Open Directory - Business: Financial Services: Insurance: Life and Health: Managed Care

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: Managed Care (66)

Open Directory - Business: Financial Services: Insurance: Life and Health: Managed Care

Health Maintenance Organizations [HMO] (11)
Preferred Provider Organizations [PPO] (19)

Associations (6)
Consulting@ (62)
Issues@ (5)
Resources (2)
Software@ (9)

See also:

Business: Financial Services: Insurance: Carriers: Life and Health (261)
Business: Financial Services: Insurance: Carriers: Life and Health: BlueCross BlueShield (48)
Business: Healthcare (5,258)
Business: Healthcare: Case Management (61)

American Specialty Health Plans of California - [USA, California] Offers health plans for chiropractic care and acupuncture. Site describes the company and includes directory of participating care providers.
Amerigroup Corporation - [USA] Provider of health care to low-income and uninsured families in several states and the District of Columbia. [English, some content in Spanish]
British Union Provident Association (BUPA) - [International] Provider of health insurance plans and services in several nations.
College Health IPA - [USA, California] A behavioral healthcare delivery system serving approximately 1.1 million members.
Community Care Behavioral Health Organization - Designed primarily to serve public sector consumers, and their families in Pennsylvania through the delivery of effective and accessible behavioral health services. Information on the company and its services is offered.
Concentra, Inc. - [USA] Provides occupational health services for cost containment and lost time prevention including: drug screens, physical therapy, first notice of injury, and case management.
CorVel Corporation - [USA] A national, independent provider of managed care and case management services for workers' compensation, accident and health, and auto insurance markets.
Coventry Health Care, Inc. - [USA] A managed health care organization which offers HMOs and PPOs in many states. Site provides links to subsidiary organizations, offers investor information, and a company overview.
First Health Group Corporation - [USA] Serves the group health, workers' compensation, and state public program markets in addition to offering claims services and clinical management. Site describes the company, its services, and offers consumer information.
Health Plan of Nevada - [USA, Nevada] Offers HMO, Medicare HMO, PPO, and POS plans. Information about plan options and benefits and a glossary. A subsidiary of Sierra Health Services, Inc.
HealthExtras, Inc. - Provides supplemental health and disability benefit programs directly to consumers over the Internet. (Nasdaq: HLEX).
HealthHelp - [USA] Provides radiology management services for insurers and physicians. Its national radiology network is used by many managed care organizations.
Healthcare Recoveries, Inc. - Provides health insurance subrogation and related recovery services for private healthcare payors. (Nasdaq: HCRI).
Humana, Inc. - Offers coordinated health insurance coverage and related services to employer groups, government-sponsored plans, small businesses and individuals. (NYSE:HUM).
Keystone Mercy Health Plan - [USA, Pennsylvania] Medical assistance (Medicaid) managed care health plan in the southeastern region of the state.
Lumenos, Inc. - [USA] Offers three phase program of consumer-driven healthcare, consisting of health savings account, traditional health coverage, and a health toolkit.
Medi-Cal - [USA, California] Division of the Department of Health Services, promotes equitable access to high-quality care for low income and uninsured Californians. Provides organized health care delivery through managed care systems.
Medical Network One - [USA, Michigan] A for-profit organization committed to providing administrative services to physicians who have entered into both risk sharing and non-risk sharing agreements with managed care organizations.
Molina Healthcare, Inc. - [USA] Provides managed healthcare in California, Washington, Utah, and Michigan, to individuals covered under Medicaid and related programs. [English, Spanish, Chinese, Russian, Vietnamese, and Hmong]
National Medical Health Card Systems, Inc. - Offers prescription benefit management services to plan sponsors which include managed care organizations, local governments, unions, corporations and third party health care plan administrators. National network of licensed pharmacies, from Port Washington, New York. (Nasdaq: NMHC).
Pacificare Health Systems - [USA] A managed care health insurance company providing health plans for seniors, employer groups, families, and individuals. Includes areas for brokers, employers, and health care providers. Operates in western states and Guam.
Profit Line - [USA] Delivers high return, risk free managed care claim audit and recovery services to the managed healthcare industry.
Prospect Medical - [USA, California] An affiliation of several managed care plans in the Greater Los Angeles area who have joined together to provide the full range of medical services to patients.
Ravenswood Physician Associates (RPA) - [USA, Illinois] An independent physicians association (IPA) of nearly 250 private practice physicians in Chicago and select northern suburbs. Providing insurance contract management and healthcare.
Resolution Health Medical Scheme - [South Africa] Provides comprehensive, affordable medical cover to employer groups and individuals, and is supported by sound financial, administrative and medical controls.
Sierra Health Services, Inc. - Provider of managed care benefit plans for employers, government programs, and individuals. Site offers company, investor, career and product information. Products include HMO, PPO, and POS. Headquartered in Las Vegas, Nevada, USA
Spectrum Managed Care - [USA, Texas] A workers' compensation managed care firm offering claims and case management, occupational networks, and medical bill and utilization review.
Welsh Mountain Medical and Dental Center (WMMDC) - Primary care center serving everyone in Lancaster County, Pennsylvania. Offers programs to serve uninsured and low-income individual and families.

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Last update: Wednesday, April 27, 2011 11:46:10 AM EDT - edit

Open Directory - Business: Financial Services: Insurance: Life and Health: Managed Care

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This category is for managed care organizations. (See the category description). This is not the category for assisted living facilities, third party administrators, insurance brokers or insurance agents.

Please submit reinsurance companies to the Reinsurance category.

Please submit third party administrators to the Third Party Administrators category.

Please submit agents or brokers sites to the proper subcategory of Agents and Marketers or to the appropriate locality category in Regional.

Submit websites for assisted living operators and facilities to Health/Senior_Health/Assisted_Living or an appropriate subcategory.

This category is for managed care organizations, including health maintenance organizations (HMOs), preferred provider organizations (PPOs), and other managed care arrangements.

List sites for organizations providing managed care in the parent category.

This category is for non-profit organizations, societies, and associations of professionals and firms working with the managed care industry.

Health Maintenance Organizations [HMO]

A form of health insurance combining a range of coverages, usually on a group basis. Doctors and other medical professionals offer care through the HMO for a flat monthly rate. With a PPO, care is paid for as it is received.

Preferred Provider Organizations [PPO]

A health care organization composed of physicians, hospitals, and other providers. It provides services at a reduced fee. With a PPO, care is paid for as it is received. An HMO is paid in advance as a scheduled fee.

This category lists sites offering information about the managed care industry.

Open Directory Business: Financial Services: Insurance: Carriers: Life and Health
Open Directory Business: Financial Services: Insurance: Carriers: Life and Health: BlueCross BlueShield
Open Directory Business: Healthcare
Open Directory Business: Healthcare: Case Management

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