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  2. Optum - Wikipedia

    en.wikipedia.org/wiki/Optum

    Optum's three businesses, OptumRx, OptumHealth and OptumInsight focus on five core capabilities: data and analytics, pharmacy care services, population health, healthcare delivery and healthcare operations. [3] Optum serves employers, government agencies, health plans, life science companies, care providers and individuals and families offering ...

  3. UnitedHealth Group - Wikipedia

    en.wikipedia.org/wiki/UnitedHealth_Group

    Selling insurance products under UnitedHealthcare, and health care services under the Optum brand, it is the world's ninth-largest company by revenue and the largest health care company by revenue. The company is ranked 8th on the 2024 Fortune Global 500. [4] UnitedHealth Group had a market capitalization of $460.3 billion as of December 20, 2024.

  4. How UnitedHealthcare and other mega-insurers came to ... - AOL

    www.aol.com/finance/unitedhealthcare-other-mega...

    There’s no question that health insurance companies routinely delay and deny care, through processes like “prior authorization”—requiring the sign-off of an insurer before a patient can ...

  5. Pharmacy benefit management - Wikipedia

    en.wikipedia.org/wiki/Pharmacy_benefit_management

    The Knox-Keene Health Care Service Plan Act of 1975 is a set of Californian laws that regulate Healthcare Service Plans. Under these laws, pharmacy benefit managers with contracts to Health care service plans are required by law to be registered with the Department of Managed Health Care to disclose information. [58] SB 966: Pharmacy benefits

  6. Catamaran Corporation - Wikipedia

    en.wikipedia.org/wiki/Catamaran_Corporation

    Catamaran Corporation (formerly SXC Health Solutions) is the former name of a company that now operates within UnitedHealth Group's OptumRX division (since July 2015). It sells pharmacy benefit management and medical record keeping services to businesses in the United States [3] and to a broad client portfolio, including health plans and employers. [4]

  7. Prior authorization - Wikipedia

    en.wikipedia.org/wiki/Prior_authorization

    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.

  8. Richard T. Burke - Wikipedia

    en.wikipedia.org/wiki/Richard_T._Burke

    Burke founded UnitedHealth Group and played a significant role in the development of the HMO and Physicians Health Plan (PHP) while he worked at InterStudy, a think tank focused on health care with Dr. Paul M. Ellwood Jr. [2] [3] [4] Burke took the view that healthcare should be economized and hospital admissions should be limited, sometimes at the protest of doctors.

  9. Andrew Witty - Wikipedia

    en.wikipedia.org/wiki/Andrew_Witty

    On 6 December 2024, after the murder of former CEO of UnitedHealth Group's subsidiary company UnitedHealthcare, Brian Thompson, [32] a video was leaked in which Witty stated, "Our role is a critical role, and we make sure that care is safe, appropriate, and is delivered when people need it" and that the insurer will continue to prevent "unnecessary care" and advised that people refrain from ...