Search results
Results from the WOW.Com Content Network
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 ]
In Anthem’s announcements, the insurer advised people who disagree with claims filed under the new policy to “follow the claim dispute process as outlined in the Provider Manual.”
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]
In California, Anthem Blue Cross offers HMO plans through both the state-run Covered California exchange and the private CaliforniaChoice exchange, but doctor networks are not identical. Physicians advertising acceptance of Anthem Blue Cross Exchange HMOs may misinform individuals enrolled in Anthem Blue Cross Exchange HMOs through the private ...
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 ...
Wellmark is headquartered in downtown Des Moines and Sioux Falls. It has 1707 employees in Iowa and 171 in South Dakota. [5] It consists of Wellmark Blue Cross and Blue Shield of Iowa, Wellmark of South Dakota, Inc. (doing business as Wellmark Blue Cross and Blue Shield of South Dakota) and Wellmark Health Plan of Iowa, Inc. [5] The Wellmark Foundation is a private foundation to support health ...
At this time, hospital associations such as the CHSA became known as Blue Cross Plans. In 1939, Blue Cross Plans united to form the Blue Cross Association [7] In 1956, Medical Mutual of Cleveland was formed to provide coverage for doctor fees. CHSA merged with Akron Hospital Service to form Blue Cross of Northeast Ohio in 1957, and four years ...
Gail Koziara Boudreaux (née Koziara, born 1960) is an American businesswoman.She is the president and CEO of Elevance Health since 2017, and has been an executive for other health insurance companies including Aetna, BlueCross BlueShield of Illinois (2002), and UnitedHealth Group (2008).