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The Federally Facilitated Marketplace is established in a state by the HHS Secretary for states that chose not to set up their own marketplace or did not get approval for one. [2] Individuals (i.e. citizens of a state) and employers will have the ability to find and purchase Qualified Health Plans through the FFM and its partners. [1]
Medical billing, a payment process in the United States healthcare system, is the process of reviewing a patient's medical records and using information about their diagnoses and procedures to determine which services are billable and to whom they are billed.
In 1820, there were 17 stock life insurance companies in the state of New York, many of which would subsequently fail. Between 1870 and 1872, 33 US life insurance companies failed, in part fueled by bad practices and incidents such as the Great Chicago Fire of 1871. 3,800 property-liability and 2,270 life insurance companies were operating in ...
Humana Named Top Payer in athenahealth PayerView Rankings Number one ranking highlights Humana's continuing success in providing industry-leading service to healthcare providers LOUISVILLE, Ky ...
Humana's individual business, which sells plans under President Barack Obama's Affordable Care Act, has been a drag on results. Humana may exit Obamacare individual plans in some states Skip to ...
Sam Watts, the director of North Carolina’s State Health Plan, said WakeMed agreed Wednesday to see all state health plan members out-of-network, even if no new contract is in place by the end ...
The median number of insurers per state was 4.0 in 2014, 5.0 in 2015, 4.0 in 2016 and 3.0 in 2017. Five states had one insurer in 2017, 13 had two, 11 had three; the remainder had four or more. Five states had one insurer in 2017, 13 had two, 11 had three; the remainder had four or more.
In the United States, a pharmacy benefit manager (PBM) is a third-party administrator of prescription drug programs for commercial health plans, self-insured employer plans, Medicare Part D plans, the Federal Employees Health Benefits Program, and state government employee plans.