For example, reacting to complaints that some health maintenance organizations exclude or expel doctors for ordering tests or consultations the health plans deem unnecessary, half a dozen states - including Illinois and Georgia - have required them to include any physician who has the appropriate credentials.
Scott & White Health Plan is a not-for-profit, state-certified Health Maintenance Organization (HMO) and is a nationally recognized leader in providing quality healthcare by focusing on prevention, early intervention, wellness and disease management.
Lancaster Community Hospital officials said a maternity ward would allow the hospital to be more competitive in attracting contracts from health maintenance organizations and other health insurance plans that want full-service hospitals.
NMHC) operates NMHC Rx (pharmacy benefits manager or PBM), NMHC Mail (home delivery pharmacy), Ascend (specialty pharmacy solutions), and Integrail (health information solutions), providing services to corporations, unions, health maintenance organizations, third-party administrators, and local governments.
This summary of Best's Rating Changes lists life/health, property/casualty and international insurers, as well as health maintenance organizations, that had ratings assigned, changed or placed under review since this section last appeared in the November 2000 edition of Best's Review.
The health maintenance organizations have been upgraded between one to three rating levels to reflect increased capitalization, stable earnings, and greater financial flexibility throughout the Aetna organization.