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The Healthy Montana Kids Plan Act (HMK) is a program that expanded the Children's Health Insurance Program (CHIP) and Medicaid eligibility for children in the state of Montana. [1] The effort to codify HMK was spearheaded by then state auditor, John Morrison . [ 1 ]
In 1982, Blue Shield merged with The Blue Cross Association to form the Blue Cross and Blue Shield Association (BCBS). [11] Prior to 1986, organizations administering BCBS were tax exempt under 501(c)(4) as social welfare plans. The Tax Reform Act of 1986 revoked the exemption, however, because the plans sold commercial-type insurance.
Mountain Health CO-OP, formerly Montana Health CO-OP, is a nonprofit, member-led health insurance company that currently offers products in Montana, Idaho, and Wyoming.. The company was founded as a health insurance cooperative under a provision of the Patient Protection and Affordable Care Act for the purpose of introducing more competition into state insurance mark
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In the 1980s, as Medicaid managed care expanded across the county, safety net providers, such as Community Health Centers (CHCs) and public hospitals, feared that managed care would reduce reimbursements for Medicaid-eligible services, making it more difficult for them to provide care to the un- and under-insured, and result in a loss of Medicaid volume, as beneficiaries would choose to see ...
In October 2010, the company acquired Chamberlin Edmonds & Associates, Inc. (CEA), a technology-enabled provider of government program eligibility and enrollment services. [21] In May 2011, the company acquired EquiClaim, a provider of healthcare audit and recovery services for commercial and government payers, from MultiPlan, Inc. [22]
For instance, Blue Cross Blue Shield of Illinois sells a Blue Dental Plus plan for Illinois residents. It has full coverage of preventive services and up to 50% of oral surgery, up to $2,000 annually.
Since then, HEW, has been reorganized as the Department of Health and Human Services (HHS) in 1980. This consequently brought Medicare and Medicaid under the jurisdiction of the HHS. [8] In March 1977, the Health Care Financing Administration (HCFA) was established under HEW. [9] HCFA became responsible for the coordination of Medicare and ...