An Industry Leader in Health - CIGNA Has a Long History in Insurance

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One of the leaders in the industry of health, CIGNA Healthcare is part of the CIGNA Corporation. It is a for-profit health insurance company operating in the United States and internationally. It is a publicly-traded company under symbol CI. CIGNA Healthcare's headquarters are in Philadelphia, PA and CIGNA's corporate headquarters are in Bloomfield, CT. David Cordani is the current (2010) chairman and CEO.

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How is An Industry Leader in Health - CIGNA Has a Long History in Insurance

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CIGNA was formed in 1982 when the Connecticut General Insurance Corporation renamed itself the Connecticut General Corporation (CG) and merged with the Insurance Company of North America (INA). In 1984, CIGNA acquired AFIA, an international insurance underwriting association, and Dental Health, Inc. That same year it introduced reinsurance for organ transplants. In 1987 CIGNA began offering a managed health- and dental-care plan to Allied Signal employees. In 1989 CIGNA formed CIGNA International Financial Services to offer life and health insurance outside of the United States.

It also acquired MCC Companies, a leading provider of managed mental health care and substance-abuse programs. In 1990, CIGNA acquired EQUICOR, the nation's sixth-largest provider of employee benefits. In 1993, CIGNA purchased Tel-Drug, a mail-order pharmaceutical company, and merged it with its own managed pharmacy-benefit program, RxPRIME. In 1996, CIGNA launched a dental PPO.

In 1997 CIGNA acquires Healthsource, a health care company whose products and markets include areas of the United States where HMOs are under-represented. In 2005, CIGNA acquired Choicelinx, a benefits technology and services company. In 2006, CIGNA acquired Star HRG, an operating division of HealthMarkets, Inc., and a leading provider of voluntary, limited benefit, low-cost health plans and other employee benefits coverage for hourly and part-time workers and their families. In 2009, CIGNA reported revenue of .4 billion and operating income of .3 billion.

CIGNA gets mixed reviews overall. In U.S. News and World Report's 2007 annual ranking of US commercial health plans, CIGNA's highest ranking was 18 for its New Hampshire offerings and its lowest was 198 for California. Also, In California's Office of the Patient Advocate Health Care Quality Report Card, CIGNA scored 2 out of 4 stars in Meeting National Standards of Care and 1 out of 4 stars in How Members Rate Their HMO. In 2009, CIGNA received gold in the Gartner & 1to1 Customer Experience Excellence Award. CIGNA also recently received the JD Power award for customer service for all of its call centers for the fourth time in a row.

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Medicaid insurance - History of Medicaid

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Medicaid guarnatee began in July 1965 via Title Xix in the group safety Act. The Centers for Medicare and Medicaid Services, a.k.a. Cms, oversees the programs and creates the requirements, funding, quality, eligibility standards and service delivery for the state run program. Each state is responsible for administering its own program. The Omnibus Reconciliation Act of 1990 created the Medicaid Drug Rebate Program, which added a section to the group safety Act of 1935 due to the costs that Medicaid was paying out for inpatient drugs at discounted prices. More changes came to the Medicaid Drug Rebate schedule in the Omnibus Reconciliation Act of 1993.

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How is Medicaid insurance - History of Medicaid

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Some states have created their own extra titles for Medicaid insurance, for example Massachusetts calls its schedule MassHealth, California calls its schedule Medi-Cal, Oregon health Plan is the Medicaid guarnatee name in Oregon. Some states also bundle Medicaid together with other similar programs like Schip (State Children's health guarnatee Program) or programs that contribute coverage for minors and indigents. States voluntarily share in Medicaid, it is not mandatory yet all states do take part since Arizona created the Arizona health Care Cost Containment principles schedule in 1982. Although all states have one form of Medicaid guarnatee or another, the programs are not all the time the same. Some states subcontract to health guarnatee companies that are incommunicable and other states pay the doctors, hospitals, and clinics directly.

Medicaid managed care encompasses programs in which states use companies (private) to take care of assorted sections of their Medicaid guarnatee benefits. In these types of programs, incommunicable guarnatee companies are allowed direct touch with a Medicaid department for a fixed price per person. When the plans pick up eligible population and add them to the program, they are responsible to ensure that all Medicaid benefits are in case,granted to the eligible beneficiaries.

The group safety schedule is under the Medicaid umbrella and includes dental services. A dental service plan can be chosen by population over 21 years old but is required for those under 21 that are receiving Medicaid insurance. Dental services covered under the plan consist of recovery of teeth, dental maintenance, and pain relief. Children in the schedule are required to undergo Epdst, Early and Periodic Screening, Diagnostic and medicine to prevent and treat curative conditions. Epsdt recipients do not need to have an oral screening for a dental referral, yet if something is found while a screening; it is the responsibility of the state to take care of the needed service even if not covered on the person's exact Medicaid guarnatee plan. If you need aid in locating singular coverages at a pre-determined price, we can help save 50% on health insurance

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The Six Functions of Electronic Medical Records

Dental Providers - The Six Functions of Electronic Medical Records

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Electronic Medical Records are going to be needed in the future. It is important to learn the functions of EMR and how it fits into an office work flow.

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1. Patient Charting

Patient visit information is put into templates or forms; to contain information such as vitals, complaints, medical histories, review of systems, physical exams, etc. Most EMR systems have pick lists, drop-down boxes, handwriting recognition, or voice recognition to accomplish patient charting.

2. Order Communication Systems

This is often referred to as a Computerized Physician Order Entry (CPOE). This allows the Electronic Medical Records system to communicate information with external systems such as laboratories, imaging centers, hospitals, and pharmacies via Health Level 7 Interfaces. This allows providers to send out lab requests, imaging requests, prescriptions, submit visit charges, and diagnosis codes to the office/billing system.

3. Clinical Decision-Making Support Systems

Alerts, reminders, and recommendations are built into the system allowing automatic clinical decision making with information in the database. It also helps doctors with coding and diagnosis. Many EMR systems provide physicians with a recommended CPT code based off of Evaluation and Management (EM) rules. This allows physicians to bill payers at the highest possible rate for the services performed.

4. Document/ Image Management

It is important for offices to manage the enormous flow of paper entering their office. Offices are constantly flooded with patient intake forms, referring physician letters, lab reports, and faxes. EMRs allow doctors to access these documents on a intuitive user interface. EMRs provide physicians a way to manage images such as x-rays, MRIs, and ultrasounds.

5. Patient Portal

Personal health records allow patients to access their health record from any computer with a secure internet connection. These programs include features such as appointment scheduling, refill requests, electronic intake forms, record access, outcome assessments and patient education. The patient can also grant other providers access to this information which allows provider-to-provider communication.

6. Statistics and Reporting

Providers can create reports from databases for statistical purposes. This becomes especially useful in the case of drug recalls, health maintenance reminders and disease management.

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