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A preferred provider organization is a subscription-based medical care arrangement. [1] A membership allows a substantial discount below the regularly charged rates of the designated professionals partnered with the organization. Preferred provider organizations themselves earn money by charging an access fee to the insurance company for the ...
v. t. e. In the United States, a health maintenance organization (HMO) is a medical insurance group that provides health services for a fixed annual fee. [1] It is an organization that provides or arranges managed care for health insurance, self-funded health care benefit plans, individuals, and other entities, acting as a liaison with health ...
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.
March 6, 2024 at 3:57 PM. One of San Luis Obispo County’s largest healthcare providers could soon no longer be a part of Aetna’s network — a move that would leave residents throughout the ...
e. In the United States, an independent practice association (IPA) is an association of independent physicians, or other organizations that contracts with independent care delivery organizations, and provides services to managed care organizations on a negotiated per capita rate, flat retainer fee, or negotiated fee-for-service basis. [1][2]
Providence, Aetna reach deal to avoid health insurance lapse for 35,000 WA patients. Tri-City Herald staff. September 3, 2024 at 3:49 PM. Steve Bloom/sbloom@theolympian.com. A last-minute ...
A last-minute-agreement has thwarted a lapse for in-network coverage by the national insurer, Aetna, for Washington patients who rely on Providence for their health care. An estimated 35,000 ...
The terms "open panel" and "closed panel" are sometimes used to describe which health care providers in a community have the opportunity to participate in a plan. In a "closed panel" HMO, the network providers are either HMO employees (staff model) or members of large group practices with which the HMO has a contract.