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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. UnitedHealth Group - Wikipedia

   en.wikipedia.org/wiki/UnitedHealth_Group

   Selling insurance products under UnitedHealthcare, and health care services under the Optum brand, it is the world's ninth-largest company by revenue and the largest health care company by revenue. The company is ranked 8th on the 2024 Fortune Global 500. [4] UnitedHealth Group had a market capitalization of $460.3 billion as of December 20, 2024.

4. Prior authorization - Wikipedia

   en.wikipedia.org/wiki/Prior_authorization

   After a request comes in from a qualified provider, the request will go through the prior authorization process. The process to obtain prior authorization varies from insurer to insurer but typically involves the completion and faxing of a prior authorization form; according to a 2018 report, 88% are either partially or entirely manual. [5]

5. US health dept says UnitedHealth can notify patients of data ...

   www.aol.com/news/us-health-dept-lets-united...

   The news comes as a relief for U.S. hospitals and healthcare providers that had urged the Department of Health and Human Services (HHS) to shift the notification responsibility to UnitedHealth and ...

6. UnitedHealth unit Change Healthcare's pharmacy network back ...

   www.aol.com/news/unitedhealth-unit-change...

   Change Healthcare processes about 50% of medical claims in the United States for around 900,000 physicians, 33,000 pharmacies, 5,500 hospitals and 600 laboratories.

7. Release of information department - Wikipedia

   en.wikipedia.org/wiki/Release_of_Information...

   A release of information (ROI) department or division is found in the majority of hospitals. In the United States, HIPAA [1] and state guidelines strongly direct the rules and regulations of patient information. ROI departments perform such tasks as obtaining patient consent, certifying medical records, and deciding what information can be ...

8. UnitedHealth says unit Change has restored and rebuilt ... - AOL

   www.aol.com/news/unitedhealth-says-unit-change...

   Change Healthcare, which processes about 50% of medical claims in the U.S. for around 900,000 physicians, 33,000 pharmacies, 5,500 hospitals and 600 laboratories, was breached on Feb. 21 by a ...

9. Health care finance in the United States - Wikipedia

   en.wikipedia.org/wiki/Health_care_finance_in_the...

   The 2008 edition of the Dartmouth Atlas of Health Care [29] found that providing Medicare beneficiaries with severe chronic illnesses with more intense health care in the last two years of life—increased spending, more tests, more procedures and longer hospital stays—is not associated with better patient outcomes. There are significant ...