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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 ...
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In 1995, The Associated Group acquired Community Mutual Insurance, a provider of Blue Cross and Blue Shield insurance plans in Ohio with over 1.9 million policy holders), then set up Anthem Blue Cross and Blue Shield. [16] [17] In 1996, The Associated Group changed its name to Anthem Insurance Company. [17]
Founded in 1948, [26] Arkansas Blue Cross Blue Shield (ABCBS) [27] is an independent licensee of the Blue Cross Blue Shield Association, and the largest healthcare provider in the state. [28] It donated $1.98 million to The Walton College of Business toward founding its Robert L. Shoptaw Master of Healthcare Business Analytics Program. [ 29 ]
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Carelon Behavioral Health, formerly known as Beacon Health Options, is a behavioral health company based in Boston, Massachusetts.. On Jun. 6, 2019, Anthem, Inc. (now Elevance Health) announced that it had entered into a definitive agreement to acquire Beacon Health Options. [1]
The Village People’s lyricist and lead singer has hit out at the “false assumption” that the band’s biggest hit, “YMCA,” is a “gay anthem.”
Anthem reversed the decision the day after Thompson’s killing. The fury directed at UnitedHealth is emblematic of America’s broader inability to reform its patchwork health care system.
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