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Molina Healthcare was founded in 1980 by C. David Molina, an emergency room physician in Long Beach, California. [4] He had seen an influx of patients using the emergency room for common illnesses such as a sore throat or the flu because they were being turned away by doctors who would not accept Medi-Cal.
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 ...
With e-prescribing, renewal authorization can be an automated process that provides efficiencies for both the prescriber and pharmacist. Pharmacy staff can generate a renewal request (authorization request) that is delivered through the electronic network to the prescriber's system.
A man was left in critical but stable condition after he was pushed onto the subway tracks at the 18th Street station in Manhattan's Chelsea neighborhood. The 45 -year-old victim was pushed onto ...
Israel wasted no time after Bashar al-Assad’s fall to bomb all the Syrian military assets it wanted to keep out of the rebels’ hands – striking nearly 500 targets, destroying the navy, and ...
The United States military said Tuesday its forces had "conducted multiple precision strikes" that hit Houthi targets in Yemen's capital.. The targets had been used by the Iran-backed rebels used ...
Medicare Advantage (Medicare Part C, MA) is a type of health plan offered by private companies which was established by the Balanced Budget Act (BBA) in 1997. This created a private insurance option that wraps around traditional Medicare. Medicare Advantage plans may fill some coverage gaps and offer alternative coverage options in an attempt ...
Sales of previously occupied U.S. homes rose in November to their fastest pace since March with home shoppers encouraged by a wider selection of properties on the market, even as mortgage rates ...