MCOs

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(Click for frequent words.) 61 organizations MCOs 61 capitated 58 Preferred Provider Organizations PPOs 58 PBMs 57 Medicare Advantage Plans 57 HMOS 56 HMOs 56 HMO PPO 56 enrollees 56 Medicare beneficiaries 56 Medicaid enrollees 55 payors 55 CAHs 55 HMO 55 Payors 55 QIOs 55 Maintenance Organizations 55 payor 55 homecare providers 54 formularies 54 FQHCs 54 PPO HMO 54 AHPs 54 HMOs PPOs 54 Medicare enrollees 53 DMEPOS suppliers 53 PTNS therapy 53 CDHPs 53 HDHPs 53 Medicare Advantage 53 Medi Cal beneficiaries 53 ActiveHealth 53 TennCare recipients 53 NCQA Accreditation 53 Empire BlueCross 53 Managed Care 53 BCBS 52 deductibles copays 52 PSNs 52 Preferred Provider Organizations 52 ACOs 52 Medi CareFirst 52 CMHCs 52 HealthFund 52 CDHP 52 VBID 52 PPOs 52 MS DRGs 52 Enrollees 52 Medicare 52 gainsharing 52 HHAs 52 Managers PBMs 52 PEBB 52 Excellus BCBS 51 formulary 51 HealthChoices 51 PBM 51 Payers 51 HCPCS codes 51 SNFs 51 Advantra Freedom 51 Payor 51 BlueChoice 51 CalOptima 51 BCBSM 51 biologic DMARDs 51 Pharmacy Benefit 51 Aetna 51 NCQA Accredited 51 TennCare enrollees 51 IRFs 51 PPOs HMOs 51 copayments deductibles 51 Medicare Advantage PPO 51 BCBSND 51 HSCRC 50 AccessTN 50 Medicare Beneficiaries 50 copays deductibles 50 HSA enrollees 50 Medicaid recipients 50 physicians 50 MS DRG 50 GRIPA 50 insurers 50 Aetna PPO 50 QIO 50 FEHB 50 spokesperson Peter Ashkenaz 50 PFFS plans 50 Aetna Medicare Advantage 50 deductibles copayments 50 MassHealth Medicaid 50 Medigap policies 50 UnitedHealthcare 50 TennCare 50 Medicare HMOs 50 NCQA accredited 50 Americhoice 50 HACs 50 DMEPOS supplier 50 MediGap 50 GPOs 50 Med Supp 50 Provider Synergies 50 guideline concordant 50 Medicaid 49 HealthChoice 49 healthplan 49 Compcare 49 Dual eligibles 49 Acumentra Health 49 premiums copays 49 MGUs 49 PCPs 49 PCMH model 49 Copays 49 SilverScript 49 Healthplan 49 payers 49 MedPAC recommendations 49 APRNs 49 Coinsurance 49 SynerMed 49 CaliforniaChoice 49 Elderplan 49 NYSHIP 49 Providers 49 multiemployer 49 nonparticipating providers 49 Benefit Informatics 49 CDHC 49 RRGs 49 CareEngine 49 TRICARE beneficiaries 49 Medicare Advantage HMOs 49 BlueOptions 49 copayment 49 High Deductible 49 Aetna HealthFund 49 MRMIB 49 FEHBP 49 HealthHelp 49 MedAmerica 48 NCQA accreditation 48 HealthTrio connect 48 guaranty associations 48 EHRs 48 enrolees 48 BCBSTX 48 utilizers 48 RUGs 48 PFFS 48 BCBSRI 48 LTACs 48 PLADs 48 Health Reimbursement Account 48 HPHC 48 BCBSA 48 Capitation 48 CDHP enrollees 48 ADAPs 48 PQRI 48 providers 48 deductibles coinsurance 48 nongroup 48 Copay 48 PQRI reporting 48 MedCost 48 Medi caid 48 HCPs 48 LTCHs 48 deductible coinsurance 48 RISKMASTER 48 TPAs 