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  2. Vote to fire Blue Cross as health plan administrator was ...

    www.aol.com/news/vote-fire-blue-cross-health...

    The decision to move administration of the State Health Plan to Aetna from Blue Cross Blue Shield of North Carolina, which has been the third-party administrator for more than 40 years, came in a ...

  3. Self-funded health care - Wikipedia

    en.wikipedia.org/wiki/Self-funded_health_care

    Self-funded health care, also known as Administrative Services Only ( ASO ), is a self insurance arrangement in the United States whereby an employer provides health or disability benefits to employees using the company's own funds. [1] This is different from fully insured plans where the employer contracts an insurance company to cover the ...

  4. Third-party administrator - Wikipedia

    en.wikipedia.org/wiki/Third-party_administrator

    Third-party administrator. In the United States, a third-party administrator ( TPA) is an organization that processes insurance claims or certain aspects of employee benefit plans for a separate entity. [1] It is also a term used to define organizations within the insurance industry which administer other services such as underwriting and ...

  5. Pharmacy benefit management - Wikipedia

    en.wikipedia.org/wiki/Pharmacy_benefit_management

    Pharmacy benefit management. In the United States, a pharmacy benefit manager ( PBM) is a third-party administrator of prescription drug programs for commercial health plans, self-insured employer plans, Medicare Part D plans, the Federal Employees Health Benefits Program, and state government employee plans.

  6. Wisconsin Physicians Service - Wikipedia

    en.wikipedia.org/wiki/Wisconsin_Physicians_Service

    Wisconsin Physicians Service Insurance Corporation (WPS Health Solutions) is a not-for-profit service insurance corporation based in Madison, Wisconsin.WPS offers health insurance plans for groups and individuals and benefit plan administration for businesses.

  7. Centers for Medicare & Medicaid Services - Wikipedia

    en.wikipedia.org/wiki/Centers_for_Medicare...

    The Centers for Medicare & Medicaid Services ( CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.

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