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  2. 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 ...

  3. Aetna Health Inc. v. Davila - Wikipedia

    en.wikipedia.org/wiki/Aetna_Health_Inc._v._Davila

    The Court ruled that Mr. Davila's and Ms. Calad's (the Respondents') state of Texas Causes of Action, both involving Utilization Review decisions by Managed Care entities (in this case CIGNA and Aetna) that were alleged to adversely affect patient care, where in both cases Utilization review decisions contradicted the advice of the Respondents ...

  4. Drug utilization review - Wikipedia

    en.wikipedia.org/wiki/Drug_Utilization_Review

    Retrospective drug utilization review refers to drug therapy review that after patients have got the medication. [10] The retrospective drug utilization review has a typical process. [12] This is a computer based review. Computer will show data which are in violation of the standard.

  5. Health insurance company Aetna sues Kansas government after ...

    www.aol.com/health-insurance-company-aetna-sues...

    Aetna takes issue with how that tie was broken and alleges the contract procurement process was "arbitrary and capricious," used unstated evaluation criteria, "cherry-picked arbitrary and ...

  6. Former Aetna CEO says he’d eliminate employer-sponsored ...

    www.aol.com/finance/former-aetna-ceo-says-d...

    Mark Bertolini, former Aetna CEO and current chief executive of Oscar Health, said Americans’ frustration with insurance systems is justified. Employer-sponsored health insurance, which insured ...

  7. A.M. Best Removes Ratings of Aetna Inc. and Its ... - AOL

    www.aol.com/news/2013-06-13-am-best-removes...

    A.M. Best Removes Ratings of Aetna Inc. and Its Subsidiaries From Under Review OLDWICK, N.J.--(BUSINESS WIRE)-- A.M. Best Co. has removed from under review with negative implications and affirmed ...

  8. 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.

  9. Hackensack Meridian letters have Aetna customers ... - AOL

    www.aol.com/hackensack-meridian-letters-aetna...

    Aetna has about 200,000 Medicare Advantage customers in the state. And it has begun to offer plans to nearly 600,000 state employees and teachers for coverage that would go into effect July 1 ...