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George M. Rapier III is an American businessman, and chairman and CEO of WellMed Medical Management, Inc., a diversified healthcare company and Physicians Health Choice, a physician-owned Medicare Advantage Organization contracted with the Centers for Medicare and Medicaid Services (CMS). WellMed is headquartered in San Antonio, Texas.
WellCare began operations in 1985 in Tampa, Florida as a Medicaid provider for the State of Florida. [5] In 1992, Kiran Patel, a cardiologist and entrepreneur, purchased the company. [6] [7] In 2002, Patel sold it to a New York investment group led by George Soros and Todd Farha. [7] Also in 2002, Todd Farha joined the company as CEO. [8] [9]
Many IPAs offer management services organization (MSO) amenities including payroll, bookkeeping, benefits management, group purchasing, compliance, marketing, and online reputation management. IPAs may also offer care providers an information technology platform offering automation and/ or a connection to an Electronic Health Record (EHR ...
In 1997 Medicare Advantage was created as part of the 1997 BBA. [3]MA was revised in 2003 and 2010 to incorporate a framework/bid/rebate process.
On January 15, 2009, UnitedHealth Group announced a $350 million settlement of three class action lawsuits filed in Federal court by the American Medical Association, UnitedHealth Group members, healthcare providers, and state medical societies for not paying out-of-network benefits. This settlement came two days after a similar settlement with ...
An explanation of benefits (commonly referred to as an EOB form) is a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf. [1] The EOB is commonly attached to a check or statement of electronic payment. An EOB typically describes:
Healthcare providers from across the sector were also in attendance and voiced their concerns about the ongoing financial and operational impacts of the Change cyberattack. [60] [61] As of April 16, 2024, UnitedHealth Group had advanced payments of over $6 billion in assistance to health care providers affected by the cybersecurity attack. [62]
In 2006, the firm acquired US Script, a pharmacy benefits manager. [6] The company later merged US Script with subsidiaries to form its Envolve divisions. [ 6 ] In 2011, the firm formed Centurion, a provider of correctional health care services, as a joint venture with MHM Services. [ 6 ]