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Fidelis Care operates several government-sponsored health insurance programs, including Medicare, Medicaid and Child Health Plus, which was introduced in 1997. [ 7 ] [ 6 ] [ 8 ] The company also offers managed long-term care plans [ 9 ] and Qualified Health Plans on the NY State of Health Marketplace.
By 2010, the company was the third largest Medicaid HMO in the country, with $2.5 billion in revenue and 800,000 members across Ohio and Michigan. [12] In 2010, CareSource announced expansion of its provider network in Southeastern Ohio through a partnership with Quality Care Partners (QCP), a physician-hospital organization (PHO). [13]
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A 2009 report from the Medical Board of Georgia showed that as many as 800 medical services require prior authorizations. [ 12 ] According to Medical Economics in 2013, physicians have expressed frustration with the current prior authorization process with regards to time spent interacting with insurance providers and the costs incurred based ...
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WellCare began operations in 1985 in Tampa, Florida as a Medicaid provider for the State of Florida. [5] In 1992, Kiran Patel, a cardiologist and entrepreneur, purchased the company. [6] [7] In 2002, Patel sold it to a New York investment group led by George Soros and Todd Farha. [7] Also in 2002, Todd Farha joined the company as CEO. [8] [9]