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  2. Oklahoma Health Care Authority - Wikipedia

    en.wikipedia.org/wiki/Oklahoma_Health_Care_Authority

    The Oklahoma Health Care Authority (OKHCA) is an agency of the government of Oklahoma responsible for providing health insurance benefits for the state's SoonerCare (Oklahoma Medicaid) members. The authority is the state-level counterpart to the federal Centers for Medicare and Medicaid Services. The authority is led by a board of directors ...

  3. Health Care Service Corporation - Wikipedia

    en.wikipedia.org/wiki/Health_Care_Service...

    Health Care Service Corporation is the licensee of the Blue Cross and Blue Shield Association for five states. It concentrates its operations in Illinois, Montana, New Mexico, Oklahoma, and Texas. HCSC is the fifth-largest health insurer in the US overall and employs more than 23,000 people. As of 2019, it was noted to be the third-largest ...

  4. Prescription monitoring program - Wikipedia

    en.wikipedia.org/.../Prescription_monitoring_program

    Prescription drug monitoring programs, or PDMPs, are an example of one initiative proposed to alleviate effects of the opioid crisis. [1] The programs are designed to restrict prescription drug abuse by limiting a patient's ability to obtain similar prescriptions from multiple providers (i.e. “doctor shopping”) and reducing diversion of controlled substances.

  5. Oklahoma Department of Insurance - Wikipedia

    en.wikipedia.org/wiki/Oklahoma_Department_of...

    The revenue for Oklahoma Insurance Department's budget is generated from the fees associated with the licenses. Since 2016, the OID has been non appropriated.According to the OID's 2018 Annual Report, the department's operations have produced $46.5 million to be given back to the State of Oklahoma budget for use by other state agencies.

  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.

  7. American Fidelity Assurance - Wikipedia

    en.wikipedia.org/wiki/American_Fidelity_Assurance

    American Fidelity Assurance (AFA) is an American private, family-owned life and health insurance company co-founded by C.W. and C.B. Cameron. It provides voluntary supplemental health insurance products (cancer, disability, life and hospital indemnity) and tax deferred annuities to education employees, auto dealerships, health care providers and municipal workers across the United States.

  8. Optum - Wikipedia

    en.wikipedia.org/wiki/Optum

    US$ 226.6 billion (2023) [1] Parent. UnitedHealth Group. Website. www.optum.com /en /. Optum, Inc. is an American healthcare company that provides technology services, pharmacy care services (including a pharmacy benefit manager) and various direct healthcare services. Optum was formed as a subsidiary of UnitedHealth Group in 2011 by merging ...

  9. GoHealth - Wikipedia

    en.wikipedia.org/wiki/GoHealth

    GoHealth. GoHealth, Inc. (stylized as GoHealth) is an American marketplace for Medicare plans including Medicare Advantage, MediGap and Medicare Part D, which are programs administered through private health insurance companies. [3][4] It also operates an online health insurance marketplace offering individual health insurance and short-term ...

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