http://www.touchpointhealth.com
Touchpoint Health Plan is committed to providing a focus on personal caring, customer satisfaction and value. Our mission is to build a healthier community by promoting good health and preventing and treating disease. We are proud of our Quality Program that assures each member receives the care they need to live a long and healthy life.
Prism provides specialty network managed care services that focus on chiropractic, complementary and alternative medicine, physical therapy, and behavioral healthcare. Contracted services may include specific components of network administration (ie, credentialing, utilization review, customer service, etc.) or full risk based contracting under a capitated per member/per month payment arrangement. Prism measures quality at every level of its network administration. Our Quality Management and Improvement Program is designed to meet or exceed rigorous state and federal regulations, as well as NCQA, HIPAA, URAC and COPC certification standards. As a registered Utilization Review Agent, we have the ability to provide an extensive range of administrative options and services that are customized to meet a client's specific needs in a high-quality, cost-effective manner.
http://www.insurancechoices.net
Insurance Advisors Agency, Inc. is an independent insurance agency based in Western Colorado. We combine the national strength of insurance companies with local service to provide customers with quality insurance. The following are just a few reasons to take a closer look at Insurance Advisors Agency, Inc.
Doral provides high quality oral healthcare through expert government dental plan administration. Our single-minded focus on delivering government-sponsored plans has helped us to grow into one of the country's largest multi-state administrators. Government programs are most effective when they include great preventive care programs, superior access to high-quality oral healthcare, and cost efficiencies delivered through cutting-edge technology and accurate administration. Supported by a culture committed to problem solving, Doral provides excellent customer service and innovative resources to our clients. We specialize in administering complex initiatives and meeting the diverse information needs of state agencies, managed care organizations (MCOs), providers, and members. Doral focuses exclusively on government programs. Our unique experience and expertise delivers access to high-quality oral healthcare at the lowest cost. We make government dental programs work for you.
http://www.independenceamerican.com
Independence American Insurance Company (Independence American) is a wholly owned subsidiary of American Independence Corp (NASDAQ:AMIC), and a member of the Independence Holding Company (NYSE: IHC) Group, including Madison National Life Insurance Company, Inc. and Standard Security Life Insurance Company of New York. We have been in business since 1973, and in recent years have leveraged the expertise of our affiliated carriers, managing general underwriters, and affiliated administrators to become a leader in excess health insurance and a fully insured carrier for small employer groups, individuals, and families. Given our broad health insurance product filings and enhanced financial position, we are poised to meet the present and future health insurance needs of our insureds, agents and brokers.
Metropolitan Health Networks, Inc. (Metropolitan) operates two primary businesses in Florida, a provider service network (PSN) that provides and arranges for medical care primarily to customers of Humana, Inc. and its health maintenance organization (HMO), which provides healthcare benefits to Medicare beneficiaries in Florida that have selected its plan. As of December 31, 2007, the PSN and the HMO provided healthcare benefits to approximately 25,400 and approximately 6,200 Medicare Advantage beneficiaries, respectively. Both the Company’s PSN and HMO operations primarily focus on individuals covered by Medicare, the national, federally-administered health insurance program that covers the cost of hospitalization, medical care, and some related health services for United States citizens aged 65 and older, qualifying disabled persons and persons suffering from end-staged renal disease. (Source: 10-K)
WHA offers patients, physicians and purchasers a model of managed care that emphasizes access to care, instead of obstacles to treatment, and puts healthcare before stock values. The WHA Advantage Referral is a unique program; it enables WHA members to be referred easily to any specialist or hospital in the WHA network. We feature some of the region's premier health facilities, giving our members access to over 600 primary care physicians and more than 1,000 specialty care providers. We also maintain a complete network of referral physicians who have admitting privileges at some of the top facilities in the region. This new health plan, created and sponsored by Mercy Healthcare Sacramento, University of California, Davis Health System, and NorthBay Healthcare System, is a non-profit, mutual benefit corporation directed by physician and hospital organizations. WHA emphasizes customer service and quality care as its most important mission. Local providers who believe that healthcare can be delivered in a managed care environment without sacrificing service, quality and fair reimbursement for the providers who deliver the care were an integral part of the creation process. It is an attempt to balance the need to control the cost of care with the need to provide quality healthcare in a compassionate manner. The sponsoring providers of WHA feel that the value of managed care, coupled with their strong commitment to strengthen the patient-physician relationship, will redefine managed care and will fill a need in the marketplace. They believe that this new model of managed care will be welcomed by providers who have a commitment to quality care and provide an alternative model to provide patient care at equitable and reasonable reimbursement levels. They believe that both consumers and purchasers will embrace a model of managed care that remains affordable but eases restrictions on both providers and patients.
http://www.neighborhood-health.com
NHP distributes to all practitioners, providers and members, a statement describing the basis for NHP's utilization management decision making. NHP affirms that: , Utilization management decision making is based only on appropriateness of care and services and existence of coverage, , NHP does not reward practitioners or other individuals conducting utilization review for issuing denials of coverage of service or care, , No incentives are offered to encourage underutilization. It is important to NHP that you understand our commitment to ensuring that our members receive the best and most appropriate care possible.
