Knox Keene Licensed Health Plans

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Knox-Keene Health Care Service Plan Act of 1975 Practical Law …

(2 days ago) People also askWhat is the Knox-Keene health care service plan Act?Historically, the Knox-Keene Health Care Service Plan Act of 1975 and the regulations promulgated thereunder (collectively, the “ Knox-Keene Act ”) established a framework for licensing health care service plans.New Regulation Clarifies DMHC’s Position Regarding Knox-Keene Licen…sheppardhealthlaw.comWhat is a Knox-Keene health plan?Licensed Knox-Keene plans are legally referred to as “health care service plans.” The phrase health maintenance organization (HMO) was coined in the federal HMO Act, and continues to be the commonly used name for health plans that provide or deliver services through con-tracted or employed providers, but is generally not used in California statute.Making Sense of Managed Care Regulation in Californiachcf.orgWhat is a Knox-Keene Act license?As a result, a Knox-Keene Act license (a “License”) is required to operate a health care service plan (e.g., an HMO, or an IPA that accepts global risk (accepts full risk for a patient population, including risk related to institutional services such as a hospital, and professional services).Knox-Keene Overview - Garner Health Law Corporationgarnerhealth.comWhat is Knox-Keene health insurance regulation?The regulation is a response to failures of companies that contract with Knox-Keene licensees who provide health care services through subscription plans. The licenses, typically HMOs, provided service to subscribers through:How the New California Department of Managed - Healthcare Lawyerscohenhealthcarelaw.comFeedbacknewjerseyhealthplans.comhttps://www.newjerseyhealthplans.comNJ Health Insurance Plans NJ Health InsuranceAdObamacare Coverage Does Not Expire Until the End of 2024. NJ Plans from $30/Month. Health Insurance For 2024. Browse Personalized NJ Plans, Enroll Today & Save 60%Types of PlansCommon QuestionsOpen EnrollmentSilver PlansPlatinum PlansqualificationsObamacareSpecial Enrollmenthealthinsuranceusa.orghttps://www.healthinsuranceusa.orgCompare 2024 Healthcare Plans Affordable Care Act 2024 PlansShop NowAd2024 Health Insurance Compare Shop. Browse Personalized Plans, Enroll Today & Save 60%! Enroll Online or on the Phone. No Wait Times - Call Now! Healthcare Agents Standing By.Open Enrollment 2024Types Of InsuranceAffordable Care ActPremium Tax CreditsCalifornia Department of Managed Health Carehttps://www.dmhc.ca.gov//HealthPlanLicensing.aspxHealth Plan Licensing - California Department of Managed Health …Knox-Keene Act (KKA) - Article 3. Licensing and Fees, sections 1349 to 1356.2; California Code of Regulations (CCR) - 1300.51 to 1300.52.4; Section 1345(f)(1). This is the definition of a health care service plan, the legal entity that DMHC is authorized to license and regulate. Application for License - 1300.51; General … See more

https://today.westlaw.com/Document/I4f0a89023ec911eaadfea82903531a62/View/FullText.html?transitionType=Default&contextData=(sc.Default)#:~:text=The%20Knox-Keene%20Act%20requires%20plans%20to%20provide%20coverage,services.%206%20Emergency%20care%20services.%207%20Hospice%20care.

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Knox-Keene Health Care Service Plan Act of 1975 Practical Law

(9 days ago) WebAlso known as the Knox-Keene Act. A California law that is administered by the state's Department of Managed Health Care Opens in a new window (DMHC) and that …

https://today.westlaw.com/Document/I4f0a89023ec911eaadfea82903531a62/View/FullText.html?transitionType=Default&contextData=(sc.Default)

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New Regulation Clarifies DMHC’s Position Regarding …

(Just Now) WebSheppard Mullin has obtained numerous Knox-Keene licenses for its clients and routinely advises on risk-related compliance …

https://www.sheppardhealthlaw.com/2019/03/articles/state-legislation/knox-keene/

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Knox-Keene Overview - Garner Health Law Corporation

