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Sentara Health is a not-for-profit healthcare organization serving Virginia, northeastern North Carolina and Florida. It is based in Hampton Roads, Virginia, and offers services in 12 acute care hospitals, with 3,739 beds, 1.2 million members in its health plan, [1] [2] [3] 10 nursing centers, and three assisted living facilities across the two states.
Prior authorization, or preauthorization, [1] is a utilization management process used by some health insurance companies in the United States to determine if they will cover a prescribed procedure, service, or medication.
Sentara is one of the largest health systems in the U.S. Mid-Atlantic and Southeast, and among the top 20 largest not-for-profit integrated health systems in the country, with 30,000 employees, 12 hospitals in Virginia and Northeastern North Carolina, and the Sentara Health Plans division which serves more than 1 million members in Virginia and ...
Step therapy, also called step protocol or a fail first requirement, is a managed care approach to prescription.It is a type of prior authorization requirement that is intended increase insurance company profits at the expense of patient health by forcing patients onto lower cost prescription drugs.
Sentara Northern Virginia Medical Center (SNVMC) is a 183-bed, not-for-profit community hospital serving Prince William County and its surrounding communities. Potomac Hospital, an independent, non-profit community hospital, merged with Sentara Healthcare in December 2009 and is now known as Sentara Northern Virginia Medical Center (from April 16, 2012).
Medicare Advantage (Medicare Part C, MA) is a type of health plan offered by private companies which was established by the Balanced Budget Act (BBA) in 1997. This created a private insurance option that wraps around traditional Medicare. Medicare Advantage plans may fill some coverage gaps and offer alternative coverage options in an attempt ...
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