48 BlueCross 48 PharmaCare 48 payor mix 48 Primary Care Physicians 48 OHCA 48 PEOs 48 Posterior Tibial Nerve Stimulation 48 HRAs 48 Aexcel 48 Utilization Review 48 upcoding 48 Medicaid HMO 48 PMBs 48 HSA HDHP 48 Secure Horizons 48 MDdatacor 48 IntegriGuard 48 PEBTF 48 Metcare 48 Medicare reimbursement 48 Medi Cal recipients 48 precertification 48 SimplyWell 47 locum tenens physicians 47 Regence BlueCross 47 ICHIP 47 Medicare Advantage HMO 47 MHPAEA 47 insurees 47 insurer Cigna 47 Medigap 47 Disproportionate Share 47 FHCP 47 uninsureds 47 BCBSGa 47 EUTF 47 MedEncentive 47 Anthem WellPoint 47 UNICARE 47 copayments 47 UnitedHealth 47 Plexis Claims Manager 47 APIPA 47 Primary Care Providers 47 HEDIS 47 copays 47 ASCs 47 ProvenCare 47 Community CCRx 47 Patient Protections 47 Medicare HMO 47 BCBSKC 47 PPO 47 Medication Error 47 PEEHIP 47 Blue Cross 47 ConnectiCare 47 AmeriHealth Mercy 47 BCBSMA 47 ERRP 47 PEHP 47 HealthAssurance 47 MO HealthNet 47 FEHBP enrollees 47 Medicare recipients 47 Norman CQ HealthBeat 47 MedSolutions 47 HMO POS 47 AAPPO 47 FCHP 47 MediCare 47 CIGNA Healthcare 47 FEGLI 47 MassHealth 47 Peachcare 47 WebMD Envoy 47 Carbofed products 47 HCOs 47 Gainsharing 47 capitation 47 DMHC 47 LTCH 47 CareAdvance Enterprise 47 AHQA 47 EPSDT 47 ConnPACE 47 Fingertip Formulary 47 POHs 47 Medi Cal 47 AdvanceMed 47 coinsurance 47 Organization QIO 47 medigap 47 CCRCs 46 Blue Shield BCBS 46 spokesman Walt Cherniak 46 QMed 46 Medicare Medicaid 46 Novation VHA 46 Copayments 46 Hospitalists 46 RACs 46 Partnership HealthPlan 46 Palmetto GBA 46 Meritain 46 OIG 46 UnitedHealthCare 46 CareSource 46 SWHCS 46 Medicare Advantage enrollees 46 BIDPO 46 SCHIP enrollees 46 SBHCs 46 Performance P4P 46 ofpatients 46 BCBSIL 46 MGMA 46 CCRx 46 HSAs HRAs 46 SummaCare 46 Flexible Spending Accounts FSAs 46 DailyMed TM 46 DRGs 46 EOBs 46 ClearContracts 46 WellPoint 46 Grandfathered Plans 46 MediCal 46 PTNS treatments 46 SelectCare 46 PHCS Network 46 ALFs 46 CRNAs 46 Medigap supplemental insurance 46 HealthAmerica 46 DMEPOS 46 MedInsight 46 multispecialty physician 46 PEIA 46 Accountable Care Organizations 46 Physhield 46 MAHP 46 LifeWise 46 Prescription Drug Benefit 46 Hoosier Healthwise 46 Covered Entities 46 RegionalCare 46 nonadmitted 46 Multiemployer 46 DirigoChoice 46 PPACA 46 OMIG 46 Dirigo Choice 46 Noridian 46 QNXT 46 ReBuilder 46 eClinicalWorks EMR PM 46 supplemental Medigap 46 Physician Groups 46 AHCCCS 46 Polypharmacy 46 SBHCS 46 Workman Comp 46 mediclaim policies 46 Medigap supplemental coverage 46 Medicare Beneficiary 46 CNOs 46 Restat 46 nonhospital 46 CHCS 46 Physhield Insurance Exchange 46 VAMCs 46 actuarially equivalent 46 GAMC enrollees 46 hospitalists 46 nonhospital providers 46 Medicare