the National Committee for Quality Assurance (NCQA), a non-profit organization that also collects and disseminates health plan performance data.
Many managed care organizations require referrals from primary care physicians to specialists
baby boomers
Many managed care organizations require referrals from primary care physicians to specialists. Some do not.
Colodia Owens has written: 'Managed Care Organizations' -- subject(s): Managed Care Programs, Managed care plans (Medical care)
yes
The four types of managed care plans are health maintenance organizations (HMOs), preferred provider organizations (PPOs), exclusive provider organizations (EPOs), and point-of-service plans (POS).
Credentialing
# McCAP # BLUE CROSS BLUE SHIELD # RED CROSS
This would be a very rare situation, I think. In such a case, the managed care organization would be the primary insurer and Medicare secondary. Medicaid is always the payor of last resort. However, there shouldn't be any expenses for Medicare or Medicaid to pay.
Sarah Feldman has written: 'Managed care and provider volume' -- subject(s): Econometric models, Managed care plans (Medical care), Preferred provider organizations (Medical care)
HMO
Kathleen S. Penkert has written: 'Marketing to managed care organizations' -- subject(s): Marketing, Child mental health services, Managed mental health care