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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 ...
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]
Community Behavioral Health (often initialized as CBH) is a 501(c)(3) non-profit corporation headquartered in Philadelphia, Pennsylvania.As a behavioral health Medicaid managed care organization, CBH is contracted by the city of Philadelphia to manage the delivery and payment of mental health and substance use services to Philadelphia's Medicaid recipients. [1]
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 ...
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 ...
In the United States, Medicaid is a government program 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 ...
The report said about 2.8 million Pennsylvania residents participate in the Physical HealthChoices program for Medicaid, in which managed care organizations contract with pharmacy benefit managers.
The Pennsylvania average uncompensated care percent of NPR was 1.39%. [42] The Pennsylvania average portion of NPR paid by Medicare and Medical Assistance was 35.4% and 14.9% respectively. [ 42 ] The average payment per inpatient day for Medicare and Medical Assistance was $2,725 and $2,958 respectively, while commercial payers paid an average ...