at address the particular health care needs of its members. ‘motherhood matters!’ is a program designed to improve pregnancy outcomes and improve member satisfaction. ‘breathe with ease!’ is a multi-disciplinary disease management program that provides health education resources and case management services to assist physicians caring for asthmatic members between the ages of 3 and 15. ‘Healthy Living with Diabetes’ is a diabetes disease management program. ‘Heart Health Living’ is a cardiovascular disease management program for members who have suffered from congestive heart failure, angina, heart attack, or high blood pressure. Educational Programs: Educational programs are a primary aspect of the company’s approach to health care delivery. These programs are designed to increase awareness of various diseases, conditions, and methods of prevention in a manner that supports the company’s providers while meeting the needs of its members. It provides its members with information to guide them through various episodes of care. This information, which is available in various languages, is designed to educate parents on the use of primary care physicians, emergency rooms, and nurse call centers. Pharmacy Management Programs: The company’s pharmacy management programs focus on physician education regarding appropriate medication utilization and encouraging the use of generic medications. Its pharmacists and medical directors work with its pharmacy benefits manager to maintain a formulary that promotes both improved patient care and generic drug use. Provider Network and Contract Management: In partnering with providers, the company utilizes clinical and financial information derived by its medical informatics function, as well as the experience it has gained in serving Medicaid members to gain insight into the needs of both its members and providers. Plan Administration and Operations Centralized Management Services: The company provides certain centralized medical and administrative services to its health plans pursuant to administrative services agreements, including medical affairs and quality management, health education, credentialing, management, financial, legal, information systems, and human resources services. Strategy The company’s business strategy includes continuing to expand within existing markets, including as a result of the Affordable Care Act Medicaid expansion, the duals pilot projects, and the insurance marketplaces; continuing to enter new strategic markets; continuing to provide quality cost-effective care; utilizing operational efficiencies; delivering administrative value to state Medicaid agencies; and opening additional primary care clinics. The company’s strategy is to contract with providers in those geographic areas and medical specialties necessary to meet the needs of its members. Regulation The company’s health plans are subject to the Health Insurance Portability and Accountability Act. Intellectual Property The company has registered and maintains various service marks, trademarks, and trade names that it uses in its businesses, including marks and names incorporating the ‘Molina’ or ‘Molina Healthcare’ phrase, and from time to time it applies for additional registrations of such marks. Significant Events In December 2013, Molina Healthcare announced the opening of its new office facility in Charleston County. Competition Molina Medicaid Solutions: This segment competes with MMIS vendors, such as HP Enterprise Services, ACS (owned by Xerox Corporation), Computer Services Corporation, and CNSI. History Molina Healthcare, Inc. was founded in 1980 by Dr. C. David Molina. The company was incorporated in 2002.
molina healthcare inc (MOH:New York)
Long Beach, CA 90802
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