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UnitedHealthcare (UHC) is an insurance and managed care company with four main divisions: UnitedHealthcare Employer and Individual – provides health benefit plans and services for large national employers and individuals. UnitedHealthcare Medicare and Retirement – provides health and well-being services to individuals age 65 and older. [80]
Optum serves employers, government agencies, health plans, life science companies, care providers and individuals and families offering products in data and analytics, pharmacy care services, health care operations and delivery, population health management and advisory services. [7]
Oxford Health Plans [1] [2] is an American health care company that sells various benefit plans, primarily in New York, New Jersey and Connecticut. [3] [4]As of 2004, it is a subsidiary of UnitedHealth Group, the largest healthcare company in the world, [5] claiming to be "among the first" to allow patients to see specialists without a referral and to offer alternative medicine treatments.
As a condition of participation, UnitedHealthcare requires that providers notify them of changes, but also has a Professional Verification Outreach program to proactively request information from providers. [19] However, providers are burdened by having to maintain their information with multiple networks (e.g., competitors to UnitedHealthcare).
United Health Services (UHS) (United Health Services Hospitals, Inc.) is the largest and most comprehensive provider of healthcare services in upstate New York's Southern Tier. [ 3 ] A locally owned, not-for-profit system, it is governed by a volunteer board of directors composed of residents from around the region. [ 4 ]
There are implications of high rates of uninsurance for communities and for insured people in those communities. Institute of Medicine committee warned of the potential problems of high rates of uninsurance for local health care, including reduced access to clinic-based primary care, specialty services, and hospital-based emergency services. [86]
The first move towards a national health insurance system was launched in Germany in 1883, with the Sickness Insurance Law. Industrial employers were mandated to provide injury and illness insurance for their low-wage workers, and the system was funded and administered by employees and employers through "sick funds", which were drawn from deductions in workers' wages and from employers ...