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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.
August 10, 2024 at 5:00 AM. Health insurance company Aetna is suing the state of Kansas after losing its managed care organization contract with KanCare. Aetna Better Health of Kansas filed the ...
Utilization management. Utilization management (UM) or utilization review is the use of managed care techniques such as prior authorization that allow payers, particularly health insurance companies, to manage the cost of health care benefits by assessing its appropriateness before it is provided using evidence-based criteria or guidelines.
In the United States, health insurance helps pay for medical expenses through privately purchased insurance, social insurance, or a social welfare program funded by the government. [ 1 ][ 2 ] Synonyms for this usage include "health coverage", "health care coverage", and "health benefits". In a more technical sense, the term "health insurance ...
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 ...
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Born. ( 1944-06-20) June 20, 1944 (age 80) Spouse. Valerie DelTuffo. Education. Canisius College ( BS) University of Rochester ( MD) John Wallis "Jack" Rowe is an American businessman and academic physician, who served as Chairman and CEO of Aetna Inc., a large health insurance company based in Connecticut, titles he retired from in February 2006.
After years of coverage through Blue Cross Blue Shield, Aetna was the lowest bidder on a recent request for proposals to provide coverage to NJ Transit’s 12,000 union and non-union employees.