Managed Care

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» AmeriChoice Corporation - [USA] Organizes health care benefits and services for beneficiaries of Medicaid and other government-sponsored health care programs in more than one dozen markets nationwide.
» American Rehabilitation, Inc. (ARI) - Offers medical and vocational rehabilitation, telephonic claims reporting, telephonic case management, and medical networks.
» 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.
» Choice One, Inc. - [USA, North Carolina] Offers ongoing review and negotiation of managed care agreements for physicians with HMOs, PPOs, and POS programs. Has assisted in establishing several independent practice associations (IPAs).
» College Health IPA - [USA, California] A behavioral healthcare delivery system serving approximately 1.1 million members.
» 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.
» County Managed Care Resource (COMCARE) - [USA, Pennsylvania] A program of the County Commissioners Association, which provides services and assistance to the counties implementing behavioral managed healthcare within the state HealthChoices program.
» 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.
» Definity Health, Inc. - [USA] A provider of consumer-driven health plans, consisting of an employer-funded personal care account, a traditional health coverage component, and an array of tools and resources to support its members.
» 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.
» GatesMcDonald HealthPlus - [USA, Ohio] A managed care program providing medical care via workers' compensation for injured workers. Site describes company, its services, and allows provider lookup.
» Harvard Pilgrim Health Care - [USA] Nonprofit organization offers HMO, PPO, and POS plans in New England. Includes benefits, coverage, financial and employment information, and health news.
» Health Plan of Nevada - [USA, Nevada] Offers HMO, Medicare HMO, PPO, and POS plans. Site includes information about plan options and benefits and a glossary. A subsidiary of Sierra Health Services, Inc.
» HealthHelp - [USA] Provides radiology management services for insurers and physicians. Its national radiology network is used by many managed care organizations.
» HealthSpring - [USA, Tennessee] A managed care organization in central part of state. Site describes products and services, allows provider search, and has areas for members, brokers, providers, and employers.
» 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.
» 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]
» Multimed - [South Africa] A medical scheme administrator. Services include managed care, claims management, and risk management.
» 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 norther suburbs. Providing insurance contract management and quality 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.
» 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) - [USA, Pennsylvania] A primary care center serving everyone in Lancaster County. Offering programs to serve uninsured and low-income individual and families.