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2. Bundled payment - Wikipedia

   en.wikipedia.org/wiki/Bundled_payment

   Providers may seek to maximize profit by avoiding patients for whom reimbursement may be inadequate (e.g., patients who do not take their drugs as prescribed), by overstating the severity of an illness, by giving the lowest level of service possible, by not diagnosing complications of a treatment before the end date of the bundled payment, or ...

3. Utilization management - Wikipedia

   en.wikipedia.org/wiki/Utilization_management

   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 ...

4. Aetna - Wikipedia

   en.wikipedia.org/wiki/Aetna

   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.

5. Pharmacy benefit management - Wikipedia

   en.wikipedia.org/wiki/Pharmacy_benefit_management

   Under these laws, pharmacy benefit managers with contracts to Health care service plans are required by law to be registered with the Department of Managed Health Care to disclose information. [59] SB 966: Pharmacy benefits. SB 966: Pharmacy benefits is a California state bill written by state senators Aisha Wahab and Scott Weiner. It is ...

6. ADDING MULTIMEDIA Aetna Launches Smartphone App That Lets ...

   www.aol.com/2013/02/25/adding-multimedia-aetna...

   ADDING MULTIMEDIA Aetna Launches Smartphone App That Lets Global Customers File Claims on the Go New mobile technology can ease stress of paperwork when living abroad HARTFORD, Conn.--(BUSINESS ...

7. What Aetna Medicare Part D Plans Are Offered in 2022? - AOL

   www.aol.com/lifestyle/aetna-medicare-part-d...

   This is Aetna’s most budget-friendly prescription drug plan. It provides coverage for a wide range of tier 1 generic drugs with a $0 copay. The monthly premium is $7.15 on average in most ZIP ...