Search results
Results from the WOW.Com Content Network
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.
Aetna Cited by KLAS Research as 'Transformational Partner' for Providers -- Aetna Receives Accolades from Providers in KLAS Report on Accountable Care Payers -- HARTFORD, Conn.--(BUSINESS WIRE ...
In 1752, Benjamin Franklin founded the first American insurance company as Philadelphia Contributionship.In 1820, there were 17 stock life insurance companies in the state of New York, many of which would subsequently fail.
The class action lawsuit alleges Aetna Health is claiming reimbursement it isn't entitled to when customers settle medical malpractice cases. Lawsuit claims insurer Aetna is wrongly taking money ...
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 ...
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 ...
The KFF’s analysis revealed that in 2021, HealthCare.gov consumers only appealed in-network claim denials 0.2% of the time — and insurers ended up upholding 59% of those denials on appeal.
This is different from fully insured plans where the employer contracts an insurance company to cover the employees and dependents. [1] In self-funded health care, the employer assumes the direct risk for payment of the claims for benefits.