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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.
Health exchanges first emerged in the private sector in the early 1980s, and they used computer networking to integrate claims management, eligibility verification, and inter-carrier payments. These became popular in some regions as a way for small and medium-sized businesses to pool their purchasing power into larger groups, reducing cost.
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“If Dignity Health and Aetna do not agree to new contractual rates and terms before April 1, 2024, then Aetna will no longer include Dignity Health hospitals, physicians, ambulatory surgery ...
Most provider markets (especially hospitals) are also highly concentrated—roughly 80%, according to criteria established by the FTC and Department of Justice [137] —so insurers usually have little choice about which providers to include in their networks, and consequently little leverage to control the prices they pay. Large insurers ...
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