Part 46 Dependent Eligibility Audit 46 pharmacoeconomic 45 Wellpartner 45 DTCA 45 HealthInsight 45 ambulatory EMR 45 PacifiCare Behavioral Health 45 AultCare 45 Coordinated Care 45 RHIOs 45 Medicare Advantage Prescription Drug 45 PDRP 45 StayWell 45 CareHere 45 ValueOptions 45 SunCoast RHIO 45 Heart Transplant Recipients 45 CDPHP 45 physician extenders 45 BlueCare 45 CIGNA HealthCare 45 Tenncare 45 ePrescribing 45 IHSS recipients 45 CAHPS 45 Clinical CareAdvance 45 Prescribers 45 inpatient psychiatric 45 BCBSMT 45 Cigna 45 SFHP 45 devicemakers 45 Slome notes 45 immune reconstitution syndrome 45 Preferred Provider Organization 45 enrollers 45 Covered Entity 45 Alineo 45 Ingenix 45 LTCi 45 MedImpact 45 XSell platform 45 RNs 45 PlanPrescriber 45 Ingenix Consulting 45 EAIG 45 enrollee 45 PPO EPO 45 CIGNA 45 MemberHealth 45 RegenceRx 45 Sage Intergy EHR 45 CVS Caremark PBM 45 MCOT TM 45 dually eligible 45 MTSOs 45 OptumHealth Behavioral Solutions 45 Vivius 45 CareGain 45 SHIPs 45 TCRS 45 informedRx 45 Medicaid reimbursement 45 XLHealth 45 FSAs HSAs 45 PacifiCare 45 preventable readmissions 45 Cost Containment 45 copay 45 SoonerCare 45 Dr. Plested 45 CareAdvance 45 UPHS 45 Defined Contribution Plan 45 Aetna Specialty Pharmacy 45 EHR Vendor 45 VHA 45 CHAMPVA 45 MEDai Risk 45 BlueMedicare 45 TriZetto Facets 45 RESTAT 45 KePRO 45 Excellus BlueCross BlueShield 45 MN HIE 45 Medversant 45 Cariten 45 HIPAA Privacy Rule 45 Womer Benjamin 45 ICD therapy 45 medically indigent 45 PCCM 45 SAHIE 45 NextGen EHR 45 SSFHS 45 TriZetto QNXT 44 Phynance 44 noncovered 44 RAC audits 44 MLRs 44 NPIs 44 SynCare 44 payor contracts 44 ikaSystems 44 Organisations HMOs 44 CalHIPSO 44 IDTF 44 physician assistants PAs 44 PHRs 44 EHR Incentive Program 44 DocSite PQRI 44 Accountable Care Organization 44 QualChoice 44 overtreat 44 HIEs 44 Accountable Care 44 Mastercard Visa accepted 44 e prescribing 44 URAC accreditation 44 Medicare enrollee 44 PPO POS 44 FEDVIP 44 benefit managers PBMs 44 EHR Incentive Programs 44 CAQH 44 TriZetto Advantage 44 MassHealth Basic 44 DamanDaman 44 uninsured Coloradans 44 USI Affinity 44 MVPDs 44 CareOregon 44 preauthorization 44 LifeMasters 44 Lumetra 44 PharmMD 44 MedCo 44 Excellus 44 Readmissions 44 Drug Rebate Program 44 reimbursement arrangements HRAs 44 accounts HSAs 44 HANYS 44 Medically Needy 44 Optum 44 Qualis Health 44 Retiree Drug 44 Disproportionate Share Hospital 44 Onmark 44 HealthPlus 44 prescribe Seroquel 44 patients 44 Averde 44 prescribers 44 CuraScript 44 DxCG 44 Avalere estimate 44 Crozer Keystone 44 prudent layperson 44 HME providers 44 Association AHCA 44 Program FEHBP 44 pocket maximums 44 National Provider Identifier 44 Deductibles 44 Kaiser Permanente HMO 44 