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Aetna was awarded the third-party administration of the state health plan for three years starting in 2025, with the option to renew for two, one-year terms. The plan oversees health care spending ...
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 ...
ERISA Group Health Plan Administration, Health Plan Law Benefits Law – Federal & State Regulation of Group Benefit Plans, Partially Self Funded Group Health Plans - High Deductible Health Plans High Deductible Health Plans Today – Health Plans; MyHealthGuide (March 14, 2010), PPO Organizations Have Moved to the Side of the Hospitals
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 ...
www.wpshealth.com. 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. WPS also provides insurance claims processing services under ...
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. [1][2] PBMs operate inside of ...
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