nancy Cheak - Zamora, an assistant professor in the MU School of Health Professions and researcher in the Thompson Center for Autism and Neurodevelopmental Disohealth,» said Nancy Cheak - Zamora, an assistant professor in the MU School of Health Professions and researcher in the Thompson Center for Autism and Neurodevelopmental DisoHealth Professions and researcher in the Thompson Center for Autism and Neurodevelopmental Disorders.

The findings point to a major public health problem, with the authors suggesting that planning for comprehensive eye care services are needed to manage the rapid increase in high myopes (a five-fold increase from 2000), along with the development of treatments to control the progression of myopia and prevent people from becoming highly myopic.

From 2000 - 07 he served as Board Chair of Managed Health Care Systems, Inc., which administered the OSU health plans and created a personalized health plan for OSU faculty and staff; Your Plan for Health (Health Care Systems, Inc., which administered the OSU health plans and created a personalized health plan for OSU faculty and staff; Your Plan for Health (health plans and created a personalized health plan for OSU faculty and staff; Your Plan for Health (health plan for OSU faculty and staff; Your Plan for Health (YPplan for OSU faculty and staff; Your Plan for Health (YPPlan for Health (Health (YP4H).

● Helping Families with Child Health Plus, Essential Plan, Medicaid Managed Care ● ¡ Preparados, listos, ya!

● What Parents of ELLs / MLLs Should Know to Ensure Their Child Graduates from High School (presented in multiple languages) ● Helping Families with Child Health Plus, Essential Plan, Medicaid Managed Care ● Understanding Text Complexity in Spanish ● Meeting the Culture and Linguistic Needs of Students: The Challenge for Effective Teaching in 2018

Stress management techniques are covered in sections on activity, relationships, pain management, good communication, managing anger, workplace stresses and the «Big Picture» of spirituality and giving, ending with a guide for developing your own stress plan — making this slim volume a mini-doctorate in preventative health care.

HealthEquity, Inc. offers a full range of solutions for managing health care accounts (health savings accounts, health reimbursement arrangements, and flexible spending accounts) for health plans, insurance companies and third - party administrators.

UnitedHealth Group (UNH: 55.66) is a U.S. leader in health care management and provides a broad range of health care benefits and services, including health maintenance organizations (HMOs), point of service (POS) plans, preferred provider organizations (PPOs), and managed fee for service programs.

Inquire within about our Optimum Wellness Plans ® to help manage your pet's health care needs.

These comprehensive health plans were designed to help our clients proactively manage their pet's health and receive great discounts on preventive services, as well as additional discounts on all other professional services and medications, while spreading the cost of care over 12 months.

«Prescription for Reform: Tidal Wave of Change Hitting Prescription Drug Benefit,» American Association of Health Plans Managed Care Conference, San Francisco, reprinted in the July Blue Cross Blue Shield Association Legal Affairs Bulletin

We also present claims for reimbursement to health insurers, managed care plans and other third - party payors.

We have litigated such claims on behalf of our clients against health insurers, managed care plans, government entities and other third - party payors.

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).

• An overview of the policy change • The legislative framework • Local offers • Implementation programmes • Integrated assessments • Education, health and care planning • Personal budgets • Managing care needs and the budget • The impact on professionals working with those affected • The pilot programme — what can we learn?

Represented national optical company and vision health plan in negotiations with California Attorney General, Department of Managed Health Care and Governor's legislative working group to obtain a comprehensive legal and legislative solution for the retail co-location of opticians and optomehealth plan in negotiations with California Attorney General, Department of Managed Health Care and Governor's legislative working group to obtain a comprehensive legal and legislative solution for the retail co-location of opticians and optomeHealth Care and Governor's legislative working group to obtain a comprehensive legal and legislative solution for the retail co-location of opticians and optometrists

The candidate will serve in: bad debt collections, health plan / managed care insurance litigation, workers» compensation reimbursement litigation, PIP arbitrations / litigation.

Mr. Herman is a seasoned lawyer who has spent much of his legal career representing large health insurers, plan administrators, and self - funded health plans in managed care disputes, often arising under the provisions of the Employment Retirement Income Security Act (ERISA).

They opposed this approach because health plans also conduct such programs, and are indeed required to do it by accreditation standards and HCFA Managed Care Organization standards.

For example, if a state insurance department is acting as a health plan in operating the state's Medicaid managed care program, the final rule allows the insurance department to use protected health information in all cases for which the plan can disclose the protected health information for health oversight purposes.

When providing services to patients through managed care networks, it is likely that a PBM is acting as a business associate of a health plan, and may thus use and disclose protected health information pursuant to the relevant provisions of this rule.

For example, the state insurance department in its capacity as the state Medicaid managed care plan can use protected health information in the process of investigating and disciplining a state Medicaid provider for attempting to defraud the Medicaid system.

The third exception applies to communications tailored to the Start Printed Page 82494circumstances of a particular individual and made by a health care provider or health plan to an individual in the course of managing the treatment of that individual or for the purpose of directing or recommending to that individual alternative treatments, therapies, providers, or settings of care.

Health Maintenance Organization (HMO), Point - of - Service (POS) and Preferred Provider Organization (PPO) are the three most common Managed Care health insurance plan opHealth Maintenance Organization (HMO), Point - of - Service (POS) and Preferred Provider Organization (PPO) are the three most common Managed Care health insurance plan ophealth insurance plan options.

Life, accident and health, LTC, universal life, group life and group health plans, Medicare Advantage and Medicare Supplemental products, managed health care organizations

Managed Care refers to all programs (health plans) that manage health costs by limiting unnecessary treatment.