enow.com Web Search

Search results

1. Results from the WOW.Com Content Network

2. Self-funded health care - Wikipedia

   en.wikipedia.org/wiki/Self-funded_health_care

   Self-funded health care, also known as Administrative Services Only (ASO), is a self insurance arrangement in the United States whereby an employer provides health or disability benefits to employees using the company's own funds. [1]

3. Medical billing - Wikipedia

   en.wikipedia.org/wiki/Medical_billing

   If the patient in the previous example had a $5.00 copay, the physician would be paid $45.00 by the insurance company. The physician is then responsible for collecting the out-of-pocket expense from the patient. If the patient had a $500.00 deductible, the contracted amount of $50.00 would not be paid by the insurance company.

4. Prior authorization - Wikipedia

   en.wikipedia.org/wiki/Prior_authorization

   At this point, the medical service may be approved or rejected, or additional information may be requested. If a service is rejected, the healthcare provider may file an appeal based on the provider's medical review process. [6] [7] In some cases, an insurer may take up to 30 days to approve a request. [8]

5. Health maintenance organization - Wikipedia

   en.wikipedia.org/wiki/Health_maintenance...

   In the United States, a health maintenance organization (HMO) is a medical insurance group that provides health services for a fixed annual fee. [1] It is an organization that provides or arranges managed care for health insurance , self-funded health care benefit plans, individuals, and other entities, acting as a liaison with health care ...

6. 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 ...

7. Investing in Peace of Mind: Long-Term Care Costs After 60 - AOL

   www.aol.com/average-cost-long-term-care...

   Age and Long-Term Care Insurance Costs. The biggest factor, however, is the age of the policyholder. The AALTCI says average annual costs for a common type of policy for a man increase from $950 ...