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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 ...
Mercy cited "red tape" and Anthem BCBS's inability to keep pace with inflation. Mercy also stated that Anthem reported a 24.12% increase in year-over-year net income and a 24.29% increase in its ...
A 2015 study found 14% of privately insured consumers received a medical bill in the past two years from an out-of-network provider in the context of an overall in-network treatment event. Such out-of-network care is not subject to the lower negotiated rates of in-network care, increasing out-of-pocket costs.
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Most provider markets (especially hospitals) are also highly concentrated—roughly 80%, according to criteria established by the FTC and Department of Justice [137] —so insurers usually have little choice about which providers to include in their networks, and consequently little leverage to control the prices they pay. Large insurers ...
The anthem was based on a traditional tune sung by Pokomo mothers to their children. [1] "Ee Mungu Nguvu Yetu" is notable for being one of the first national anthems to be specifically commissioned. It was written by the Kenyan Anthem Commission in 1963 to serve as the state anthem after independence from the United Kingdom. The lyrics was ...
Jaya Bhārata Jananiya Tanujāte, Jaya Hē Karnāṭaka Māte (pronounced [Jaya bha:rata jananiya tanuja:te, jaya he: karna:ʈaka ma:te]; lit. ' Victory to you Mother Karnataka, The Daughter of Mother India! ') is a Kannada-language poem composed by Kuvempu.
Rico Carty, who played 15 seasons in the major leagues and won the 1970 National League batting title with the Atlanta Braves, has died at the age of 85.. A family friend confirmed to Listín ...