(9 days ago) Web1. Knox-Keene Act Licensing Requirements and Process. Under California Health & Safety Code Section 1349: “It is unlawful for any person to engage in business as a plan in this …

http://garnerhealth.com/knox/

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Landmark Healthplan > Home

(3 days ago) WebLandmark Healthplan is a Knox-Keene licensed, specialized health services plan that has been supporting the delivery of evidence-based medicine since 1985. We provide flexible …

https://www.lhp-ca.com/

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CA Clarifies Global Risk Regulation under Knox Keene Act

(8 days ago) WebThe Regulation builds on other provisions of the Knox-Keene Act by providing that “any person who assumes global risk shall obtain a license to operate a …

https://www.natlawreview.com/article/new-regulation-clarifies-dmhc-s-position-regarding-knox-keene-licensing

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About Valley Health Plan Valley Health Plan VHP

(7 days ago) WebValley Health Plan (VHP) was established in 1985 as a Knox Keene-licensed, publicly sponsored health plan to serve County of Santa Clara employees and their families. …

https://www.valleyhealthplan.org/about-valley-health-plan

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Why Valley Health Plan? Valley Health Plan VHP

(3 days ago) WebValley Health Plan (VHP) is a Knox-Keene licensed Health Maintenance Organization (HMO) owned and operated by the County of Santa Clara since 1985. As of 2021, our …

https://www.valleyhealthplan.org/brokers/why-valley-health-plan

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California Department of Managed Health Care - Wikipedia

(4 days ago) WebIt was established in 2000 and is responsible for enforcing the Knox-Keene Health Care Service Plan Act of 1975, and other related laws and regulations. In 2022, 97 full …

https://en.wikipedia.org/wiki/California_Department_of_Managed_Health_Care

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Membership Directories - California Association of Health Plans

(8 days ago) WebEach year, the California Association of Health Plans surveys Knox-Keene licensed full-service health plans in California in order to develop an accurate picture of …

https://www.calhealthplans.org/about-us/membership-directories-annual-reports/

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Knox-Keene Act Licensing Requirements and Process - Garner …

(4 days ago) WebAccordingly, a Knox-Keene Act license (a “License”) is required to operate a health care service plan, e.g., an HMO, or an IPA that accepts global risk, i.e., accepts full risk for a …

http://garnerhealth.com/wp-content/uploads/2015/04/Knox-Keene-Act-Licensing-Requirements-and-Process.pdf

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Changes to California’s Knox-Keene Act Potentially Impact …

(1 days ago) WebHistorically, the DMHC also regulated “limited” or “restricted” Knox-Keene plans, which are entities that accept capitated payments from a fully-licensed Knox …

https://www.foley.com/insights/publications/2019/06/californias-knox-keene-act-health-care-providers/

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Changes to California’s Knox-Keene Act - National Law Review

(7 days ago) WebChanges as of July 1st, 2019. As of July 1, an entity that assumes “global risk” must obtain a license to operate a health care service plan, or apply for an …

https://www.natlawreview.com/article/changes-to-california-s-knox-keene-act-potentially-impact-california-health-care

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Client Alert: New DMHC Regulation Expands Knox-Keene …

(9 days ago) WebEffective July 1, 2019, the new DMHC licensing regulation establishes a new scope of entities and individuals who, for the first time, will require a Knox-Keene health …

https://nelsonhardiman.com/new-dmhc-regulation-expands-knox-keene-licensure-requirements/

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Making Sense of Managed Care Regulation in California

(8 days ago) Webhealth care plan.8 In 1958, nearly two-thirds of Americans had coverage for hospital costs, then the most common type of health insurance coverage. Knox-Mills Act In 1965, …

https://www.chcf.org/wp-content/uploads/2017/12/PDF-MakingSenseManagedCareRegulation.pdf

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How the New California Department of Managed Health Care …

(Just Now) WebThe current requirement to obtain a full-service Knox-Keene license or a specialized Knox-Keene license is expanded to include many types of health companies including the …

https://cohenhealthcarelaw.com/2020/01/how-the-new-california-department-of-managed-health-care-regulations-affect-your-healthcare-practice/

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AltaMed Health Network

(6 days ago) WebAltaMed Health Network, Inc. (AHN) was licensed as a Restricted Knox-Keene (RKK) Health Plan Organization to provide Medi-Cal managed care services to its member …

https://thealtamedhealthnetwork.com/

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