Medi Cal reimbursements 44 Total OnBoarding ™ 44 Medicade 44 PHCS 44 Aetna Wellpoint 44 IHCIS 44 Medicare eligibles 44 HSAs 44 MedicsDocAssistant 44 Equipment Prosthetics Orthotics 44 HealthNow 44 Trofile 44 specialty pharmacy 44 CPT codes 44 HealthStream Research 44 restrictive formularies 44 CareSouth 44 hospitalist 44 LMEs 44 CAH designation 44 OFCCP jurisdiction 44 SelectHealth 44 Adaptis 44 Head Start grantees 44 PMPM 44 Catasys 44 BCBSAZ 44 eCME 44 WellCare 44 Title XIX 44 HealthTrio 44 UAHC TN 44 PHOs 44 podiatric physicians 44 Preferred Provider 44 CareMark 44 Rightsholders 44 Caremark 44 Special Needs Plans 44 SeaBright Holdings 44 unfavorable payor mix 44 PCIP 44 Pacificare 44 P4 Healthcare 44 WellPoint PBM 44 Lumeris 44 PTNS 44 Benefitfocus eBilling 44 dual eligibles 44 Medically Indigent Program 44 healthplans 44 DHCS 44 Mcare 44 Ben Leedle Jr. 44 Supplies DMEPOS 44 HC Innovations 44 gastroenterologists endocrinologists 44 CareSpark 44 Administration AHCA 44 Reimbursement Rates 44 eprescribing 44 Kosecoff 44 Underpayment 43 Self Insured 43 Loss Ratio MLR 43 CMPs 43 prescribers pharmacists 43 Zynchros.com 43 Healthplans 43 Cigna Aetna 43 Inscrybe 43 Lumenos 43 Health Reimbursement Arrangement 43 Foresight TPA 43 CSF Assurance 43 PharMEDium 43 EHR adoption 43 empiric therapy 43 Prime Therapeutics 43 surveyed rheumatologists 43 Healthways 43 Pharmacists Mutual 43 SmartSuite 43 EMRs 43 QCSI 43 ADAP 43 SIHE 43 accounts HRAs 43 ePrescription 43 Outpatient Prospective Payment 43 RVUs 43 OptionCare 43 PreferredOne 43 ClearLobby 43 RPNs 43 WEA Trust 43 Purchasing Organizations 43 HSA compatible 43 Medicare reimbursements 43 CompCare 43 newer atypical antipsychotic 43 CardioNet MCOT TM 43 Formularies 43 Subrogation 43 Billers 43 HEDIS R 43 Aetna Anthem 43 hospital readmissions 43 medically underwritten 43 Dr. Rohack 43 FinCor Solutions 43 BARH 43 Health Reimbursement Arrangements 43 PEBP 43 VGLI 43 Kichak 43 ambulatory surgical centers 43 Picis CareSuite 43 RUG IV 43 Medigap insurance 43 ISMIE 43 cashless hospitalization 43 VALIC 43 commissioning consortia 43 Accordis 43 Risk Retention Groups 43 Medco PLAN 43 ikaEnterprise 43 CareMedic 43 nonsurgical treatments 43 CKD ND 43 Physician Practices 43 Innovent Oncology 43 ALTCS 43 BCBSNC 43 representative payees 43 Amisys Synertech 43 BayCare 43 Accredo specialty 43 NQDC 43 HITRUST CSF 43 TRICARE Prime 43 HITECH Act 43 Rcopia 43 Aetna Cigna 43 SecureCare 43 NetCare 43 Cogent Healthcare 43 MBHO 43 Medicaid RACs 43 FutureScripts 43 FQHC 43 Accelify 43 PayFlex 43 Ternian 43 insureds 43 BCBSD 43 OSF HealthPlans 43 CSMS IPA 43 nonmanagement employees 43 ChartAccess 43 CIGNATURE Rx 43 CRONA 43 Physician Quality 43 medication adherence 