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  2. Affordable Care Act Health Insurance Rate Review Program

    en.wikipedia.org/wiki/Affordable_Care_Act_Health...

    The Affordable Care Act (ACA) established the health insurance rate review program in order to protect consumers from unreasonable rate increases. [1] Through this program, proposed premium increases in the small group and individual markets that are above a threshold amount (ten percent or more, as of February 2014) are reviewed by states or the federal government to determine whether the ...

  3. Centene Corporation - Wikipedia

    en.wikipedia.org/wiki/Centene_Corporation

    Centene was founded by Elizabeth Brinn as the Managed Health Services in Milwaukee, Wisconsin, in 1984. [3] After the death of Brinn, the non-profit organization was sold to investors, with the proceeds going to the Betty Brinn Foundation, which subsequently became a major shareholder in Centene.

  4. Arkansas Health Connector - Wikipedia

    en.wikipedia.org/wiki/Arkansas_Health_Connector

    Arkansas Health Connector/Arkansas Private option is the health insurance marketplace, previously known as health insurance exchange, in the U.S. state of Arkansas, created in accordance with the Patient Protection and Affordable Care Act. The marketplace operates a web site and a toll-free resource center.

  5. Utilization management - Wikipedia

    en.wikipedia.org/wiki/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 medical appropriateness before it is provided, by using evidence-based criteria or guidelines.

  6. I'm a doctor and my healthy 16-year-old daughter died ...

    www.aol.com/news/im-doctor-healthy-16-old...

    My daughter, Reese, had absolutely zero health issues. She had no chronic illnesses. She was completely healthy. She was on her high school dance team and in the top 10% of her high school class ...

  7. Massachusetts health care reform - Wikipedia

    en.wikipedia.org/wiki/Massachusetts_health_care...

    Among its many effects, the law established an independent public authority, the Commonwealth Health Insurance Connector Authority, also known as the Massachusetts Health Connector. The Connector acts as an insurance broker to offer free, highly subsidized and full-price private insurance plans to residents, including through its web site.