Nursing & Healthcare Directories on: The Nursefriendly
Managed Care, Health, Maintenance Organizations, HMOs

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Have Legal Questions About HMOs? Ask A Legal Nursing Consultant:

Lucille "Lou" Addington, RN, CLNC, Florida:"We do medical-legal consulting for attorneys, insurance companies and HMO's, and private individuals. Presuit investigations and affidavits. Expert witness location. Special interest in vaccine damage cases and long term care/elder care issues. My associate and I bring a combined 42 years of professional nursing practice to our cases."
Specialty Areas:

  • Emergency Room/Trauma care, http://www.nursefriendly.com/emergency/

  • Expert Witness Location, http://www.nursingexperts.com

  • Home Care, http://www.nursefriendly.com/home.care/

  • IV Team, http://www.nursefriendly.com/intravenous/

  • Legal Nurse Consultant, http://www.legalnursingconsultant.org

  • Long Term Care, http://www.nursefriendly.com/ltc/

  • Managed Care Organizations, HMO's, http://www.nursefriendly.com/hmo

  • Psychiatric, http://www.nursefriendly.com/psych/

  • Vaccine Injury Issues, http://www.nursingexperts.com/vaccines

  • Nursing Administration

    http://www.nursingentrepreneurs.com/addington

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    Liz Sake, BSN, RN: Liz Sake & Associates: As Legal Nurse Consultants, we determine the merits of a medical malpractice case, review and translate medical records, chronicalize events, determine; damages/injuries, future health needs, causation and standards of care. An information discovery program through research of medical literature and the latest on-line information. We prepare written summaries and reports of medical records, research findings, and expert witness information. We identify and obtain expert witnesses as needed. Basically, we are here to make the med/mal attorney's life easier by synthesizing, sorting, and condensing medical information to be used as exhibits and for MD expert review.
    Categories: Blood Banking, Case Management, Critical Care, Expert Witness Home Health, Legal Nurse Consultant, Managed Care, Oregon Legal Nurse Consultants, Rehabilitation
    http://www.nursingexperts.com/sake/

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    I am not a number...:"NCQA's 1998 Annual Report highlights the human side of NCQA’s work, through four vignettes showing how HEDIS and Accreditation have helped improve the lives of individuals with various medical conditions. The report is viewable using Adobe Acrobat viewer."
    http://www.ncqa.org/

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    Managed Care - Solution Or Problem?:""Managed care" is medical care that is provided by a corporation established under state and federal laws - a company that makes medical decisions for you in much the same way a financial adviser takes charge of your investment portfolio. Your managed care provider tells you which physicians to consult, monitors the medications and treatments they prescribe, and ensures that your costs remain as low as possible. For these services, you pay a set insurance premium each year."
    http://www.medicineuptotheminute.com/mgdcare.htm

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    National Committee for Quality Assurance:"The National Committee for Quality Assurance (NCQA) is a private, not-for-profit organization dedicated to assessing and reporting on the quality of managed care plans. We are governed by a Board of Directors that includes employers, consumer and labor representatives, health plans, quality experts, policy makers, and representatives from organized medicine."
    http://www.ncqa.org/

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    Nursing Addresses Troubling Trends In Managed Care:"As the nation waits to cross finally the rapidly diminishing breach into the next century, expectations and anxieties abound as to what the future holds. So too are nurses standing with their own expectations and anxieties at the threshold of a new era as the continued spread of managed care works to redefine health care delivery in this country. For sure, uncertainty is a familiar companion of late as the nursing community struggles with its own precarious balancing act of action and reaction in response to constant changes in the health care delivery system."
    http://www.nursingworld.org/readroom/mgcare2.htm

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    Organizational Listings:

    Aetna U.S. Healthcare...
    The Aetna U.S. Healthcare web site is a comprehensive resource for information on our health benefits and group insurance products. Interactive tools include DocFind(R), an online provider directory,...
    http://www.aetnaushc.com

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    Center for Health Policy, Law and Management...
    Center for Health Policy, Law & Management Mission Statement The Center's mission is to: (1) stimulate and facilitate collaborative interdisciplinary research by faculty and students at Duke in Healt...
    http://www.hpolicy.duke.edu

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    Foundation Health Federal Services:
    http://fhfs.com/

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    HMO and Medical Insurance Breakdown...
    The Consumer Protection Healthcare Handbook is intended to help you protect yourself against unfair decisions by your insurance company or HMO, and to bring fairness and responsibility to the healthca...
    http://www.dranonymous.com

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    kaisernetwork.org...
    The Electorate's Expectations of a New President and Congress Harvard University's Robert Blendon discusses public perceptions of health issues in the 2000 election. The Commonwealth Fund Washington,...
    http://www.kaisernetwork.org

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    Kaiser Permanente...
    Kaiser Permanente Health Plans...
    http://www.kp.org

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    California:

    Health Net:"Our award-winning Wellsite is filled with information about health, fitness, nutrition and safety for your whole family, find out more by visiting our Theme of the Month. There is also our Personal Health Site, a new and interactive resource for health and wellness.
    http://www.healthnet.com/healthnet/

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    Connecticut:

    Physicians Health Services:"Physicians Health Services is joining forces with M.D. Health Plan and First Option Health Plan to create a single, tri-state organization. This will enable members to access high-quality health care through an expanded physician and provider network."
    http://www.phshmo.com/

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    Maryland:

    Physicians Health Services:"Physicians Health Services is joining forces with M.D. Health Plan and First Option Health Plan to create a single, tri-state organization. This will enable members to access high-quality health care through an expanded physician and provider network."
    http://www.phshmo.com/

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    Preferred Drug Formulary:"The Preferred Drug Formulary is a listing of selected federal Food & Drug Administration (FDA) approved prescription medications. The medications are reimbursable under the pharmacy benefit. The list is reviewed by the PHS Pharmacy & Therapeutics Committee, whose members are plan physicians (primary care providers and specialists) and pharmacists. The committee evaluates the safety profile, effectiveness and affordability of the medication selections."
    http://www.phshmo.com/

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    Virginia:

    QualChoice of Virginia...
    Press Releases    Directory of Network  Providers Request Sales Information  UVa Employees   UVa Student Health Job Opportunities Y2K Compliance      Customer Service Provider Relations General Inqui...
    http://www.qualchoiceva.com

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  • The Uniform Resource Locator (URL) or Internet Street Address of this page is:
    http://www.nursefriendly.com/nursing/managed.care.health.maintenance.organizations.hmos.htm

    Created on September 20, 1999

    Last updated by Andrew Lopez, RN on Monday, November 14, 2016


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