43 onlinePHR 43 Alliance CompleteCare 43 Tricare beneficiaries 43 eRx NOW 43 Flexible Spending Account 43 CMS Administrator 43 CEO Bruce Bodaken 43 HITECH provisions 43 PLICO 43 premiums deductibles 43 Medi Cal reimbursement 43 reimbursement 43 MCPSS 43 copayments coinsurance 43 Blue Shield HMO 43 PacAdvantage 43 Flexible Spending Accounts 43 MMIS 43 DiaTri 43 OHIC 43 Slome explains 43 Ingenix OptumHealth 43 OTCs 43 DAKOTACARE 43 PrevCareMD 43 ActiveHealth Management 43 eICU Program 43 takaful operators 43 Prescription Pathway 43 PatientKeeper 43 suboptimally 43 Healthy Families Program 43 LSPs 43 FSPs 43 Prematics 43 MBGH 43 CoverTN 43 MEDecision 43 Medicare Advantage PFFS 43 Starkowski 43 Calvo SelectCare 43 indemnity insurers 43 Silverscript 43 CommunityCare 43 actuarially justified 43 Zynchros 43 TIPPS standards 43 Navitus 43 Nephrologists 43 CorSolutions 43 Activity TMA 43 CarePlus 43 policyowner 43 ARRA HITECH 43 MMSEA 43 URAC accreditations 43 e Prescribe 43 Teleradiology Partners 43 RxPertise 43 Physician Fee 43 MedPAC 43 CVS Caremark Specialty Pharmacy 43 repealers already 43 Highmark 43 CSBs 43 COBRA Consolidated Omnibus 43 PersonalCare 43 Periodic Screening Diagnosis 43 Eileen Mallow 43 unnecessary hospitalizations 43 uninsured Tennesseans 43 NextGen Practice 43 Medico Express 43 myCIGNA.com 43 LTCH PPS 43 PacificSource 43 WorldDoc 43 Goodhealth 43 ACHP 43 CareCentrix 43 VMS MSP 43 SCLHS 43 Prescription Assistance Programs 43 Caremark CVS 43 CoreSource 42 GTESS 42 healthcare 42 D2Hawkeye 42 HCAHPS survey 42 Medicare Advantage beneficiaries 42 PCTs 42 SMHP 42 MedcomSoft Record 42 URAC Accreditation 42 Current Beneficiary 42 HPMR 42 Reimbursement 42 Aetna AET 42 QOPI 42 CompPartners 42 MPV Phynance 42 uninsurables 42 CIGNA Pharmacy 42 MFN clauses 42 RightCHOICE 42 overinsured 42 HealthMetrix Research Inc. 42 Corvel 42 GPPs 42 NHCAA 42 athenaCollector ® 42 Medigap coverage 42 HDHP 42 Hoosier Rx 42 CSHP 42 Universal Credentialing DataSource 42 Express Scripts Caremark 42 Loss Ratio 42 P4 Pathways 42 Elderly Pharmaceutical 42 MedCom 42 DeVeydt 42 Reichard CQ HealthBeat 42 MedeAnalytics 42 PHC4 42 Blue Shield PPO 42 Attentus 42 CCHIT certification 42 governmental payors 42 NBCR risks 42 workers' compensation 42 HPPI 42 self insured retentions 42 Advance PCS 42 TriCare 42 HealthPlan 42 nonhealth 42 Federally Qualified 42 Website www.cgi.com 42 MPSERS 42 digiChart 42 FCMH 42 pediatric liver transplants 42 RMHP 42 Cenpatico 42 DailyMed ™ 42 iMedicor 42 PrimeCare 42 OEBB 42 ineligible dependents 42 Medi Cal Healthy Families 42 SUNZ 42 Receives URAC Accreditation 42 AMERIGROUP 42 Molina Healthcare 42 Sunrise Ambulatory Care 42 workman compensation insurance 42 ProMutual 42 