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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.
Aetna, Sunflower Health Plan and United Healthcare Community Plan have been contracted MCOs since 2018. The MCO contracts were rebid in 2023 and seven entities responded to the request for proposals.
Hackensack Meridian Health, locked in a contract dispute with Aetna, has sent letters to the insurer's customers warning them that they may lose in-network coverage if the two sides can't reach a ...
Utilization management. Utilization management (UM) or utilization review is the use of managed care techniques such as prior authorization that allow payers, particularly health insurance companies, to manage the cost of health care benefits by assessing its appropriateness before it is provided using evidence-based criteria or guidelines.
In the United States, health insurance helps pay for medical expenses through privately purchased insurance, social insurance, or a social welfare program funded by the government. [ 1 ][ 2 ] Synonyms for this usage include "health coverage", "health care coverage", and "health benefits". In a more technical sense, the term "health insurance ...
Bostian said that to date more than 800 Aetna employees have contributed nearly 60,000 work hours to implementation and that Aetna was on schedule to begin serving the State Health Plan on Jan. 1 ...
W. Western Airlines Flight 2605. World Airways Flight 30. Categories: Aviation accidents and incidents by aircraft. McDonnell Douglas DC-10.
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