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Number of employees. 104,200 (2024) ... behavioral health, long-term care, ... Anthem Blue Cross and Blue Shield Healthcare Solutions (Medicaid) New Hampshire;
Optum, Inc. is an American healthcare company that provides technology services, pharmacy care services (including a pharmacy benefit manager) and various direct healthcare services.
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 acquisition was completed on Mar. 2, 2020. [2]
It changed its name to OptumHealth Bank in 2008 [16] and to Optum Bank in 2012. In April 2004, UnitedHealth Group acquired Touchpoint Health Plan, a Wisconsin health plan. [ 17 ] In July 2004, the company acquired Oxford Health Plans .
Medical billing, a payment process in the United States healthcare system, is the process of reviewing a patient's medical records and using information about their diagnoses and procedures to determine which services are billable and to whom they are billed.
As of 2023, PBMs managed pharmacy benefits for 275 million Americans and the three largest PBMs in the US, CVS Caremark, Cigna Express Scripts, and UnitedHealth Group’s Optum Rx, make up about 80% of the market share covering about 270 million people [4] [5] with a market of almost $600 billion in 2024. [6]
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). The NPI has replaced the Unique Physician Identification Number (UPIN) as the required identifier for Medicare services, and is used by other payers ...
Change Healthcare Inc. (known as Emdeon before rebranding in 2015, which followed its acquisition of Change Healthcare) is a provider of revenue and payment cycle management that connects payers, providers, and patients within the U.S. healthcare system. [2]