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In 2013, CareMore expanded into the Medicaid managed care space by partnering with another Anthem subsidiary, Amerigroup, to provide coverage in Tennessee, Iowa, and Ohio. Unlike its traditional model, in the Medicaid space CareMore serves only as the patient care delivery organization, while Amerigroup provides the insurance layer. [13]
Members of the Pre-Existing Condition Insurance Program, who were given a one-month extension until the end of April 2014. [29] [30] Those who have successfully applied for exemption status based on criteria published by HealthCare.gov, who are not required to pay a tax penalty if they don't enroll in a health insurance plan. [31] [32]
Wellmark is headquartered in downtown Des Moines and Sioux Falls. It has 1707 employees in Iowa and 171 in South Dakota. [5] It consists of Wellmark Blue Cross and Blue Shield of Iowa, Wellmark of South Dakota, Inc. (doing business as Wellmark Blue Cross and Blue Shield of South Dakota) and Wellmark Health Plan of Iowa, Inc. [5] The Wellmark Foundation is a private foundation to support health ...
[71] On average, per capita health care spending on behalf of the uninsured is a bit more than half that for the insured. [72] Hospitals and other providers are reimbursed for the cost of providing uncompensated care via a federal matching fund program. Each state enacts legislation governing the reimbursement of funds to providers.
Primary Care Case Management (PCCM) is a system of managed care in the US used by state Medicaid agencies, in which a primary care provider is responsible for approving and monitoring the care of enrolled Medicaid beneficiaries, typically for a small monthly case management fee in addition to fee-for-service reimbursement for treatment. [1]
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