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A number of legislative and technological developments attempt to optimize the prior authorization process: [16] In 2011, the American Medical Association recommended a uniform prior authorization form with real-time electronic processing. The proposed process would involve a physician ordering a medical service, their staff completing a ...
In October 2000, the company acquired WellPath, the managed care subsidiary of Duke University Health System, for $20.7 million. [ 4 ] In October 2010, the company acquired MHP (Mercy Health Plans), an insurer with approximately 180,000 members in Missouri and northwest Arkansas.
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.
Aetna, Riverside Health System Form Accountable Care Organization, Introduce New Products NEWPORT NEWS, Va.--(BUSINESS WIRE)-- Aetna (NYSE: AET) today announced an accountable care organization ...
In 2015 CMS identified 254 quality measures for which providers may choose to submit data. The measures map to U.S. National Quality Standard (NQS) health care quality domains: [4]
Examples included litigation between Aetna and a group of surgical centers over an out-of-network overbilling scheme and kickbacks for referrals, where Aetna was ultimately awarded $37 million. [25] While Aetna has led the initiative, other health insurance companies have engaged in similar efforts.
This is an accepted version of this page This is the latest accepted revision, reviewed on 31 January 2025. Active volcano on the east coast of Sicily, Italy "Mongibello" redirects here. For the fictional location, see The Talented Mr. Ripley. Mount Etna Etna with the city of Catania in the foreground (December 2007) Highest point Elevation 3,403 m (11,165 ft)(varies) Prominence 3,403 m ...
Fentanyl is a highly potent synthetic piperidine opioid primarily used as an analgesic.It is 30 to 50 times more potent than heroin and 100 times more potent than morphine; [11] its primary clinical utility is in pain management for cancer patients and those recovering from painful surgeries.