Search results
Results from the WOW.Com Content Network
CMS sets fee schedules for medical services through Prospective Payment Systems (PPS) for inpatient care, outpatient care, and other services. [34] As the largest single purchaser of medical services in the U.S., Medicare's fixed pricing schedules have a significant impact on the market.
Considering the advantages and disadvantages of fee-for-service, pay for performance, bundled payment for episodes of care, and global payment such as capitation, Mechanic and Altman concluded that "episode payments are the most immediately viable approach." [49]
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.
UnitedHealth posted a better-than-expected profit in the final quarter of 2024, but a nagging rise in medical costs and care utilization surprised Wall Street. Shares of the health care giant slid ...
Former Aetna CEO says he’d eliminate employer-sponsored insurance to fix the U.S. healthcare industry in wake of UnitedHealthcare shooting Sasha Rogelberg Updated December 13, 2024 at 10:10 AM
Location. Plan name. Monthly premium. Annual deductibles. Copays. ZIP code 19151: Philadelphia County, PA. AARP Medicare Rx Preferred from UHC (PDP) $103.50
UnitedHealthcare (UHC) is an insurance and managed care company with four main divisions: UnitedHealthcare Employer and Individual – provides health benefit plans and services for large national employers and individuals. UnitedHealthcare Medicare and Retirement – provides health and well-being services to individuals age 65 and older. [76]
The DOJ in 2017 successfully stopped Anthem, now Elevance Health, from buying Cigna for $54 billion, and thwarted Aetna's plan to purchase rival Humana for $34 billion.