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HealthPartners was founded in 1957 as Group Health, the first HMO, by Mid-America Mutual Insurance Company as an experiment in managed care and lower-cost health care. They established a full-service clinic in their headquarters on Como Avenue, at Highway 280, in St. Paul, near the border of Minneapolis. Its board of directors included one patient.
Legacy Health is a non-profit hospital system located in Portland, Oregon, United States. [1] It consists of six primary-care hospitals, a children's hospital, and allied clinics and outpatient facilities. The system employs about 14,000 staff members, and is the second-largest system in the Portland metro area, after Providence Health & Services.
L.A. Care is governed by a 13-member stakeholder Board of Governors representing consumers, community clinics, physicians, hospitals, federally-qualified health centers, children's health care providers, and the Los Angeles County Department of Health Services. Two of the seats are held by consumers who are elected by L.A. Care enrollees.
A hospital or provider organization desiring to set up its own health plan will often outsource certain responsibilities to a third-party administrator. For example, an employer may choose to help finance the health care costs of its employees by contracting with a TPA to administer many aspects of a self-funded health care plan.
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A Health Reimbursement Arrangement, also known as a Health Reimbursement Account (HRA), [1] is a type of US employer-funded health benefit plan that reimburses employees for out-of-pocket medical expenses and, in limited cases, to pay for health insurance plan premiums.
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). The NPI has replaced the Unique Physician Identification Number (UPIN) as the required identifier for Medicare services, and is used by other payers ...
Health Net, LLC, a subsidiary of Centene, is an American health care insurance provider. Health Net and its subsidiaries provide health plans for individuals, families, businesses and people with Medicare and Medicaid, as well as commercial, small business, and affordable care insurance. [1] [2] In 2016, Centene acquired Health Net for $6.8 ...