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Association For Community Affiliated Plans
The Association for Community Affiliated Plans (ACAP) is a national trade association representing 80 nonprofit health plans. Headquartered in Washington, D.C., ACAP advocates on behalf of its community-affiliated member health plans operating throughout the United States. ACAP's advocacy work focuses on representing publicly sponsored programs and health care providers who serve vulnerable populations. ACAP also promotes universal access to quality and cost-efficient care. ACAP members are Medicaid-focused health plans that serve the safety net. Collectively, ACAP plans serve more than 25 million enrollees, which is over 50 percent of individuals enrolled in Medicaid-focused health plans. History 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 ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Trade Association
A trade association, also known as an industry trade group, business association, sector association or industry body, is an organization founded and funded by businesses that operate in a specific Industry (economics), industry. An industry trade association participates in public relations activities such as advertising, education, publishing, lobbying, and political donations, but its focus is collaboration between companies. Associations may offer other services, such as producing conferences, holding networking or charitable events, or offering classes or educational materials. Many associations are non-profit organizations governed by bylaws and directed by officers who are also members. In countries with a social market economy, the role of trade associations is often taken by employers' organizations, which also take a role in social dialogue. Political influence One of the primary purposes of trade groups, particularly in the United States, is to attempt to influence p ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Portland, Oregon
Portland (, ) is a port city in the Pacific Northwest and the largest city in the U.S. state of Oregon. Situated at the confluence of the Willamette and Columbia rivers, Portland is the county seat of Multnomah County, the most populous county in Oregon. Portland had a population of 652,503, making it the 26th-most populated city in the United States, the sixth-most populous on the West Coast, and the second-most populous in the Pacific Northwest, after Seattle. Approximately 2.5 million people live in the Portland metropolitan statistical area (MSA), making it the 25th most populous in the United States. About half of Oregon's population resides within the Portland metropolitan area. Named after Portland, Maine, the Oregon settlement began to be populated in the 1840s, near the end of the Oregon Trail. Its water access provided convenient transportation of goods, and the timber industry was a major force in the city's early economy. At the turn of the 20th century, the ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Medical And Health Organizations Based In Washington, D
Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness. Contemporary medicine applies biomedical sciences, biomedical research, genetics, and medical technology to diagnose, treat, and prevent injury and disease, typically through pharmaceuticals or surgery, but also through therapies as diverse as psychotherapy, external splints and traction, medical devices, biologics, and ionizing radiation, amongst others. Medicine has been practiced since prehistoric times, and for most of this time it was an art (an area of skill and knowledge), frequently having connections to the religious and philosophical beliefs of local culture. For example, a medicine man would apply herbs and say prayers for healing, or an an ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Managed Care
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 ("managed care techniques"). 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 p ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Amida Care
Amida Care is a New York State health care plan. Overview Amida Care is a New York Medicaid managed care health plan for those with HIV/AIDS and other chronic conditions such as addiction, mental health issues, and homelessness. The non-profit was founded in 2003. One of its focuses is on members of the LGBTQ community including transgender people. The organization operates in New York, and it is the largest Medicaid Special Needs Health Plan in the state. The president and CEO of the organization is Doug Wirth. In 2018 the company had about $400 million in revenues. Programs The Live Life Plus health plan includes HIV prevention and risk reduction education, treatment adherence services, and multidisciplinary behavioral health services. Amida Care also provides care for individuals diagnosed with Hepatitis C. Amida Care works with local partners to provide care, both medical and non-medical, such as housing consultation. Amida Care works to identify and reach out to individ ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Partnership HealthPlan Of California
Partnership HealthPlan of California, is an independent, public/private organization serving over 550,000 Medi-Cal beneficiaries in 14 northern California counties: Del Norte County, Humboldt County, Lake County, Lassen County, Marin County, Mendocino County, Modoc County, Napa County, Shasta County, Siskiyou County, Solano County, Sonoma County, Trinity County, Yolo County. It began operations as a County Organized Health System in 1994, and is currently the largest Medi-Cal Managed Care Plan in Northern California. Company description Partnership HealthPlan of California is authorized by the State of California to provide health care services for Medi-Cal managed care beneficiaries in 14 Northern California counties. Coverage programs * Medi-Cal. California’s version of Medicaid is the only public program that covers many low-income adults and children. Other coverage programs have been included in the past: *2002-2005 County Medical Services Program (CMSP ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
