|
EviCore
EviCore by Evernorth is a medical benefits management company owned by Cigna. It is based in Bluffton, South Carolina, United States. The company reviews prior authorizations for specialized medical procedures on behalf of insurers. It is the largest prior authorization company in the United States, working with over one hundred insurance companies and Medicaid programs. It also issues medical guidelines. As an outsourced medical review company, EviCore reviews claims for procedures, which it approves or denies based on the likelihood of approval as determined by an artificial intelligence algorithm. EviCore was formed by the 2014 merger of MedSolutions, Inc, and CareCore National. It was acquired in 2017 by Express Scripts and in 2018 by Cigna, which operates it through the subsidiary Evernorth. In the 2020s, it has used an artificial intelligence algorithm to review the likelihood of a claim being denied, which has been criticized as being motivated by profit. Medical organiza ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Bluffton, South Carolina
Bluffton is a town in southern Beaufort County, South Carolina, United States. The population as of the 2020 United States Census, 2020 census was 27,716, an increase of over 120% since the 2010 United States census, 2010 census, making it the List of municipalities in South Carolina, 17th-most populous municipality and one of the fastest growing municipalities in South Carolina. It is primarily located around U.S. Route 278 in South Carolina, U.S. Route 278 between Hilton Head Island and Interstate 95 in South Carolina, Interstate 95. Bluffton is a principal town within the Hilton Head Island–Bluffton metropolitan area, Hilton Head Island metropolitan area. The Lowcountry town's original one square mile area, now known as Old Town, is situated on a bluff along the May River. After the Tariff of 1842, Bluffton became a hotbed of separatist sentiment, which in turn led to a protest against federal taxes called the Bluffton Movement in 1844. Even though the movement quickly died o ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Bloomberg News
Bloomberg News (originally Bloomberg Business News) is an international news agency headquartered in New York City and a division of Bloomberg L.P. Content produced by Bloomberg News is disseminated through Bloomberg Terminals, Bloomberg Television, Bloomberg Radio, '' Bloomberg Businessweek'', '' Bloomberg Markets'', Bloomberg.com, and Bloomberg's mobile platforms. Since 2015, John Micklethwait has been editor-in-chief. History Bloomberg News was founded by Michael Bloomberg and Matthew Winkler in 1990 to deliver financial news reporting to Bloomberg Terminal subscribers. The agency was established in 1990 with a team of six people. Winkler was first editor-in-chief. In 2010, Bloomberg News included more than 2,300 editors and reporters in 72 countries and 146 news bureaus worldwide. Beginnings (1990–1995) Bloomberg Business News was created to expand the services offered through the terminals. According to Matthew Winkler, then a writer for ''The Wall Street Jo ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Centers For Medicare And Medicaid Services
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. In addition to these programs, CMS has other responsibilities, including the administrative simplification standards from the Health Insurance Portability and Accountability Act of 1996 (HIPAA), quality standards in long-term care facilities (more commonly referred to as nursing homes) through its survey and certification process, clinical laboratory quality standards under the Clinical Laboratory Improvement Amendments, and oversight of HealthCare.gov. CMS was previously known as the Health Care Financing Administration (HCFA) until 2001. CMS actively inspects and reports on every nursing home in the United States. This includes mai ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Cardiac Catheterization
Cardiac catheterization (heart cath) is the insertion of a catheter into a heart chamber, chamber or Blood vessel, vessel of the heart. This is done both for diagnostic and interventional purposes. A common example of cardiac catheterization is coronary catheterization that involves catheterization of the coronary arteries for coronary artery disease and myocardial infarctions ("heart attacks"). Catheterization is most often performed in special laboratories with fluoroscopy and highly maneuverable tables. These "cath labs" are often equipped with cabinets of catheters, stents, Balloon catheter, balloons, etc. of various sizes to increase efficiency. Monitors show the fluoroscopy imaging, electrocardiogram (ECG), pressure waves, and more. Uses Coronary angiography is a diagnostic procedure that allows visualization of the coronary vessels. Fluoroscopy is used to visualize the lumens of the arteries as a 2-D projection. Should these arteries show narrowing or blockage, then techni ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
HeinOnline
HeinOnline (HOL) is a commercial internet database service launched in 2000 by William S. Hein & Co. (WSH Co), a Buffalo, New York publisher specializing in legal materials. The company was founded in Buffalo, New York, in 1961, and is currently based in nearby Getzville, New York. In 2013, WSH Co. was the 33rd largest private company in western New York, with revenues of around $33 million and more than seventy employees. HeinOnline is a source for traditional legal materials (reported cases, statutes, government regulations, academic law reviews, commercially produced law journals and magazines, and classic treatises), historical, governmental, and political documents, legislative debates, legislative and executive branch reports, world constitutions, international treaties, and reports and other documents of international organizations. The database includes more than 192 million pages of materials "in an online, fully searchable, image-based format". New product award In 200 ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Houston Journal Of Health Law & Policy
The ''Houston Journal of Health Law & Policy'' is a biannual, open access, peer-reviewed, student-run, law journal covering issues in health law and policy. It was established in 1999 and is affiliated with the Health Law and Policy Institute at the University of Houston Law Center, in the United States. Each year, the fall issue is dedicated to a symposium organized by the journal that focuses on an emerging topic in health care law and policy. The journal's spring issue includes articles on a variety of topics. Editors-in-chief The following persons have been editor-in-chief An editor-in-chief (EIC), also known as lead editor or chief editor, is a publication's editorial leader who has final responsibility for its operations and policies. The editor-in-chief heads all departments of the organization and is held accoun ... of the journal: External links * American law journals Health law journals University of Houston Academic journals established in 2001 Engli ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Duty Of Care
