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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.
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 ...
In 2001, In October, Anthem underwent demutualization and became a public company via an initial public offering, which made it the fourth largest public managed health care company in the United States. [22] In 2002, Anthem acquired Trigon Healthcare of Virginia, a Blue Cross and Blue Shield plan, the largest insurer in Virginia, for $4.04 ...
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In 2010, Unisys sold its Medicare processing Health Information Management service to Molina Healthcare for $135 million. [ 11 ] On October 6, 2014, after six years as CEO and chairman, Unisys announced that Coleman was stepping down effective December 1, 2014.
The SMART Health Card framework is an open source [1] immunity passport program designed to store and share medical information in paper or digital form. [2] It was initially launched as a vaccine passport during the COVID-19 pandemic, but is envisioned for use for other infectious diseases. [3]
It is an organization that provides or arranges managed care for health insurance, self-funded health care benefit plans, individuals, and other entities, acting as a liaison with health care providers (hospitals, doctors, etc.) on a prepaid basis.
Pennie is the official health insurance marketplace in the U.S. state of Pennsylvania established under the federal Patient Protection and Affordable Care Act (ACA). The exchange enables eligible individuals to purchase private health insurance coverage at federally subsidized rates.