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Coventry Health Care, Inc. was a health insurer in the United States. It had 3.7 million medical members, 1.5 million Medicare Part D members, and 900,000 Medicaid members. [ 2 ] In May 2013, the company was acquired by Aetna for $5.7 billion.
The provider must submit a credentialing application that details their training and qualifications to treat patients in their area of specialty. While hospitals and health systems typically have their own provider enrollment team to perform this function, independent group practices and solo practitioners may contract with another organization ...
The Council for Affordable Quality Healthcare, Inc. (CAQH) is a non-profit organization [4] incorporated in California as a mutual benefit corporation. It was first incorporated under the name Coalition for Affordable, Quality Healthcare, Inc., and then renamed the Council for Affordable Quality Healthcare, Inc. on August 8, 2002.
This includes incidents in which a provider voluntarily resigns privileges while under investigation. An entity that fails to report as required may lose HCQIA protections for three years. [47] The HCQIA (§ 11135) requires hospitals to query the NPDB in their initial credentialing and bi-annual provider re-credentialing processes. [47]
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The American Nurses Credentialing Center (ANCC), a subsidiary of the American Nurses Association (ANA), is a certification body for nursing board certification and the largest certification body for advanced practice registered nurses in the United States, [1] as of 2011 certifying over 75,000 APRNs, including nurse practitioners and clinical nurse specialists.
The National Commission for Certifying Agencies (NCCA) is the accreditation body of the Institute for Credentialing Excellence. The NCCA's Standards for the Accreditation of Certification Programs exceed the requirements set forth by the American Psychological Association and the US Equal Employment Opportunity Commission. [9]
Three months after joining Aetna, Lynch led the integration of Coventry Health Care, which was the largest health care acquisition at the time. [14] In 2015, Lynch became Aetna's first female president, a role she retained through the $70 billion acquisition of Aetna by CVS Health in 2018. [15] [16]
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