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A number have deeming power for Medicare and Medicaid. American Association for Accreditation of Ambulatory Surgery Facilities [2] (AAAASF) Accreditation Association for Ambulatory Health Care (AAAHC) Accreditation Commission for Health Care (ACHC) American Board for Certification in Orthotics, Prosthetics & Pedorthics (ABC)
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 ...
UnitedHealthcare (UHC) is an insurance and managed care company with four main divisions: UnitedHealthcare Employer and Individual – provides health benefit plans and services for large national employers and individuals. UnitedHealthcare Medicare and Retirement – provides health and well-being services to individuals age 65 and older. [76]
Ron Wyden stated in April 2019 that they were as “clear a middleman rip-off as you are going to find”, because they make more money when they pick a higher-priced drug over a lower-priced drug. [55] In June 2024, the New York Times released its first article in a series critiquing pharmacy benefit managers for artificially raising drug ...
Number of employees. 7,500: PacifiCare Health Systems, Inc. was a provider of health insurance based in Cypress, ... when it changed to the UnitedHealthcare name. [9]
Catamaran Corporation (formerly SXC Health Solutions) is the former name of a company that now operates within UnitedHealth Group's OptumRX division (since July 2015). It sells pharmacy benefit management and medical record keeping services to businesses in the United States [3] and to a broad client portfolio, including health plans and employers. [4]
Datavant is a health information technology company based in Phoenix, Arizona, USA, which develops and maintains a digital ecosystem for the exchange of healthcare data. [1] [2] Datavant's clients include clinical research organizations, pharmaceutical companies, payers, analytics companies, hospitals, and providers, operating primarily in the US healthcare market.
Health plans seek accreditation and measure performance through the administration and submission of the Healthcare Effectiveness Data and Information Set (HEDIS) and Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. The National Committee for Quality Assurance provides an evidence-based program for case-management ...