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Midwest Security Insurance Companies offers group health and dental insurance. Its primary customers are small businesses seeking preferred provider plans, or self-funded health insurance plans. It's name is still quite accurate: the company operates regional offices in Illinois, Michigan, and Wisconsin, and it serves employers in those states as well as Indiana, Iowa, and Ohio. Health care insurance giant UnitedHealth Group purchased the company in 2002. Following the acquisition, UnitedHealth merged Midwest Security's third-party administration business, along with several others, into UMR.

Molina Healthcare brings managed care to the Medicaid marketplace. Molina Healthcare company operates HMOs in 10 states, each of which caters primarily to participants in Medicaid or State Children's Health Insurance Programs (SCHIP). Molina contracts with community health care providers to supply care to its members in return for a set monthly fee for each member from the relevant state government. In California, Virginia, and Washington the company runs a group of primary care and behavioral health clinics. In addition, Molina provides Medicare health plans to seniors who are eligible for both Medicaid and Medicare. Dr. C. David Molina, father of CEO Joseph Molina, founded Molina Healthcare in 1980.

MultiPlan operates one of the nation's largest preferred provider organization (PPO) healthcare networks, comprising more than 5,000 hospitals and some 750,000 doctors and ancillary health care providers. MultiPlan company offers access to its PPO to health care plan providers; clients can use the PPO either as their primary provider network or as a means of extending or expanding their own networks. MultiPlan also provides other cost management services to payors, such as fee negotiation on specific claims. MultiPlan company was acquired by private equity investors BC Partners and Silver Lake in 2010.

MVP Health Plan is for about 700,000 most valuable people. Operating as MVP Health Care, MVP Health Plan company provides health insurance and employee benefits to its members in upstate New York, New Hampshire, and Vermont. Outside its home base, the company works with CIGNA HeatlthCare to offer benefits jointly. MVP, a not-for-profit organization, offers a variety of plans including HMOs, preferred provider organizations (PPOs), indemnity, and dental. Subsidiaries MVP Select Care and Upstate Administrative Services provide third party administration (TPA) services for self-insured employers. MVP Health Plan was founded in 1983 as Mohawk Valley Physicians' Health Plan.

NationsHealth aims to make it easier for Medicare patients to get their prescription drugs and medical supplies. NationsHealth delivers diabetes, ostomy, and other medical supplies, including insulin and insulin pumps, to the homes of about 80,000 patients. In addition, the company has partnered with CIGNA and other health insurers to provide marketing, training, enrollment service, distribution, billing, and collections for Medicare services. The CIGNA collaborative agreement is part of the CIGNA Medicare Rx Part D plan. NationsHealth is owned by investment firm ComVest.

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