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Kaiser Permanente is a large American healthcare system that operates in eight states and the District of Columbia. It consists of three groups of entities: health plans, hospitals, and medical groups, that provide insurance, hospital, and healthcare services to over 12 million members.
KFF is a non-profit organization focused on health policy research, polling, journalism, and campaigns. It was founded in 1948 by Henry J. Kaiser and is not affiliated with Kaiser Permanente or Kaiser Industries.
Kaiser Permanente had about 50% of the market, followed by Blue Shield of California, Anthem Blue Cross, and Health Net (a subsidiary of Centene). [ 9 ] L.A. Care was among the top six in 2015, and the largest county-based insurer. [ 9 ]
Medi-Cal is the California implementation of the federal Medicaid program serving low-income individuals and families. It offers various health benefits, such as ambulatory, emergency, hospitalization, dental, vision, and long-term care, and has different eligibility criteria and application processes depending on the county and the immigration status.
Managed care is a system of delivering and receiving health care in the U.S. that aims to reduce costs and improve quality. It involves various mechanisms, such as provider networks, utilization review, and cost-sharing, and has a controversial impact on health care access and outcomes.
Kaiser already was the target of a surprise probe into its mental health services division after complaints over access had increased at the DMHC’s help center. Consumers can reach the DMHC at ...
Health Net is a subsidiary of Centene Corporation that offers health plans for individuals, families, businesses and people with Medicare and Medicaid. It was founded in 1977 as a nonprofit and became a for-profit in 1992, and has undergone several mergers and acquisitions since then.
Prime Healthcare Services is a privately held healthcare company that operates 44 hospitals in 14 states. It was founded by Dr. Prem Reddy in 2001 and has faced controversies over balance billing, sepsis, and patient transfers.
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