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Categories
Associations (6)
Consulting (70)
Health Maintenance Organizations [HMO] (11)
Issues (5)
Preferred Provider Organizations [PPO] (21)
Resources (3)
Software (12)
Web Pages
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  Physicians Health Services, Inc. http://www.health.net/
Managed health care company. (NYSE:HNT).
  Harvard Pilgrim Health Care http://www.harvardpilgrim.org/
[USA] Nonprofit organization offers HMO, PPO, and POS plans in New England. Includes benefits, coverage, financial and employment information, and health news.
  Humana, Inc. http://www.humana.com/
Offers coordinated health insurance coverage and related services to employer groups, government-sponsored plans, small businesses and individuals. (NYSE:HUM).
  Pacificare Health Systems http://www.pacificare.com/
[USA] A managed care health insurance company providing health plans for seniors, employer groups, families, and individuals. Includes areas for brokers, employers, and health care providers. Operates in western states and Guam.
  British Union Provident Association (BUPA) http://www.bupa.com/
[International] Provider of health insurance plans and services in several nations.
  First Health Group Corporation http://www.firsthealth.com/
[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.
  Resolution Health Medical Scheme http://www.resorealm.co.za/
[South Africa] Provides comprehensive, affordable medical cover to employer groups and individuals, and is supported by sound financial, administrative and medical controls.
  Coventry Health Care, Inc. http://www.cvty.com/
[USA] A managed health care organization which offers HMOs and PPOs in many states. Site provides links to subsidiary organizations, offers investor information, and a company overview.
  Medi-Cal http://www.dhcs.ca.gov/services/medi-cal/Pages/default.aspx
[USA, California] Division of the Department of Health Services, promotes equitable access to high-quality care for low income and uninsured Californians. Provides organized health care delivery through managed care systems.
  HealthSpring http://www.myhealthspring.com/
[USA, Tennessee] A managed care organization in central part of state. Site describes products and services, allows provider search, and has areas for members, brokers, providers, and employers.
  CorVel Corporation http://www.corvel.com
[USA] A national, independent provider of managed care and case management services for workers' compensation, accident and health, and auto insurance markets.
  Concentra, Inc. http://www.concentra.com/
[USA] Provides occupational health services for cost containment and lost time prevention including: drug screens, physical therapy, first notice of injury, and case management.
  Lumenos, Inc. http://www.lumenos.com/
[USA] Offers three phase program of consumer-driven healthcare, consisting of health savings account, traditional health coverage, and a health toolkit.
  HealthExtras, Inc. http://www.healthextras.com/
Provides supplemental health and disability benefit programs directly to consumers over the Internet. (Nasdaq: HLEX).
  American Specialty Health Plans of California http://www.ashcompanies.com/
[USA, California] Offers health plans for chiropractic care and acupuncture. Site describes the company and includes directory of participating care providers.
  Health Plan of Nevada http://www.healthplanofnevada.com/
[USA, Nevada] Offers HMO, Medicare HMO, PPO, and POS plans. Information about plan options and benefits and a glossary. A subsidiary of Sierra Health Services, Inc.
  Sierra Health Services, Inc. http://www.sierrahealth.com/
Provider of managed care benefit plans for employers, government programs, and individuals. Site offers company, investor, career and product information. Products include HMO, PPO, and POS. Headquartered in Las Vegas, Nevada, USA
  Definity Health, Inc. http://www.definityhealth.com/
[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.
  Keystone Mercy Health Plan http://www.keystonemercy.com/
[USA, Pennsylvania] Medical assistance (Medicaid) managed care health plan in the southeastern region of the state.
  Community Care Behavioral Health Organization http://www.ccbh.com
Designed primarily to serve public sector consumers, and their families in Pennsylvania through the delivery of effective and accessible behavioral health services. Information on the company and its services is offered.
  Prospect Medical http://www.prospectmedical.com/
[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.
  American Rehabilitation, Inc. (ARI) http://www.arionline.com/
Offers medical and vocational rehabilitation, telephonic claims reporting, telephonic case management, and medical networks.
  GatesMcDonald HealthPlus http://www.gmcdhealthplus.com/
[USA, Ohio] A managed care program providing medical care via workers' compensation for injured workers. Site describes company, its services, and allows provider lookup.
  Medical Network One http://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.
  Healthcare Recoveries, Inc. http://www.hcrec.com/
Provides health insurance subrogation and related recovery services for private healthcare payors. (Nasdaq: HCRI).
  HealthHelp http://www.healthhelp.com/
[USA] Provides radiology management services for insurers and physicians. Its national radiology network is used by many managed care organizations.
  National Medical Health Card Systems, Inc. http://www.nmhc.com/
Offers prescription benefit management services to plan sponsors which include managed care organizations, local governments, unions, corporations and third party health care plan administrators. National network of licensed pharmacies, from Port Washington, New York. (Nasdaq: NMHC).
  Welsh Mountain Medical and Dental Center (WMMDC) http://www.welshmountain.com/
Primary care center serving everyone in Lancaster County, Pennsylvania. Offers programs to serve uninsured and low-income individual and families.
  College Health IPA http://www.chipa.com/
[USA, California] A behavioral healthcare delivery system serving approximately 1.1 million members.
  Ravenswood Physician Associates (RPA) http://www.chicagolanddrs.com/
[USA, Illinois] An independent physicians association (IPA) of nearly 250 private practice physicians in Chicago and select northern suburbs. Providing insurance contract management and healthcare.
  Spectrum Managed Care http://www.spectrummanagedcare.com/
[USA, Texas] A workers' compensation managed care firm offering claims and case management, occupational networks, and medical bill and utilization review.
  Profit Line http://www.profit-line.net/
[USA] Delivers high return, risk free managed care claim audit and recovery services to the managed healthcare industry.
  Amerigroup Corporation http://www.amerigroupcorp.com
[USA] Provider of health care to low-income and uninsured families in several states and the District of Columbia. [English, some content in Spanish]
  Molina Healthcare, Inc. http://www.molinahealthcare.com/
[USA] Provides managed healthcare in California, Washington, Utah, and Michigan, to individuals covered under Medicaid and related programs. [English, Spanish, Chinese, Russian, Vietnamese, and Hmong]

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