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The Hawaii Medical Service Association (HMSA) is a member of the Blue Cross Blue Shield Association, an association of independent medical insurance providers. A nonprofit, mutual benefit association founded in 1938, HMSA covers more than half of the state’s population. HMSA’s headquarters are located at the HMSA Center, 818 Keeaumoku ...
It is an organization that provides or arranges managed care for health insurance, self-funded health care benefit plans, individuals, and other entities, acting as a liaison with health care providers (hospitals, doctors, etc.) on a prepaid basis. The US Health Maintenance Organization Act of 1973 required employers with 25 or more employees ...
The Health Maintenance Organization Act of 1973 (Pub. L. 93-222 codified as 42 U.S.C. §300e) is a United States statute enacted on December 29, 1973. The Health Maintenance Organization Act, informally known as the federal HMO Act, is a federal law that provides for a trial federal program to promote and encourage the development of health maintenance organizations (HMOs).
According to a study paid for by America's Health Insurance Plans (a Washington lobbyist for the health insurance industry) and carried out by PriceWaterhouseCoopers, increased utilization is the primary driver of rising healthcare costs in the US The study cites numerous causes of increased utilization, including rising consumer demand, new ...
In 1995, Tufts Health Plan launched its first PPO (preferred provider organization) plans. In 1996 Tufts Health Plan was ranked as a top HMO provider in the United States by Newsweek. In 2008, Tufts Health Plan created the Tufts Health Plan Foundation so the health plan's assets could help address long-standing health care issues in the local ...
The Cigna Group is a for-profit American multinational managed healthcare and insurance company based in Bloomfield, Connecticut. Its insurance subsidiaries are major providers of medical, dental, disability, life and accident insurance and related products and services, the majority of which are offered through employers and other groups (e.g., governmental and non-governmental organizations ...
PacifiCare Health Systems, Inc. was a provider of health insurance based in Cypress, California.It was acquired by UnitedHealth Group in December 2005.. History. The predecessor of the company was founded in 1978 by Samuel J. Tibbitts as a subsidiary of the Lutheran Hospital Society of Southern California.
Montanile's health plan paid for $121,044.02 of his initial expenses, and he subsequently signed an agreement "reaffirming his obligation to reimburse the plan from any recovery he obtained". After receiving this disbursement, Montanile filed suit against the driver that caused his injuries and ultimately obtained a settlement valued at $500,000.