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WellCare Health Plans, Inc. is an American health insurance company that provides managed care services primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug plans for members across the United States. WellCare began operations in 1985 and has its headquarters in Tampa, Florida.
WellCare Health Plans, Inc. is a health insurance company that focuses mainly on providing government ... (HMO) plans: Most HMOs require a person to choose from in-network providers. Although some ...
In either case, the HMO takes a greater level of involvement in the patient's care, assigning a case manager to the patient or a group of patients to ensure that no two providers provide overlapping care, and to ensure that the patient is receiving appropriate treatment, so that the condition does not worsen beyond what can be helped.
Wellcare by Allwell offers several HMO plans that may be available in your area. The names of these plans might differ from state to state. Overall, these plans range in monthly premium costs ...
Electronic referrals can result in considerable benefits for service providers. Firstly at the patient level, e-referrals ensure significant improvements to follow-up care coordination [4] by the creation of accurate and timely referrals. Medical decisions are enhanced as each provider involved has the full patient information available to them ...
The Health Maintenance Organization Act of 1973 (Pub. L. 93-222 codified as 42 U.S.C. §300e) is a United States statute enacted on December 29, 1973. The Health Maintenance Organization Act, informally known as the federal HMO Act, is a federal law that provides for a trial federal program to promote and encourage the development of health maintenance organizations (HMOs).
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In other countries patient self-referral to a medical specialist for secondary care is rare as prior referral from another physician (either a primary care physician or another specialist) is considered necessary, regardless of whether the funding is from private insurance schemes or national health insurance. [citation needed]