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March 6, 2024 at 3:57 PM. One of San Luis Obispo County’s largest healthcare providers could soon no longer be a part of Aetna’s network — a move that would leave residents throughout the ...
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.
An estimated 35,000 Washington workers who are insured by Aetna through their jobs faced a loss of coverage at Providence on Sept. 1. Without a new contract, Aetna customers would have lost in ...
Also, participating employment-based plans could obtain reimbursement for a portion of the cost of providing health insurance to early retirees. [15] In July the Pre-Existing Condition Insurance Plan (PCIP) took effect to offer insurance to those who had been denied coverage by private insurance companies because of a pre-existing conditions.
The Healthcare Effectiveness Data and Information Set (HEDIS) is a widely used set of performance measures in the managed care industry, developed and maintained by the National Committee for Quality Assurance (NCQA). HEDIS was designed to allow consumers to compare health plan performance to other plans and to national or regional benchmarks.
t. e. In the United States, health insurance helps pay for medical expenses through privately purchased insurance, social insurance, or a social welfare program funded by the government. [ 1 ][ 2 ] Synonyms for this usage include "health coverage", "health care coverage", and "health benefits". In a more technical sense, the term "health ...
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