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2. Centers for Medicare & Medicaid Services - Wikipedia

   en.wikipedia.org/wiki/Centers_for_Medicare...

   The Centers for Medicare & Medicaid Services ( CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.

3. Health Net - Wikipedia

   en.wikipedia.org/wiki/Health_Net

   Website. www .healthnet .com. Health Net, LLC, a subsidiary of Centene Corporation, is an American health care insurance provider. Health Net and its subsidiaries provide health plans for individuals, families, businesses and people with Medicare and Medicaid, as well as commercial, small business, and affordable care insurance.

4. Oncology Care Model - Wikipedia

   en.wikipedia.org/wiki/Oncology_Care_Model

   The Oncology Care Model (OCM) is an episode-based payment system developed by the Center for Medicare and Medicaid Innovation. [1] The multipayer model is designed for discrete instances of care, especially those involving chemotherapy, which triggers the six-month episode. [2] : 372 The program combines fee-for-service (FFS) payments for ...

5. Here’s why you shouldn’t ignore Medicare open enrollment

   www.aol.com/finance/why-shouldn-t-ignore...

   The Center for Medicare Services (CMS) annual audits of MAOs “have highlighted widespread and persistent problems related to inappropriate denials of services and payment,” according to the study.

6. CMS to rework quality ratings for Medicare Advantage plans - AOL

   www.aol.com/news/cms-rework-quality-ratings...

   (Reuters) - The Centers for Medicare & Medicaid Services said in a memo on Thursday it will recalculate the quality ratings of Medicare Advantage plans for people aged 65 years and above, which ...

7. Highmark - Wikipedia

   en.wikipedia.org/wiki/Highmark

   40,000+ (2017) [2] Website. www.highmark.com. Highmark is an American non-profit healthcare company and Integrated Delivery Network based in Pittsburgh, Pennsylvania, United States. It is a large individual not-for-profit health insurer in the United States, which operates several for-profit subsidiaries.