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Aetna, Sunflower Health Plan and United Healthcare Community Plan have been contracted MCOs since 2018. The MCO contracts were rebid in 2023 and seven entities responded to the request for proposals.
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.
UnitedHealthcare released a statement saying the company approves and pays about 90% of medical claims upon submission. They also stated that of those claims that require further review, around 0. ...
Hackensack Meridian Health, locked in a contract dispute with Aetna, has sent letters to the insurer's customers warning them that they may lose in-network coverage if the two sides can't reach a ...
In February 2012, the Maryland Health Care Commission presented the state legislature a plan of a standardized, electronic filing system for prior authorization requests. [17] In response to a 2012 prescription e-filing bill, the Kansas Board of Pharmacies advocated for an electronic prior authorization process with immediate approval for ...
Certain non-exempt, non-grandfathered group health plans established and maintained by non-profit organizations with religious objections to covering contraceptive services may take advantage of a one-year enforcement safe harbor (i.e., until the first plan year beginning on or after August 1, 2013) by timely satisfying certain requirements set ...
Aetna is one of the nation's leading diversified health care benefits companies, serving approximately 37.3 million people with information and resources to help them make better informed ...
Under the individual mandate provision (sometimes called a "shared responsibility requirement" or "mandatory minimum coverage requirement"), [28] individuals who are not covered by an acceptable health insurance policy will be charged an annual tax penalty of $95, or up to 1% of income over the filing minimum, [29] whichever is greater; this ...