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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.
CVS Health Corporation. CVS Health Corporation (previously CVS Corporation and CVS Caremark Corporation) is an American healthcare company that owns CVS Pharmacy, a retail pharmacy chain; CVS Caremark, a pharmacy benefits manager; and Aetna, a health insurance provider, among many other brands.
athenahealth, Inc. Athenahealth is a private American company that provides network-enabled services for healthcare and point-of-care mobile apps in the United States . The company was founded in 1997 in San Diego and is now headquartered in Boston, Massachusetts. They have operational sites in Belfast, Maine, Atlanta, Georgia, Austin, Texas ...
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UnitedHealth Group Incorporated is an American multinational health insurance and services company based in Minnetonka, Minnesota.Selling insurance products under UnitedHealthcare, and health care services and care delivery aided by technology and data under Optum, it is the world's eleventh-largest company by revenue and the largest health care company by revenue.
Aetna; American National Insurance Company; Amerigroup; Blue Cross and Blue Shield Association; Bright Health; CareSource; Cambia Health Solutions; Centene Corporation; Cigna; Compass Rose Benefits Group; Delta Dental; Elevance Health; EmblemHealth; Fallon Health; Geisinger; Golden Rule Insurance Company; Harvard Pilgrim Health Care; Health Net ...
Utilization management. Utilization management (UM) or utilization review is the use of managed care techniques such as prior authorization that allow payers, particularly health insurance companies, to manage the cost of health care benefits by assessing its appropriateness before it is provided using evidence-based criteria or guidelines.
The Council for Affordable Quality Healthcare, Inc. ( CAQH) is a non-profit organization [4] incorporated in California as a mutual benefit corporation. It was first incorporated under the name Coalition for Affordable, Quality Healthcare, Inc., and then renamed the Council for Affordable Quality Healthcare, Inc. on August 8, 2002.