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In the 1980s, as Medicaid managed care expanded across the county, safety net providers, such as Community Health Centers (CHCs) and public hospitals, feared that managed care would reduce reimbursements for Medicaid-eligible services, making it more difficult for them to provide care to the un- and under-insured, and result in a loss of Medicaid volume, as beneficiaries would choose to see ...
CareStar, Inc. (CareStar) is a private, Ohio-based healthcare corporation which provides home and community-based case management services in government, agency and residential operations. [1] CareStar is one of the contracted case management agencies for the Ohio Home Care Waiver Program and HOME Choice through the Ohio Department of Medicaid ...
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] In 2012, the company announced a partnership with Humana. This partnership worked to serve dual-eligible populations, or individuals who qualify for both ...
It is a nonprofit organization that connects healthcare providers and patients through its platform to enhance care coordination and patient outcomes. CRISP integrates health information from hospitals, laboratories, pharmacies, and other healthcare entities, enabling providers to access real-time patient data.
Healthcurrent hosts a physical health and behavioral health/crisis portal for health information exchange throughout Arizona. Healthcurrent links care providers to its standards-based HIE platform and holds a repository of data that is available to be shared with properly accredited care providers in the community.
In the United States, an independent practice association (IPA) is an association of independent physicians, or other organizations that contracts with independent care delivery organizations, and provides services to managed care organizations on a negotiated per capita rate, flat retainer fee, or negotiated fee-for-service basis. [1] [2]
An accountable care organization (ACO) is a healthcare organization that ties provider reimbursements to quality metrics and reductions in the cost of care. ACOs in the United States are formed from a group of coordinated health-care practitioners.
Indiana University Health, formerly known as Clarian Health Partners, is a nonprofit healthcare system located in the U.S. state of Indiana. It is the largest and most comprehensive healthcare system in Indiana, with 16 hospitals under its IU Health brand and almost 36,000 employees. [ 1 ]