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  2. Utilization management - Wikipedia

    en.wikipedia.org/wiki/Utilization_management

    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 ...

  3. Molina Healthcare - Wikipedia

    en.wikipedia.org/wiki/Molina_Healthcare

    Molina Healthcare was founded in 1980 by C. David Molina, an emergency room physician in Long Beach, California. [4] He had seen an influx of patients using the emergency room for common illnesses such as a sore throat or the flu because they were being turned away by doctors who would not accept Medi-Cal.

  4. Implementation history of the Affordable Care Act - Wikipedia

    en.wikipedia.org/wiki/Implementation_history_of...

    Molina Healthcare, a major Medicaid provider, said that it was considering exiting some markets in 2018, citing "too many unknowns with the marketplace program." Molina lost $110 million in 2016 due to having to contribute $325 million more than expected to the ACA "risk transfer" fund that compensated insurers with unprofitable risk pools.

  5. Joseph Molina - Wikipedia

    en.wikipedia.org/wiki/Joseph_Molina

    Prior to his leadership roles at the firm, Molina held a number of other key roles at Molina Healthcare. These included: Medical Director (supervising medical and risk management matters) and vice president (in charge of provider contracting, member services, marketing and QA).

  6. Medicare Advantage - Wikipedia

    en.wikipedia.org/wiki/Medicare_Advantage

    In 2022, 295 plans (up from 256 in 2021) covered all Medicare services, plus Medicaid-covered behavioral health treatment or long term services and support. [6] In 2022, 1000 MA plans were projected to enroll 3.7 million people in VBID. The hospice benefit will be offered by 115 Medicare Advantage plans in 22 states and territories. [6]

  7. CVS Health - Wikipedia

    en.wikipedia.org/wiki/CVS_Health

    Aetna Inc. 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.

  8. List of acquisitions by Hewlett-Packard - Wikipedia

    en.wikipedia.org/wiki/List_of_acquisitions_by...

    The largest software company purchased prior to 2011 was Mercury Interactive for $4.5 billion. This acquisition doubled the size of HP's software business to more than $2 billion in annual revenue. This acquisition doubled the size of HP's software business to more than $2 billion in annual revenue.

  9. Kansas - Wikipedia

    en.wikipedia.org/wiki/Kansas

    With its tributaries, (the Little Arkansas, Ninnescah, Walnut, Cow Creek, Cimarron, Verdigris, and the Neosho), it forms the southern drainage system of the state. Kansas's other rivers are the Saline and Solomon Rivers, tributaries of the Smoky Hill River; the Big Blue , Delaware , and Wakarusa , which flow into the Kansas River; and the ...

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