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  2. L.A. Care Health Plan - Wikipedia

    en.wikipedia.org/wiki/L.A._Care_Health_Plan

    The Local Initiative Health Authority for Los Angeles County ( L.A. Care) is a public agency that provides health insurance for low-income individuals in Los Angeles County through four health coverage programs including Medi-Cal . Launched in 1997, in March 2022 LA Care was fined $55 million by the California Department of Managed Health Care ...

  3. Prior authorization - Wikipedia

    en.wikipedia.org/wiki/Prior_authorization

    Prior authorization is a check run by some insurance companies or third-party payers in the United States before they will agree to cover certain prescribed medications or medical procedures. [1] There are a number of reasons that insurance providers require prior authorization, including age, medical necessity, the availability of a generic ...

  4. Health Net - Wikipedia

    en.wikipedia.org/wiki/Health_Net

    Website. www .healthnet .com. Health Net, LLC, a subsidiary of Centene Corporation, is an American health care insurance provider. Health Net and its subsidiaries provide health plans for individuals, families, businesses and people with Medicare and Medicaid, as well as commercial, small business, and affordable care insurance.

  5. Cigna removes pre-authorization requirement for 25% of ... - AOL

    www.aol.com/news/cigna-removes-pre-authorization...

    (Reuters) - Health insurer Cigna Group said on Thursday it would remove the use of prior authorization or paperwork required to get approval for insurance coverage for 25% of medical services.

  6. Utilization management - Wikipedia

    en.wikipedia.org/wiki/Utilization_management

    Utilization management. Utilization management (UM) or utilization review is the use of managed care techniques such as prior authorization that allow payers, particularly health insurance companies, to manage the cost of health care benefits by assessing its appropriateness before it is provided using evidence-based criteria or guidelines.

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  9. California Hospital Medical Center - Wikipedia

    en.wikipedia.org/wiki/California_Hospital...

    California Hospital Medical Center (CHMC) was founded in 1887 by Dr. Walter Lindley and two other physicians. It was originally a three-story building located at 315 W. Sixth Street in Los Angeles. By 1902, CHMC turned into the largest and best-equipped physician-owned hospital west of Chicago and less than 25 years later, CHMC's old frame ...

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