In Tort, tort law, a duty of care is a legal Law of obligations, obligation that is imposed on an individual, requiring adherence to a standard of care, standard of Reasonable person, reasonable care to avoid careless acts that could foreseeably harm others, and lead to claim in negligence. It is the first element that must be established to proceed with an action in negligence. The claimant must Cause of action, be able to show a duty of care imposed by law that the defendant has breached. In turn, breaching a duty may subject an individual to liability. The duty of care may be imposed ''by operation of law'' between individuals who have no ''current'' direct relationship (familial or contractual or otherwise) but eventually become related in some manner, as defined by common law (meaning case law). Duty of care may be considered a formalisation of the social contract, the established and implicit responsibilities held by individuals/entities towards others within society. It ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Breach Of Contract
Breach of contract is a legal cause of action and a type of civil wrong, in which a binding agreement or bargained-for exchange is not honored by one or more of the parties to the contract by non-performance or interference with the other party's performance. Breach occurs when a party to a contract fails to fulfill its obligation(s), whether partially or wholly, as described in the contract, or communicates an intent to fail the obligation or otherwise appears not to be able to perform its obligation under the contract. Where there is breach of contract, the resulting damages have to be paid to the aggrieved party by the party breaching the contract. If a contract is rescinded, parties are legally allowed to undo the work unless doing so would directly charge the other party at that exact time. What constitutes a breach of contract There exists two elementary forms of breach of contract. The first is actual failure to perform the contract as and when specified constitutes ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Negligence
Negligence ( Lat. ''negligentia'') is a failure to exercise appropriate care expected to be exercised in similar circumstances. Within the scope of tort law, negligence pertains to harm caused by the violation of a duty of care through a negligent act or failure to act. The concept of negligence is linked to the obligation of individuals to exercise reasonable care in their actions and to consider foreseeable harm that their conduct might cause to other people or property. The elements of a negligence claim include the duty to act or refrain from action, breach of that duty, actual and proximate cause of harm, and damages. Someone who suffers loss caused by another's negligence may be able to sue for damages to compensate for their harm. Such loss may include physical injury, harm to property, psychiatric illness, or economic loss. Elements of negligence claims To successfully pursue a claim of negligence through a lawsuit, a plaintiff must establish the " elements" of neg ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
District Health Incorporated
A district is a type of administrative division that in some countries is managed by the local government. Across the world, areas known as "districts" vary greatly in size, spanning regions or counties, several municipalities, subdivisions of municipalities, school district, or political district. Etymology The word "district" in English is a loan word from French. It comes from Medieval Latin districtus–"exercising of justice, restraining of offenders". The earliest known English-language usage dates to 1611, in the work of lexicographer Randle Cotgrave. By country or territory Afghanistan In Afghanistan, a district (Persian ) is a subdivision of a province. There are almost 400 districts in the country. Australia Electoral districts are used in state elections. Districts were also used in several states as cadastral units for land titles. Some were used as squatting districts. New South Wales had several different types of districts used in the 21st centur ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Bloomberg L
Bloomberg may refer to: People * Daniel J. Bloomberg (1905–1984), audio engineer * Georgina Bloomberg (born 1983), professional equestrian * Michael Bloomberg (born 1942), American businessman and founder of Bloomberg L.P.; politician and mayor of New York City (2002–2013) * Ramon Bloomberg (born 1972), American artist and film director Other uses * Bloomberg L.P., financial news and media company founded by Michael Bloomberg ** Bloomberg News Bloomberg News (originally Bloomberg Business News) is an international news agency headquartered in New York City and a division of Bloomberg L.P. Content produced by Bloomberg News is disseminated through Bloomberg Terminals, Bloomberg T ..., a news agency ** '' Bloomberg Businessweek'', weekly business magazine and website ** '' Bloomberg Markets'', a monthly financial magazine ** Bloomberg Radio, a business radio network ** Bloomberg Television, a business news channel *** Bloomberg TV Canada *** Bloomberg TV ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Amazon Pharmacy
Amazon Pharmacy is an American online pharmacy which is a subsidiary of Amazon. The business was launched on November 17, 2020, initially offering pharmacy service only in the United States. Launch and business model On November 17, 2020, Amazon launched Amazon Pharmacy. The move was described as "arguably Amazon’s broadest push into the healthcare business to-date." Amazon Pharmacy's business is based on sales. The company offers free, two-day home delivery of prescriptions to Amazon Prime subscribers. Amazon Pharmacy requires customers to establish a secure pharmacy profile to manage insurance and medical information. At the time of its formation, Amazon Pharmacy's operation was limited to the United States. At the time of its launch, Amazon Pharmacy also announced its intention to offer a help line staffed by pharmacists and a discount program for uninsured customers. Challenges faced by Amazon Pharmacy include the need for customers to ask doctors to redirect prescriptions, ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
