[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.Offers medical and vocational
rehabilitation, telephonic claims reporting, telephonic case management, and medical networks.[International]
Provider of health insurance plans and services in several nations.
County Managed Care Resource (COMCARE
)
Definity Health, Inc.
www.hcrec.com/
www.prospectmedical.com/
Provider of managed care benefit plans for
employers, government programs, and individuals.
employer americhoice
www.corvel.com
www.harvardpilgrim.org/
[USA, Nevada] Offers
HMO, Medicare HMO, PPO, and POS plans.
HealthHelp
www.lumenos.com/
Medical Network One
www.molinahealthcare
.com/
www.multimed.co.za/
[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
. Providing insurance contract management and healthcare.
americhoice rpa
[USA] Offers three phase program of consumer
-driven healthcare, consisting of health savings account, traditional health coverage, and a health toolkit
.
Multimed
hmos medicaid
Amerigroup Corporation
Choice One, Inc.
Designed primarily to serve public sector consumers, and
their families in Pennsylvania through the delivery of effective and accessible behavioral health services
.
www.ccapcomcare.com/
HealthExtras, Inc.
HealthSpring
www.keystonemercy.com/
www.spectrummanagedcare.com
/
multimed pacificare
www.arionline.com/
[USA, California] Offers health plans for chiropractic care and acupuncture.[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
.
Harvard Pilgrim Health Care
www.healthextras.com/
[USA] Provides managed healthcare in California, Washington
, Utah, and Michigan, to individuals covered under Medicaid and related programs.[USA] A managed care
health insurance company providing health plans for seniors, employer groups, families, and individuals
.[USA, Texas] A workers` compensation managed care firm offering claims and case management, occupational
networks, and medical bill and utilization review.
medicaid multimed
[English, some content in Spanish]
Site provides
links to subsidiary organizations, offers investor information, and a company overview.[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. Its national radiology network is used by many managed care organizations.
www
.nmhc.com/
www.pacificare.com/
Includes areas for brokers, employers, and health care providers.
hnt medicaid
Site
describes products and services, allows provider search, and has areas for members, brokers, providers
, and employers.
Physicians Health Services, Inc.
(NYSE:HNT).
Welsh Mountain Medical and Dental Center
(WMMDC)
hrmittel hmos
American Specialty Health Plans of California
www.concentra.com/
[USA] A national, independent
provider of managed care and case management services for workers` compensation, accident and health
, and auto insurance markets.[USA] Provides radiology management services for insurers and physicians
.
Humana, Inc.
[USA, Pennsylvania] Medical assistance (Medicaid) managed care health plan in the southeastern
region of the state.
National Medical Health Card Systems, Inc.
Prospect Medical
provident bupa
www.ashcompanies.com/
1 million members.
www.myhealthspring.com/
www.humana.com/
Keystone Mercy Health Plan
[South Africa] A medical
scheme administrator.
Profit Line
www.welshmountain.com/
Offers programs to serve uninsured and low-income
individual and families.
hnt uninsured
Information on the company and its services is offered.
www.cvty.com/
www.firsthealth
.com/
(Nasdaq: HLEX). (NYSE:HUM). Services include managed care, claims management, and risk management
.
Pacificare Health Systems
[USA, Illinois] An independent physicians association (IPA) of nearly 250 private
practice physicians in Chicago and select northern suburbs.
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.
ppo managed
First Health Group Corporation
Includes benefits
, coverage, financial and employment information, and health news. Site offers company, investor, career
and product information.
Spectrum Managed Care
pacificare telephonic
[USA, Tennessee] A managed care organization in central
part of state. National network of licensed pharmacies, from Port Washington, New York.
www.profit-line
.net/
hmong uninsured
Community Care Behavioral Health Organization
Coventry Health Care, Inc.
www.gmcdhealthplus.com/
[USA]
Nonprofit organization offers HMO, PPO, and POS plans in New England.Provides health insurance subrogation
and related recovery services for private healthcare payors.Managed health care company.
Ravenswood Physician
Associates (RPA)
hnt managed
Concentra, Inc.
Health Plan of Nevada
www.healthhelp.com/
Offers coordinated health insurance
coverage and related services to employer groups, government-sponsored plans, small businesses and individuals
.
medicaid pacificare
British Union Provident Association (BUPA)
www.bupa.com/
[USA, California] A behavioral healthcare delivery
system serving approximately 1. [English, Spanish, Chinese, Russian, Vietnamese, and Hmong]
hmos americhoice
[USA] Provider
of health care to low-income and uninsured families in several states and the District of Columbia.
www.choiceoneinc.com/
[USA, North Carolina] Offers ongoing review and negotiation of managed care agreements
for physicians with HMOs, PPOs, and POS programs.
www.chipa.com/
[USA] A managed health care organization
which offers HMOs and PPOs in many states.
Health Risk Management, Inc.
(Nasdaq: HCRI).Offers prescription
benefit management services to plan sponsors which include managed care organizations, local governments
, unions, corporations and third party health care plan administrators.Primary care center serving everyone
in Lancaster County, Pennsylvania.
multimed concentra
Has assisted in establishing several independent practice associations
(IPAs). Headquartered in Las Vegas, Nevada, USA
payors uninsured
AmeriChoice Corporation
www.americhoice.com/
Site describes
the company and includes directory of participating care providers.
CorVel Corporation
[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. Products include
HMO, PPO, and POS.
hmong ppos
College Health IPA
[USA] Provides occupational health services for cost containment
and lost time prevention including: drug screens, physical therapy, first notice of injury, and case
management. A subsidiary of Sierra Health Services, Inc.
Lumenos, Inc.
www.mednetone.com/
[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.
www.resorealm
.co.za/
www.sierrahealth.com/
bupa hmong
American Rehabilitation, Inc. (ARI)
Provides integrated health care management
and information services to manage the quality volume and cost of health care under employee benefit
plans. (Nasdaq: HRMI).
hmong medicaid
Site describes company, its services, and allows provider lookup.
www.chicagolanddrs
.com/
medicaid provident
www.healthplanofnevada.com/
Provides supplemental health and disability benefit programs directly
to consumers over the Internet.
www.health.net/
ppos payors
www.hrmi.com/
Healthcare Recoveries, Inc.
Molina Healthcare
, Inc.
(Nasdaq: NMHC).
ravenswood ipa
Site includes information about plan options and benefits and a glossary. Operates
in western states and Guam.[USA] Delivers high return, risk free managed care claim audit and recovery
services to the managed healthcare industry.
hrmittel rpa
www.amerigroupcorp.com
www.ccbh.com
www.definityhealth.com
/
Sierra Health Services, Inc.
hmo rpa