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Humana Inc. is a for-profit American health insurance company based in Louisville, Kentucky. In 2021, the company ranked 41 on the Fortune 500 list, which made it the highest ranked company based in Kentucky. It has been the third largest health insurance provider in the nation.
The term managed care or managed healthcare is used in the United States to describe a group of activities intended to reduce the cost of providing health care and providing American health insurance while improving the quality of that care. It has become the predominant system of delivering and receiving American health care since its implementation in the early 1980s, and has been largely unaffected by the Affordable Care Act of 2010.
...intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as Health Maintenance Organizations and Preferred Provider Organizations.
Geisinger Health System (GHS) is a regional health care provider to central, south-central and northeastern Pennsylvania. Headquartered in Danville, Pennsylvania, Geisinger services over 3 million patients in 45 counties.
Universal Health Services, Inc. (UHS) is an American Fortune 500 company that provides hospital and healthcare services, based in King of Prussia, Pennsylvania. In 2021, its annual revenues were $12.6 billion.
Hahnemann University Hospital was a tertiary care center in Center City, Philadelphia, and the Center City Philadelphia teaching hospital of Drexel University College of Medicine. Established in 1885, it was for most of its history the main teaching hospital associated with its namesake medical school, Hahnemann Medical College and Hospital, founded in 1848 and named for Samuel Hahnemann, the founder of homeopathy. Hahnemann University Hospital was fully accredited by the Joint Commission on Accreditation of Healthcare Organizations.
Select Medical is a healthcare company based in Pennsylvania. It owns long term acute care and inpatient rehabilitation hospitals, as well as occupational health and physical therapy clinics. Select Medical is a subsidiary of Select Medical Holdings, which is listed on the New York Stock Exchange.
Thomas Jefferson University Hospitals Inc, branded as Jefferson Health, is a multi-state non-profit health system whose flagship hospital is Thomas Jefferson University Hospital in Center City, Philadelphia. The health system's hospitals serve as the teaching hospitals of Thomas Jefferson University. Thomas Jefferson University and Jefferson Health are integrated together as two arms of the same organization. It has a single board of directors and produces joint financial statements. The CEO of Thomas Jefferson University and Jefferson Health is Joseph G. Cacchione, MD.
Health insurance in the United States is any program that helps pay for medical expenses, whether through privately purchased insurance, social insurance, or a social welfare program funded by the government. Synonyms for this usage include "health coverage", "health care coverage", and "health benefits". In a more technical sense, the term "health insurance" is used to describe any form of insurance providing protection against the costs of medical services. This usage includes both private insurance programs and social insurance programs such as Medicare, which pools resources and spreads the financial risk associated with major medical expenses across the entire population to protect everyone, as well as social welfare programs like Medicaid and the Children's Health Insurance Program, which both provide assistance to people who cannot afford health coverage.
The Care Continuum Alliance is an industry trade group of corporations and individuals that "promotes the role of population health improvement in raising the quality of care, improving health outcomes and reducing preventable health care costs for individuals with chronic conditions and those at risk for developing chronic conditions". It supports "care continuum services" such as "health and wellness promotion, disease management, and care coordination" by means of "advocacy, research, and the promotion of best practices in care management".
CareSource is a nonprofit that began as a managed health care plan serving Medicaid members in Ohio. Today, it provides public health care programs including Medicaid, Medicare, and Marketplace. The company is headquartered in Dayton, Ohio. It is the largest Medicaid plan in Ohio and is second in the United States. Its tag line is Healthcare with Heart. In 2020, CareSource earned one of the top spots for quality according to 2020 Ohio Department of Medicaid (ODM) Managed Care Plans Report Card. This was the second year in a row that CareSource was rated as one of the top quality plans as it also earned that distinction in 2019
HealthPartners is an integrated, nonprofit health care provider and health insurance company located in Bloomington, Minnesota offering care, coverage, research and education to its members, patients and the community.
