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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. [80]
nH Predict is a computer program developed by naviHealth that implements an algorithm that has allegedly been used by health insurance companies including United Healthcare and Humana [1] [2] to automatically deny coverage to patients. [3] [4] [5] It is reported to work by cross-correlating patient health records with those of other patients. [6]
The electronic health record (EHR) is a more longitudinal collection of the electronic health information of individual patients or populations. The EMR, in contrast, is the patient record created by providers for specific encounters in hospitals and ambulatory environments and can serve as a data source for an EHR. [7] [8]
The eHealth Exchange, formerly known as the Nationwide Health Information Network (NHIN or NwHIN), is an initiative for the exchange of healthcare information.It was developed under the auspices of the U.S. Office of the National Coordinator for Health Information Technology (ONC), [1] and now managed by a non-profit industry coalition called Sequoia Project (formerly HealtheWay). [2]
Patient portals benefit both patients and providers by increasing efficiency and productivity. In the United States, patient portals are also regarded as a key tool to help physicians meet "meaningful use" requirements to receive federal incentive checks, especially for providing health information to patients. [2]
Feb. 2014: Optum purchases a majority stake in Audax Health Solutions, a patient engagement [clarification needed] company. Audax is later rebranded as Rally Health. April 2015: Optum acquires MedExpress, an urgent care and preventative services company. [9] July 2015: Catamaran, a pharmacy benefit manager, joins OptumRx. [3]
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