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UnitedHealthcare (UHC) is an insurance and managed care company with four main divisions: UnitedHealthcare Employer and Individual – provides health benefit plans and services for large national employers and individuals. UnitedHealthcare Medicare and Retirement – provides health and well-being services to individuals age 65 and older. [76]
In 2011, eligibility expanded to include employees of the Department of State and the U.S. Agency for International Development and the network provider changed to UnitedHealthcare (UHC), which is one of the largest network providers and facilities in the FEHB market. [4]
As a condition of participation, UnitedHealthcare requires that providers notify them of changes, but also has a Professional Verification Outreach program to proactively request information from providers. [19] However, providers are burdened by having to maintain their information with multiple networks (e.g., competitors to UnitedHealthcare).
Founded in 1948, [26] Arkansas Blue Cross Blue Shield (ABCBS) [27] is an independent licensee of the Blue Cross Blue Shield Association, and the largest healthcare provider in the state. [28] It donated $1.98 million to The Walton College of Business toward founding its Robert L. Shoptaw Master of Healthcare Business Analytics Program. [ 29 ]
In November 2012, Wellcare acquired Easy Choice Health Plan in California. [26] UnitedHealthcare's South Carolina Medicaid business was acquired in February 2013. [27] In April of that year, Aetna's Medicaid business in Missouri, Missouri Care, was acquired. [28] The Windsor Health Group was acquired by WellCare in January 2014. [29] [30]
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In U.S. health insurance, a preferred provider organization (PPO), sometimes referred to as a participating provider organization or preferred provider option, is a managed care organization of medical doctors, hospitals, and other health care providers who have agreed with an insurer or a third-party administrator to provide health care at ...