Molina Healthcare is a managed care company headquartered in Long Beach, California, United States. The company provides health insurance to individuals through government programs such as Medicaid and Medicare.
Jefferson Abington Hospital is the flagship hospital of Jefferson Health–Abington, located in Abington Township, Montgomery County, Pennsylvania, in the northern suburbs of Philadelphia.
Trinity Health Mid-Atlantic was formed in October 2018 by the joining together of Mercy Catholic Medical Center—Mercy Fitzgerald Campus in Darby, Pennsylvania; Mercy Catholic Medical Center Mercy Philadelphia Campus; Nazareth Hospital in Philadelphia, Pennsylvania; Saint Francis Healthcare in Wilmington, Delaware; St. Mary Medical Center in Langhorne, Pennsylvania; and their associated programs and services.
North Adams Regional Hospital was a full-service community hospital in North Adams, Massachusetts. It served the Northern Berkshire communities of Adams, Cheshire, Clarksburg, Florida, Lanesborough, North Adams, Savoy, Williamstown and communities in southern Vermont and in eastern New York state. The hospital was part of Northern Berkshire Healthcare (NBH), a not-for-profit organization. NBH closed it on March 28, 2014.
Einstein Healthcare Network is a private non-profit healthcare organization based in the Philadelphia, Pennsylvania region of the United States. The healthcare network serves Greater Philadelphia and its flagship hospital is the Einstein Medical Center Philadelphia, a safety net hospital, located in Philadelphia. The healthcare network offers residency and fellowship training programs in many specialized areas, including pharmacy practice. The healthcare network has a combine total of 1,044 beds and has over 8,500 employees.
Stephen Kent Klasko is an author and leader of healthcare reform. Between 2013 and 2021 he was the President and Chief Executive Officer of Thomas Jefferson University and Jefferson Health, 2013–present, a 14-hospital system in the Greater Philadelphia region and home of the Sidney Kimmel Medical College.
HealthShare Exchange (HSX) is a membership-dues-supported nonprofit health information exchange formed in 2009 and incorporated in 2012 by Greater Philadelphia’s hospitals, health systems, and healthcare insurers.[1][2] It links the electronic medical record (EMR) systems of different hospital health systems and other healthcare providers — and the claims data of healthcare insurers — to make this information accessible at inpatient and outpatient points of care and for care management. HSX services provide recent clinical care information, and alert providers and health plans to care events.[2] Health information exchange makes patient care more informed and coordinated, and reduces unnecessary care and readmissions. HSX serves the greater Delaware Valley region, including southeastern Pennsylvania and southern New Jersey.[2]
MedPage Today is a medical news-focused site owned by Ziff-Davis, LLC. It is based in New York City, and is geared primarily toward medical and health professionals.
Keystone First is a medical assistance managed care health plan based in southeastern Pennsylvania. Keystone focuses on low-income residents in southeastern Pennsylvania counties including, Bucks, Chester, Delaware, Montgomery, and Philadelphia. The healthcare provider currently serves over 400,000 residents in the area.
References
- ↑ "A Guide to Pennsylvania's Medicaid HealthChoices Health Plans" (PDF). healthpartnersplans.com. Retrieved 1 September 2019.
- ↑ "About Health Partners Plan".
- ↑ George, John (5 April 2019). "Health Partners Plans CEO Bill George to retire in June; successor found in-house". Philadelphia Business Journal. Retrieved 1 September 2019.
- ↑ Jones, Ayana (2 April 2019). "Health Partners Plans opens new wellness center". The Philadelphia Tribune. Retrieved 1 September 2019.
- ↑ Record, The Penn (3 August 2019). "Court activity on July 31: Health Partners Plans Inc. vs Reading Health Partners LLC". pennrecord.com. Retrieved 1 September 2019.
- ↑ Kent, Jessica (2019-05-19). "Using Medically-Tailored Meals to Boost Chronic Disease Care". HealthPayerIntelligence. Retrieved 1 September 2019.