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Aetna Inc. (/ ˈ ɛ t n ə / ET-nə) is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare.
Perhaps you thought the medical treatment you recently received was covered by your health insurance and didn't give it a second thought. A few weeks later, however, you receive a letter from your
Thousands of Aetna members in Sacramento and beyond will no longer be able to access their Dignity Health doctors at discounted in-network rates starting April 1 if the two companies don’t reach ...
Aetna Better Health of Kansas filed the lawsuit July 24 in Shawnee County District Court, ... Aetna, Sunflower Health Plan and United Healthcare Community Plan have been contracted MCOs since 2018 ...
Administrative data are electronic records of services, including insurance claims and registration systems from hospitals, clinics, medical offices, pharmacies and labs. For example, a measure titled Childhood Immunization Status requires health plans to identify 2-year-old children who have been enrolled for at least a year.
Provider revenues are fixed, and each enrolled patient makes a claim against the full resources of the provider. In exchange for the fixed payment, physicians essentially become the enrolled clients' insurers, who resolve their patients' claims at the point of care and assume the responsibility for their unknown future health care costs.
Aetna is one of the nation's leading diversified health care benefits companies, serving approximately 37.3 million people with information and resources to help them make better informed ...
The Federal Employees Health Benefits (FEHB) Program is a system of "managed competition" through which employee health benefits are provided to civilian government employees and annuitants of the United States government. The government contributes 72% of the weighted average premium of all plans, not to exceed 75% of the premium for any one ...