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  2. Utilization management - Wikipedia

    en.wikipedia.org/wiki/Utilization_management

    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 ...

  3. Prior authorization - Wikipedia

    en.wikipedia.org/wiki/Prior_authorization

    After a request comes in from a qualified provider, the request will go through the prior authorization process. The process to obtain prior authorization varies from insurer to insurer but typically involves the completion and faxing of a prior authorization form; according to a 2018 report, 88% are either partially or entirely manual.

  4. CVS Health - Wikipedia

    en.wikipedia.org/wiki/CVS_Health

    Aetna Inc. 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.

  5. Explainer-Why prior mega health insurer deals like the ... - AOL

    www.aol.com/news/explainer-why-prior-mega-health...

    Aetna, Humana, Anthem and Cigna cited the Affordable Care Act, popularly known as Obamacare, which was passed by Congress in 2010 to significantly expand access to affordable health insurance.

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    Get answers to your AOL Mail, login, Desktop Gold, AOL app, password and subscription questions. Find the support options to contact customer care by email, chat, or phone number.

  7. Sugar Bowl security beefed up to Super Bowl levels, official says

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    New Orleans Police Department Superintendent Anne Kirkpatrick said Sugar Bowl security will be beefed up to Super Bowl levels ahead and during the game.

  8. Dozens of luxury condos and hotels in Florida are sinking ...

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    Dozens of luxury condos, hotels and other buildings in southeast Florida are sinking at a surprising rate, researchers reported in a recent study. The study, led by scientists at the University of ...

  9. Aetna - Wikipedia

    en.wikipedia.org/wiki/Aetna

    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.

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