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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.
Alzira is a city and municipality of 46,451 inhabitants in Valencia, eastern Spain. It is the capital of the comarca of Ribera Alta in the province of Valencia. The city is the heart of the second largest urban agglomeration in the province, with a population of over 100,000.
After the Bolivarian Revolution, extensive inoculation programs and the availability of low- or no-cost health care provided by the Venezuelan Institute of Social Security made Venezuela's health care infrastructure one of the more advanced in Latin America.
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.
Centene Corporation is a publicly traded managed care company based in St. Louis, Missouri, which is an intermediary for government-sponsored and privately insured healthcare programs. Centene ranked No. 25 on the 2023 Fortune 500.
The Puerto Rico Health Reform —Spanish: Reforma de Salud de Puerto Rico, refers to the Medicaid health plan which is a "subset of the larger public government healthcare delivery system" of Puerto Rico. It was once called "La Reforma", later it was called "Mi Salud" and now called Vital but they are all Medicaid, a government-run program which provides medical and healthcare services to indigent and impoverished citizens of Puerto Rico. It was locally referred to simply as La Reforma — for many years. Puerto Rico's Medicaid program is, similar to other Medicaid programs of states of the United States. The funding is by the U.S. Medicaid program in the form of a block grant, unlike how states of the United States Medicaid programs are funded and in 2019 much of the funding was slashed.
Healthcare in Mexico is a multifaceted system comprising public institutions overseen by government departments, private hospitals and clinics, and private physicians. It is distinguished by a unique amalgamation of coverage predominantly contingent upon individuals' employment statuses. Rooted in the Mexican constitution's principles, every Mexican citizen is entitled to cost-free access to healthcare and medication. This constitutional mandate is translated into reality through the auspices of the "Institute of Health for Well-being," abbreviated as INSABI. INSABI does not exist anymore.
Càrcer is a municipality in the comarca of Ribera Alta in the Valencian Community, Spain.
Health care in Colombia refers to the prevention, treatment, and management of illness and the preservation of mental and physical well-being through the services offered by the medical, nursing, and allied health professions in the Republic of Colombia.
The British United Provident Association Limited, trading as Bupa, is a British multinational health insurance and healthcare company with over 43 million customers worldwide.
The healthcare system in Chile is a mixed system that combines both public and private provision of health services. The public system is called Fondo Nacional de Salud (FONASA) and is funded by taxes, providing free or subsidized care for those who cannot afford private health insurance. The private system is composed of various insurance providers (ISAPRE) and healthcare facilities, which offer more extensive services to those who can afford to pay.
The Spanish National Health System is the agglomeration of public healthcare services that has existed in Spain since it was established through and structured by the Ley General de Sanidad of 1986. Management of these services has been progressively transferred to the distinct autonomous communities of Spain, while some continue to be operated by the National Institute of Health Management, part of the Ministry of Health and Social Policy. The activity of these services is harmonized by the Interterritorial Council of the Spanish National Health Service in order to give cohesion to the system and to guarantee the rights of citizens throughout Spain.
Circle Health Group is a private healthcare provider in the United Kingdom, and is the country's biggest private hospital provider. The company was founded in 2004 and rebranded as Circle Health Group in 2019 after acquiring a rival, BMI Healthcare; in the same year it began an expansion in China. In 2023 the company was acquired by an Abu Dhabi-based holding company called PureHealth.
Peru has a decentralized healthcare system that consists of a combination of governmental and non-governmental coverage. Five sectors administer healthcare in Peru today: the Ministry of Health, EsSalud, and the Armed Forces (FFAA), National Police (PNP), and the private sector.
This article summarizes healthcare in California.
Team Health Holdings, Inc., stylized as TeamHealth, is a physician practice in the U.S. founded in 1979 and based in Knoxville, Tennessee, pursuing medical outsourcing. Originally a provider of emergency department services, it is outsourcing physicians in emergency medicine, hospital medicine, anesthesiology, critical care, obstetrics, orthopedic surgery, general surgery, ambulatory care, post-acute care and medical call centers to approximately 2,900 acute and post-acute facilities nationwide. After numerous acquisitions in the 2010s it has become the largest market share in U.S. physician outsourcing. TeamHealth has affiliated partner companies, including D&Y Locum Tenens, Spectrum Healthcare Resources and AccessNurse.
The Ministry of Health of Argentina is a ministry of the national executive power that oversees, elaborates and coordinates the Argentine national state's public health policy. The ministry is responsible for overseeing Argentina's highly decentralized universal health care system, which according to 2000 figures, serviced over half of the country's population.
Healthcare in Nottinghamshire was, until July 2022, the responsibility of six clinical commissioning groups, covering Nottingham City, Nottingham North & East, Mansfield and Ashfield, Newark and Sherwood, Rushcliffe, and Nottingham West. They planned to merge in April 2020.
An accountable care system is a system of healthcare provision which is intended to be integrated, and in particular to merge the funding of primary care with that for hospital care, therefore providing incentives to keep people healthy and out of hospital. It has features in common with accountable care organizations in the United States.
Juan Abarca Cidón is a Spanish doctor, lawyer, and businessman. He is president of the HM Hospitales Group and of Profesionales de la Medicina y el Derecho (PROMEDE), an expert witness company. He is an advocate of the private health care model, and part of the political debate on public and private healthcare.
References
- ↑ de Rosa, Alberto (17 May 2014). "Alberto de Rosa: Ribera Salud Group - from hospital to population health management". King's Fund. Retrieved 28 March 2019.
- ↑ Zanon, Elisabetta (17 November 2014). "The Alzira model gives us a great deal to think about". NHS Confederation. Retrieved 15 July 2017.
- ↑ "Centene trasmite a la Embajada de España en EEUU su inquietud por el trato del Consell a Ribera Salud". Valencia Plaza. 3 September 2017. Retrieved 3 September 2017.
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