The Cigna Group is a for-profit American multinational managed healthcare and insurance company based in Bloomfield, Connecticut. Its insurance subsidiaries are major providers of medical, dental, disability, life and accident insurance and related products and services, the majority of which are offered through employers and other groups. Cigna is incorporated in Delaware.
Stark Law is a set of United States federal laws that prohibit physician self-referral, specifically a referral by a physician of a Medicare or Medicaid patient to an entity for the provision of designated health services ("DHS") if the physician has a financial relationship with that entity.
NYC Health + Hospitals, officially the New York City Health and Hospitals Corporation (HHC), operates the public hospitals and clinics in New York City as a public benefit corporation. As of 2021, HHC is the largest municipal healthcare system in the United States with $10.9 billion in annual revenues, serving 1.4 million patients, including more than 475,000 uninsured city residents, providing services interpreted in more than 190 languages. HHC was created in 1969 by the New York State Legislature as a public benefit corporation. It is similar to a municipal agency, but has a board of directors. It operates eleven acute care hospitals, five nursing homes, six diagnostic and treatment centers, and more than 70 community-based primary care sites, serving primarily the poor and the working class. HHC's own MetroPlus Health Plan is one of the New York area's largest providers of government-sponsored health insurance and is the plan of choice for nearly half a million New Yorkers.
The University of Pittsburgh Medical Center (UPMC) is an American integrated global nonprofit health enterprise that has 92,000 employees, 40 hospitals with more than 8,000 licensed beds, 800 clinical locations including outpatient sites and doctors' offices, a 3.8 million-member health insurance division, as well as commercial and international ventures. It is closely affiliated with its academic partner, the University of Pittsburgh. It is considered a leading American health care provider, as its flagship facilities have ranked in U.S. News & World Report "Honor Roll" of the approximately 15 to 20 best hospitals in America for over 15 years. As of 2016, its flagship hospital UPMC Presbyterian was ranked 12th nationally among the best hospitals by U.S. News & World Report and ranked in 15 of 16 specialty areas when including UPMC Magee-Womens Hospital. This does not include UPMC Children's Hospital of Pittsburgh which ranked in the top 10 of pediatric centers in a separate US News ranking.
Tenet Healthcare Corporation is a for-profit multinational healthcare services company based in Dallas, Texas, United States. Through its brands, subsidiaries, joint ventures, and partnerships, including United Surgical Partners International (USPI), the company operates 65 hospitals and over 450 healthcare facilities. Tenet also operates Conifer Health Solutions, which provides healthcare support services to health systems and other clients.
Outpatient surgery, also known as ambulatory surgery, day surgery, day case surgery, or same-day surgery, is surgery that does not require an overnight hospital stay. The term “outpatient” arises from the fact that surgery patients may enter and leave the facility on the same day. The advantages of outpatient surgery over inpatient surgery include greater convenience and reduced costs.
Rehabilitation hospitals, also referred to as inpatient rehabilitationhospitals, are devoted to the rehabilitation of patients with various neurological, musculoskeletal, orthopedic, and other medical conditions following stabilization of their acute medical issues. The industry is largely made up by independent hospitals that operate these facilities within acute care hospitals. There are also inpatient rehabilitation hospitals that offer this service in a hospital-like setting, but separate from acute care facilities. Most inpatient rehabilitation facilities are located within hospitals.
Universal Health Services, Inc. (UHS) is an American Fortune 500 company that provides hospital and healthcare services, based in King of Prussia, Pennsylvania. In 2022, its annual revenues were $13.4 billion.
Community Health Systems (CHS) is a Fortune 500 company based in Franklin, Tennessee. It was the largest provider of general hospital healthcare services in the United States in terms of number of acute care facilities. In 2014, CHS had around 200 hospitals, but the number had declined to around 85 in 2021.
The Thomas B. Finan Center is an inpatient psychiatric hospital located in Cumberland, Maryland. It is owned and managed by the state of Maryland. The CEO is Lesa Diehl.
In the United States, Medicare fraud is the claiming of Medicare health care reimbursement to which the claimant is not entitled. There are many different types of Medicare fraud, all of which have the same goal: to collect money from the Medicare program illegitimately.
Prime Healthcare Services is a United States privately held healthcare company. It was established in 2001, by chairman and CEO Prem Reddy, MD, and operates 45 hospitals in 14 states. It is affiliated with the nonprofit Prime Healthcare Foundation.
CentraCare is an integrated health care system in Central Minnesota. The nonprofit includes six hospitals, seven senior care facilities, 18 clinics, four pharmacies and numerous inpatient and outpatient specialty care services.
Baptist Hospital of Miami is a non-profit hospital located in Miami, Florida, United States, operated by Baptist Health South Florida.
Suncoast Behavioral Health Center, formerly known as Manatee Palms Youth Services, is a 60-bed psychiatric hospital in Bradenton, Florida.
Robin Fields is an American journalist, investigative reporter, and managing editor with ProPublica, an independent, not-for-profit news agency.
UBH Denton is an acute care, private psychiatric hospital located in Denton, Texas. The hospital was purchased by Universal Health Services, Inc. (UHS) in 2012 from Ascend Healthcare.
IPC Healthcare, previously known as IPC The Hospitalist Company, was a publicly traded corporation which operates a national physician group practice focused on the delivery of hospital medicine and related facility-based services. IPC providers manage the care of patients in coordination with primary care physicians and specialists in over 1,900 facilities in 28 states across the U.S. The company name is derived from an earlier company called In-Patient Consultants Management, Inc. and the NASDAQ ticker name was changed to IPCM in 2008. The company changed its name to IPC Healthcare in January 2015. The company was acquired by TeamHealth in 2015 for $1.6 billion.
The Rockland Psychiatric Center, originally Rockland State Hospital, in Orangeburg, New York is a psychiatric facility for adults operated by the New York State Office of Mental Health. It offers in-patient and transitional treatment for adults, as well as research facilities. There are 13 outpatient facilities and 11 residential programs in the four surrounding counties. The facility shares space with the co-located Nathan Kline Institute. The inpatient treatment center has 410 beds. The current hospital replaces an older hospital on the same 615-acre (249 ha) site.
Wellpath, formerly known as Correct Care Solutions is a healthcare company based in Nashville, Tennessee, U.S. and "one of the nation’s largest for-profit healthcare providers for prisoners." The company was founded in 2003 by Jerry Boyle. Currently, Wellpath is owned by private equity firm H.I.G. Capital and was formerly co-owned by Audax Group and Frazier Healthcare Partners. Wellpath's facilities exist in both the United States and Australia. Currently, there are 550 centers in 36 states. Their facilities treat around 300,000 patients per day. It operates the Florida Civil Commitment Center in Arcadia, Florida. Wellpath and CCS have been sued more than 1300 times for inadequate care according to a story in the Augusta Chronicle on January 12, 2019.
