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  2. Optum - Wikipedia

    en.wikipedia.org/wiki/Optum

    US$ 226.6 billion (2023) [1] Parent. UnitedHealth Group. Website. www.optum.com /en /. Optum, Inc. is an American healthcare company that provides technology services, pharmacy care services (including a pharmacy benefit manager) and various direct healthcare services. Optum was formed as a subsidiary of UnitedHealth Group in 2011 by merging ...

  3. Health care prices in the United States - Wikipedia

    en.wikipedia.org/wiki/Health_care_prices_in_the...

    CMS sets fee schedules for medical services through Prospective Payment Systems (PPS) for inpatient care, outpatient care, and other services. [34] As the largest single purchaser of medical services in the U.S., Medicare's fixed pricing schedules have a significant impact on the market.

  4. UnitedHealth Group - Wikipedia

    en.wikipedia.org/wiki/UnitedHealth_Group

    UnitedHealth Group Incorporated is an American multinational health insurance and services company based in Minnetonka, Minnesota.Selling insurance products under UnitedHealthcare, and health care services and care delivery aided by technology and data under Optum, it is the world's eleventh-largest company by revenue and the largest health care company by revenue.

  5. Intermountain Health - Wikipedia

    en.wikipedia.org/wiki/Intermountain_Health

    Intermountain Health (formerly Intermountain Healthcare) is a United States not-for-profit healthcare system with 385 clinics and 33 hospitals in the Intermountain West (primarily Utah, Idaho, Nevada). The company's headquarters are in Salt Lake City, Utah. Colorado-based SCL Health and Intermountain Health merged in 2022.

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  7. L.A. Care Health Plan - Wikipedia

    en.wikipedia.org/wiki/L.A._Care_Health_Plan

    The Local Initiative Health Authority for Los Angeles County (L.A. Care) is a public agency that provides health insurance for low-income individuals in Los Angeles County through four health coverage programs including Medi-Cal. Launched in 1997, in March 2022 LA Care was fined $55 million by the California Department of Managed Health Care ...

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  9. Specialty Society Relative Value Scale Update Committee

    en.wikipedia.org/wiki/Specialty_Society_Relative...

    Before the 1992 implementation of the Medicare fee schedule, physician payments were made under the "usual, customary and reasonable" payment model (a "charge-based" payment system). Physician services were largely considered to be misvalued under this system, with evaluation and management services being undervalued and procedures overvalued ...