CalOptima
CalOptima is a publicly funded health insurance plan for low-income citizens for Orange County, CA. With an annual budget of US$4 billion serving 940,000 members as of July 2022, it is also the single largest county organized health insurer in the state. Its current CEO is Michael Hunn. Services CalOptima administers health insurance programs for the county's low-income children, adults, seniors and people with disabilities. The agency is administrating a street medicine program to bring care to homeless people, implementing Medi-Cal, California's Medicaid program. CalOptima serves nearly 940,000 members with a network of more than 7,200 primary care doctors and specialists at 30 hospitals. History 1993 - 2020: Creation In 1993, the Orange County Board of Supervisors created CalOptima as an entity to manage care for the county residents covered by MediCal. It later spun-off as a standalone organization. Paul Yost, the director of cardiothoracic anesthesia at St. Joseph ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Health Insurance Marketplace
In the United States, health insurance marketplaces, also called health exchanges, are organizations in each state through which people can purchase health insurance. People can purchase health insurance that complies with the Patient Protection and Affordable Care Act (ACA, known colloquially as "Obamacare") at ACA health exchanges, where they can choose from a range of government-regulated and standardized health care plans offered by the insurers participating in the exchange. ACA health exchanges were fully certified and operational by January 1, 2014, under federal law. Enrollment in the marketplaces started on October 1, 2013, and continued for six months. 8.02 million people had signed up through the health insurance marketplaces. An additional 4.8 million joined Medicaid. Enrollment for 2015 began on November 15, 2014 and ended on December 15, 2014. As of April 14, 2020, 11.41 million people had signed up through the health insurance marketplaces. Private non-ACA health ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Special Needs Plan
A special needs plan (or SNP, often pronounced "snip") is a category of the US Medicare Advantage plan designed to attract and enroll Medicare beneficiaries who fall into a certain special needs demographic. There are two types of SNPs. The exclusive SNP enrolls only those beneficiaries who fall into the special needs demographic. The other type is the disproportionate share SNP. "Disproportionate share" SNPs enroll a greater percentage of the target special needs population as compared to a national percentage of the target population. Under the federal Medicare Prescription Drug, Improvement, and Modernization Act of 2003, Congress identified special needs individuals" as (1) institutionalized, or (2) dually eligible, or (3) individuals with severe or disabling chronic conditions. More specifically, special needs individuals include: *Institutionalized beneficiaries, defined as those who reside or are expected to reside for 90 days or longer in a long-term care facility (defi ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Health Resources And Services Administration
The Health Resources and Services Administration (HRSA) is an agency of the U.S. Department of Health and Human Services located in North Bethesda, Maryland. It is the primary federal agency for improving access to health care services for people who are uninsured, isolated or medically vulnerable. Comprising six bureaus and twelve offices, HRSA provides leadership and financial support to health care providers in every state and U.S. territory. Its grantees provide health care to uninsured people, people living with HIV/AIDS, and pregnant women, mothers and children. They train health professionals and improve systems of care in rural communities. HRSA oversees organ, bone marrow and cord blood donation. It supports programs that prepare against bioterrorism, a program to compensate people who experience vaccine adverse events, and maintains databases that protect against health care malpractice and health care waste, fraud and abuse. Functions HRSA's $10 billion budget ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Washington, D
Washington commonly refers to: * Washington (state), United States * Washington, D.C., the capital of the United States ** A metonym for the federal government of the United States ** Washington metropolitan area, the metropolitan area centered on Washington, D.C. * George Washington (1732–1799), the first president of the United States Washington may also refer to: Places England * Washington, Tyne and Wear, a town in the City of Sunderland metropolitan borough ** Washington Old Hall, ancestral home of the family of George Washington * Washington, West Sussex, a village and civil parish Greenland * Cape Washington, Greenland * Washington Land Philippines *New Washington, Aklan, a municipality *Washington, a barangay in Catarman, Northern Samar *Washington, a barangay in Escalante, Negros Occidental *Washington, a barangay in San Jacinto, Masbate *Washington, a barangay in Surigao City United States * Washington, Wisconsin (other) * Fort Washington (other) ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
