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About Us
Who Are We?
  • We are the only 100% African-American, physician owned Health Maintenance Organization (HMO) in the State of Michigan
  • The owner, Dr. Augustine Kole-James, is a well-known doctor in Detroit
  • He has practiced in Wayne County for thirty years
  • We became certified as a Clinic Plan in 1996, as a Qualified Health Plan in 1998 and a licensed HMO in 2000
  • We were accredited in January 2007 by the Utilization Review Accreditation Commission (URAC)
Where Are We Located?
  • We are located at 3956 Mt. Elliott, Detroit, Michigan
What Prior Experience Have We Had?
  • We have been involved in Managed Care Programs with the state since 1996
  • first as a Clinic Plan, in Wayne County, then
  • as a QHP and currently as an HMO
How Do We Operate?
  • We operate within a managed care environment that includes an organization and structure designed to provide for, or arrange for:
  • comprehensive health care services to an enrolled population of members
  • member satisfaction
  • member rights, and responsibilities, and
  • cost management review programs such as utilization review
Who Do We Contract With?
  • We contract with participating metro area doctors, physician specialists, urgent care centers, pharmacies, and ancillary providers
  • We have a comprehensive network includes:
    • Federally Qualified Health Centers
    • Primary Care Health Centers
    • Doctors organized as a partnership and a professional corporation
  • The primary care providers (e.g. family or general practitioners, internists, pediatricians, and obstetricians/gynecologists) have an economic and medical responsibility for managing all referrals for specialty, ancillary and hospital services
 
 
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