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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 ...
For example, under the 2020 standard benefit, beneficiaries first pay a 100% coinsurance amount up to a $435 deductible. [12] Second, beneficiaries pay a 25% coinsurance amount up to an Out-of-Pocket Threshold of $6,350. In the final benefit phase, beneficiaries pay the greater of a 5% coinsurance amount or a nominal co-payment amount.
Many portal applications also enable patients to request prescription refills online, order eyeglasses and contact lenses, access medical records, pay bills, review lab results, and schedule medical appointments. Patient portals also typically allow patients to communicate directly with healthcare providers by asking questions, leaving comments ...
A credential service provider (CSP) is a trusted entity that issues security tokens or electronic credentials to subscribers. [1] A CSP forms part of an authentication system, most typically identified as a separate entity in a Federated authentication system.
The following is a list of notable online payment service providers and payment gateway providing companies, their platform base and the countries they offer services in: (POS -- Point of Sale ) Company
Insurance in the United States refers to the market for risk in the United States, the world's largest insurance market by premium volume. [1] According to Swiss Re, of the $6.782 trillion of global direct premiums written worldwide in 2022, $2.959 trillion (43.6%) were written in the United States.
A prison literacy class for African Americans in New Orleans, 1937. In the United States, prisoners were given religious instruction by chaplains in the early 19th century, and secular prison education programmes were first developed in order to help inmates to read Bibles and other religious texts.
Key stage 2 (KS2) covers years 3, 4, 5 and 6 of compulsory school education in the National Curriculum. It is the longest stage of compulsory school education in England. Children are typically in the age range 7–11. The National Curriculum divides KS2 into lower KS2 (years 3 and 4) and upper KS2 (years 5 and 6).