Coventry First is redefining insurance. We created the secondary market for life insurance and pioneered the resulting life settlement industry. Fueled by bold ideas, a deep understanding of life insurance and impeccable standards, Coventry First continues to lead the market by opening new opportunities for consumers and the financial professionals who serve them. Based in Philadelphia, Coventry First has received Standard & Poor's highest ranking - the first secondary market firm ever to receive a "strong" ranking - and was named the 10th fastest-growing privately owned company in Inc. magazine's 2004 ranking of the 500 fastest-growing private companies in the U.S.
http://www.flexiblebenefit.com
Founded in August 1988, Flexible Benefit Service Corporation (FBSC) provides brokers, employers and individuals with affordable insurance plan designs and consumer-driven alternatives. FBSC is dedicated to finding solutions for rising healthcare costs and promoting the plans that offer premium relief. FBSC takes a defined contribution approach to health insurance and the carriers it represents continues to work towards that same goal. Through online technology and exceptional carrier relationships, FBSC is at the forefront of all the latest trends and key options in healthcare.
http://www.altiushealthplans.com
Altius Health Plans offers a wide range of products to meet the needs of the Utah employer groups and individuals families. All of Utah's fine physicians and hospitals can be accessed through one of the Altius benefit packages. They include: Peak Advantage A unique plan featuring total choice of all health care providersâ€"all of the timeâ€"under a simple four-tier benefit plan.
For more than 25 years, Health Alliance has offered quality health coverage. Founded by physicians in 1980, we are the largest managed care organization based in downstate Illinois. Health Alliance covers more than 250,000 lives in Illinois and Iowa enrolled through more than 2,000 employer groups. Our corporate office is located in Urbana, Illinois. Health Alliance Midwest, based in Ames, Iowa, serves our Iowa members. We are committed to providing value to our members. As part of this commitment, we emphasize wellness, education and preventive services. We care about our members and have assembled networks of the best health care professionals to take care of them. Our entire provider network includes more than 10,000 providers along with hospitals, clinics and pharmacies, all chosen because of their reputation for excellence. Health Alliance consistently receives high ratings. The National Committee for Quality Assurance (NCQA), an independent national managed care organization evaluator, has awarded Health Alliance its highest accreditation for our HMO, POS and Medicare HMO products since 1997.
NCMIC offers exciting and rewarding opportunities for insurance and financial services professionals. We strive to attract, develop, motivate and retain exceptional people, because we know the key to happy customers is happy employees. At NCMIC you'll be challenged to make a difference ... and your performance and results will be recognized and rewarded. And, our employees have access to an exceptional total compensation package, including generous benefits and a very unique culture.
Triple-S Management Corporation (TSM) is a managed care company in Puerto Rico, serving approximately one million members across all regions. TSM has the right to use the Blue Shield name and mark throughout Puerto Rico. The Company offers a portfolio of managed care and related products in the commercial, Medicare and Puerto Rico Health Reform (similar to Medicaid) (the Reform) markets. TSM serves a range of customer segments, from corporate accounts, federal and local government employees and individuals to Medicare recipients and Reform enrollees, with a range of managed care products. The Company also offers complementary products and services, including life insurance, accident and disability insurance, and property and casualty insurance.The operations of the Company are conducted principally through three business segments: Managed Care, Life Insurance, and Property and Casualty Insurance. (Source: 10-K)
http://www.americanhealthholding.com
We are a national medical management firm covering more than 3 million lives. Founded in 1993, American Health believes that the combination of building partnerships with clients and delivering innovative and cutting-edge methods of containing health care costs are vital to our continued growth and development. We provide comprehensive services through a professional staff of physicians and registered nurses who are highly qualified in cost management issues including quality assurance standards. American Health Holding, Inc. specializes in operating medical management services on our clients' premises as well as from our Worthington, Ohio headquarters.
Hill Physicians Medical Group was formed in 1984 and has since grown to become one of the largest independent practice associations in the nation. Hill Physicians currently has over 2,600 physicians and is affiliated with 20 fine hospitals. Through this network of providers, we serve more than 400,000 members from San Francisco and the East Bay to Solano County and greater Sacramento. What is the enrollment process? Your HMO provides us your eligibility and benefit information. While this enrollment process can take up to 45 days, please be assured that your benefits are effective from your date of eligibility. How do I change my enrollment information? Your health plan is responsible for your demographic and benefit information. You must contact your employer or health plan directly. Your health plan will notify Hill Physicians with any changes.
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