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The Federal Employees Health Benefits (FEHB) Program is a system of "managed competition" through which employee health benefits are provided to civilian government employees and annuitants of the United States government. The government contributes 72% of the weighted average premium of all plans, not to exceed 75% of the premium for any one plan (calculated separately for individual and ...
Group Health Incorporated (GHI) GHI – originally named Group Health Association of New York – was established in 1937 to provide New York's working families access to medical services. [4][5] This new health care model was built around a network of participating providers and was a precursor to today's preferred provider organization (PPO). [5][6]
In U.S. health insurance, a preferred provider organization (PPO), sometimes referred to as a participating provider organization or preferred provider option, is a managed care organization of medical doctors, hospitals, and other health care providers who have agreed with an insurer or a third-party administrator to provide health care at reduced rates to the insurer's or administrator's ...
Medicare is a federal health insurance program in the United States for people age 65 or older and younger people with disabilities, including those with end stage renal disease and amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease). It was begun in 1965 under the Social Security Administration and is now administered by the Centers for Medicare and Medicaid Services (CMS).
Elevance Health, Inc. is an American health insurance provider. Prior to June 2022, Elevance Health was named Anthem, Inc. [2] The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Anthem Blue Cross in California, [3] Wellpoint, and Carelon. [4] It is the ...
As of 2024, 12 insurance companies are participating in the individual and family exchange: [29] Aetna; Anthem Blue Cross; Blue Shield of California; Chinese Community Health Plan; Health Net; Inland Empire Health Plan; Kaiser Permanente; L.A. Care Health Plan; Molina Healthcare; Sharp Health Plan; Valley Health Plan (owned by Santa Clara County)
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 ...
In the United States, an exclusive provider organization (EPO) is a hybrid health insurance plan in which a primary care provider is not necessary, but health care providers must be seen within a predetermined network.
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