Reimbursement Account 42 BARI 2D 42 eValue8 42 Inc AET AET 42 WellPoint NextRx 42 Amerisource 42 Magellan Behavioral 42 Primary Care Physician 42 PerformRx 42 HealthCore 42 nTelagent Self Pay 42 Uni Ter 42 AmWINS Group 42 AARP MedicareRx Saver 42 Architecture MITA 42 Lonny Reisman MD 42 APNs 42 HCHD 42 HealthSpan 42 statins fibrates 42 Teachers Defined Contribution 42 prescribed opioids 42 EHR EMR 42 NYeC 42 nurse prescribers 42 MediCare International 42 overbilled Medicare 42 Translational Science Awards 42 unnecessary readmissions 42 Benefitfocus eEnrollment 42 Loan Repayment Program 42 PrimeCare Medical 42 SoftMed 42 Ingenix database 42 FACT CHECK Barbour 42 Availity 42 MDVIP 42 DRPs 42 premiums 42 NextGen EPM 42 Registered Nurses RNs 42 LTACHs 42 Excess Workers Compensation 42 CCPM 42 PLIC 42 EHNAC accreditation 42 HH PPS 42 Plan HDHP 42 unsubsidized employment 42 Mcare Fund 42 Zubretsky 42 Express Scripts 42 MedSmart 42 Alan Mittermaier 42 pharmacogenetic testing 42 Access MediQuip 42 Medicaid Waiver 42 ACFI 42 excelleRx 42 CVS Caremark 42 CareerStaff Unlimited 42 Prevented planting 42 MGCD# clinical trials 42 AHIP 42 PatientKeeper Charge Capture 42 CHCS II 42 Chronic Care 42 FDLP 42 Plans AHCP 42 MHIP 42 PGx 42 lapsation 42 INSPIRIS 42 Horizon BCBSNJ 42 PhilHealth accredited 42 Health Plans CDHPs 42 AVMA GHLIT 42 erythropoietin stimulating agents 42 Jason Gorevic 42 PMMC Physician PRO 42 Coventry Workers Comp 42 NPDB 42 EDX Direct 42 CASE HOSPICE SUPPLIES 42 EMOs 42 EMTALA 42 Mezzia 42 Premera 42 Verizon Telehealth Collaboration 42 physicans 42 CIGNA Dental 42 Health Plans HDHPs 42 FirstGateways 42 living adjustment COLA 42 NAHU 42 CHCs 42 CoverColorado 42 Capario 42 statin cholesterol lowering 42 PBGF 42 UMHS 42 registered nurse anesthetists 42 Advantra 42 Debtmerica 42 pension S2P 42 Healthcare Payers 42 Prescription Drug Plan 42 nonphysicians 42 Overpayment 42 pharmacogenetic tests 42 APMS contracts 42 NextGen EMR 42 DTRIC 42 MedCom System 42 FSAs HRAs 42 LPNs 42 Allscripts TouchWorks 42 MedicareAdvantage 42 prescribe medicines 42 RxAmerica 42 Peoplefirst Rehabilitation 42 Primary Care 42 HealthOne 41 GHI HMO 41 Ambulatory EMR 41 MIIA 41 AAHP 41 Prescription Drug Plans 41 Physician Practice 41 EMR EHR 41 inpatient ambulatory 41 HDHP HSA 41 ZOLINZA 41 Organizations HMOs 41 PacificCare 41 RIPAE 41 ConnectYourCare 41 Tumor Response 41 AHF Positive Healthcare 41 FTI Cambio 41 Stretta procedure 41 Autoben 41 CPOE 41 comparative effectiveness 41 Clalit 41 DSH payments 41 NTSP 41 RAAs 41 ADMHS 41 Medmarc 41 capitated contracts 41 AmeriPlan 41 epoetin therapy 41 Anti Kickback Statute 41 unplanned absences 41 HITECH 41 EHR Adoption

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