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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 ...
Prior authorization, or preauthorization, [1] is a utilization management process used by some health insurance companies in the United States to determine if they ...
In 1999, Anthem acquired Blue Cross and Blue Shield of New Hampshire and Blue Cross and Blue Shield of Colorado and Nevada. The acquisitions made since 1996 added 850,000 policy holders. Among its customer base were 2.4 million PPO and 964,000 HMO enrollees. [20] In 2000, Anthem acquired Blue Cross Blue Shield of Maine. [21]
The Anthem medical data breach was a medical data breach of information held by Elevance Health, known at that time as Anthem Inc. . On February 4, 2015, Anthem, Inc. disclosed that criminal hackers had broken into its servers and had potentially stolen over 37.5 million records that contain personally identifiable information from its servers. [1]
Anthem announced plans to withdraw from Ohio [73] and later Wisconsin [74] and Indiana, [75] describing the market as "volatile" and referring to the difficulty in pricing its plans "due to the shrinking individual market as well as continual changes in federal operations, rules and guidance."
Blue Cross Blue Shield of Michigan (BCBSM) is an independent licensee of Blue Cross Blue Shield Association. [1] Currently it is headquartered in 600 E. Lafayette Blvd. in downtown Detroit. Blue Cross Blue Shield of Michigan, a nonprofit mutual insurance company, provides and administers health benefits to more than 4.3 million members residing ...
In 1853, a separate Wisconsin Supreme Court was created with all members elected state-wide. Initially the court was three members; it grew to five justices in 1878, and to its current size of seven seats in 1907.
The Wisconsin Badgers college football team represents the University of Wisconsin–Madison in the Big Ten Conference (Big 10), as part of the NCAA Division I Football Bowl Subdivision. The program has had 30 head coaches , and 3 interim head coaches, since it began play during the 1889 season .
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