Search results
Results from the WOW.Com Content Network
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 ...
Private insurance companies, such as Cigna and Aetna, offer supplement policies, called Medigap, to help cover some Medicare out-of-pocket costs.
Aetna offers HMO, HMO-POS, PPO, and D-SNP plans. However, not all of its Medicare Advantage plans may be available in every area. Aetna offers many Medicare Advantage (Part C) plans that fit ...
Clinical peer review, also known as medical peer review is the process by which health care professionals, including those in nursing and pharmacy, evaluate each other's clinical performance. [ 1 ] [ 2 ] A discipline-specific process may be referenced accordingly (e.g., physician peer review , nursing peer review ).
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.
Aetna offers nine Medigap plans in 27 states. Rates vary depending on the plan you choose and where you live. Aetna is among the most widely known insurance providers in the United States.
Aetna is a healthcare benefits company that CVS Health acquired in 2018. It serves around 39 million people.. According to Aetna’s website, 88% of its Medicare Advantage members are enrolled ...
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.