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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 ...
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.
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.
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SAN FRANCISCO--(BUSINESS WIRE)-- Aetna (NYSE: AET) and Brown & Toland Physicians (BTP) today announced a new accountable care organization (ACO) model of health care that is designed to improve ...
Aetna, Riverside Health System Form Accountable Care Organization, Introduce New Products NEWPORT NEWS, Va.--(BUSINESS WIRE)-- Aetna (NYSE: AET) today announced an accountable care organization ...
Which NewYork-Presbyterian providers remain in-network for Aetna. According to the health system, the following NewYork-Presbyterian providers will remain in-network for Aetna members:
In 1951, Aetna developed the Aetna Drivotrainer, the first combination of automobile simulator and motion pictures designed for behind-the-wheel instruction in drivers' training classrooms. The Drivotrainer classroom contained 15 small single seat "Aetnacars" equipped with controls as similar as possible to those used in actual automobiles.