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Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...
CalOptima is a publicly funded health insurance plan for low-income citizens for Orange County, CA. With an annual budget of US$4 billion serving 940,000 members as of July 2022, [1] it is also the single largest county organized health insurer in the state. [2] Its current CEO is Michael Hunn. [2]
Familiarize yourself with what's inside your personalized AOL MyBenefits page so you can take advantage of all your benefits. You'll see a list of all the benefits you are eligible for, along with the following information. • Benefit Name • Benefit description • Read More Details or Learn More • Activation button
Sentara Health is a not-for-profit healthcare organization serving Virginia, northeastern North Carolina and Florida. It is based in Hampton Roads, Virginia, and offers services in 12 acute care hospitals, with 3,739 beds, 1.2 million members in its health plan, [1] [2] [3] 10 nursing centers, and three assisted living facilities across the two states.
Optima Telekom, a telecommunications operator in Croatia; Optima, a convenience store operated by Sunoco at Wal-Mart stores; Optima, a series of automotive batteries produced by Johnson Controls; Optima Card, a revolving credit card issued by American Express from 1987 to 2009; Optima Health, a managed-care plan by Sentara Healthcare
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GEHA (Government Employees Health Association) is a self-insured, not-for-profit association providing medical and dental plans to federal employees and retirees and their families through the Federal Employees Health Benefits program and the Federal Employees Dental and Vision Insurance Program (FEDVIP).