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Keystone First is a medical assistance (Medicaid and Medicare) managed care health plan based in southeastern Pennsylvania. Keystone focuses on low-income residents in southeastern Pennsylvania counties including, Bucks, Chester, Delaware, Montgomery, and Philadelphia. The healthcare provider currently serves over 400,000 residents in the area. [1]
Health Partners Plans (HPP) is a non-profit hospital-owned health maintenance organization which provides Medicaid and Medicare to central and southeastern Pennsylvania residents. [1] Health Partners Plans has over 262,000 members throughout Pennsylvania and provides healthcare to low income residents in the counties of Bucks , Chester ...
VISTA's Architecture is an "Onion" with concentric layers of functions. At its core is a single shared database that all applications use. The Veterans Health Information Systems and Technology Architecture (VISTA) is the system of record for the clinical, administrative and financial operations of the Veterans Health Administration [1] VISTA consists of over 180 clinical, financial, and ...
Pennsylvania Department of Human Services that the current ban on Medicaid coverage for abortion services amounts to sex-based discrimination and sent this issue back to Commonwealth Court.
Aetna Better Health manages Medicaid benefits for the Commonwealth of Pennsylvania. Croce most recently served as chief operating officer of MajestaCare, an Aetna-administered managed health care ...
A review by Pennsylvania's elected financial watchdog concluded there were shortcomings in a state agency's oversight of fees paid to pharmacy benefit managers in the Medicaid program, but the ...
Medicaid is a government program in the United States that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a significant ...
Pennsylvania has been accused of improperly receiving $551 million in Medicaid funds to go toward its school-based services. The U.S. Office of the Inspector General said in a report released ...
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