American managed health care company
Major health insurance companies are nearing too big to fail status: The massive expansion of health insurance companies raises big questions about cost ...
axios.com/2024/04/19/health-insurance-companies-uhg-aetna-cigna
A little-known data firm called MultiPlan helps UnitedHealthcare, Cigna, Aetna and other big insurers make more when less of an out-of-network claim gets paid ... Show more www.nytimes.com/2024/04/07/us/health-insurance-medical-bills.html
Aetna lawsuit could reshape MA supplemental benefits: A clinically integrated network sued CVS Health subsidiary Aetna, alleging the insurer passes the cost of ...
modernhealthcare.com/legal/medicare-advantage-benefts-aetna-lawsuit
Paid articlePaid
AHA seeks federal probe of MultiPlan, insurers: The American Hospital Association alleges MultiPlan and several health insurers may be overcharging patients and ...
modernhealthcare.com/insurance/multiplan-cigna-aetna-unitedhealth-labor-department-aha
Paid articlePaid CVS-Aetna leads for-profit insurers' Medicare Advantage enrollment surge: For-profit insurers led by CVS Health's Aetna are gobbling up the majority of new ...
axios.com/2024/03/06/medicare-advantage-growth-aetna-cvs
Aetna and Dignity are locked in a contract dispute: Will you lose your health coverage?
sacbee.com/news/local/health-and-medicine/article286440525.html
Health insurers are utilizing generative AI to reduce administrative costs and improve customer service. ow.ly/o90B50QBWFm
Aetna forecasts higher Medicare Advantage costs: CVS Health subsidiary Aetna is the latest Medicare Advantage insurer to report challenges in the segment.
modernhealthcare.com/insurance/cvs-health-medicare-advantage-utilization-2024
Paid articlePaid Rising Medicare Advantage costs squeeze providers, insurers, tech: Insurers such as UnitedHealth Group and Humana say higher expenses are squeezing the Medicare ...
modernhealthcare.com/medicare/medicare-advantage-costs-humana-aetna-cano-health-caremax
Paid articlePaid
Enrolled in SoonerCare? Expect changes starting Thursday: The state contracted with Aetna Better Health of Oklahoma, Humana Healthy Horizons and Oklahoma ...
oklahoman.com/story/news/2024/02/01/soonercare-enrollment-changes-starting-february-how-to-choose-plan/72426271007/
Medicare Advantage 2024 enrollment: Winners and losers: UnitedHealthcare and Humana still lead the Medicare Advantage market but Aetna, a few Blue Cross and Blue ...
modernhealthcare.com/insurance/medicare-advantage-enrollment-2024-unitedhealth-humana-aetna
Paid articlePaid
Getting your prescription filled at Target is about to get a lot harder: A major pharmacy just made a cost-cutting move.
charlotteobserver.com/news/business/article284144213.html
JPM 2024: Oscar Health boasts 31% marketplace growth: Oscar Health's Mark Bertolini expects to enter the individual exchange health reimbursement arrangement ...
modernhealthcare.com/insurance/jpm-2024-oscar-health-mark-bertolini-marketplace
Paid articlePaid AmeriHealth Caritas taps new president, CEO: Kelly Munson was named president and CEO of AmeriHealth Caritas.
modernhealthcare.com/people/amerihealth-caritas-kelly-munson-ceo-cvs-aetna
Paid articlePaid CVS raises Aetna Medicare Advantage projections for 2024: Aetna signed up more beneficiaries than expected during the Medicare open enrollment period that closed ...
modernhealthcare.com/insurance/cvs-health-aetna-medicare-advantage-enrollment
Paid articlePaid
When Health Insurers Break State Laws: States have passed hundreds of laws to protect people from wrongful insurance denials. Yet from emergency services to ...
propublica.org/article/health-insurance-denials-breaking-state-laws
Rollback of telehealth coverage threatens access, system CEO says: Aetna's plans to cut telehealth coverage could limit access to mental healthcare ...
modernhealthcare.com/providers/telehealth-coverage-cuts-hackensack-meridian-robert-garrett-aetna
Insurers, providers clash over telehealth pay post-pandemic: CVS subsidiary Aetna will stop paying for dozens of virtual care services Dec. 1 ...
ow.ly/4qTg50PUG4a
CVS Health subsidiary Aetna will end commercial coverage for approximately 80 virtual services Dec. 1. Show more
Oscar Health eyes exchanges expansion in 2024, Bertolini says: Oscar Health narrowed its net loss 86.2% to $15.4 million as revenue grew 49.6% to $1 ...
modernhealthcare.com/insurance/oscar-health-insurance-exchanges-2024-mark-bertolini
Paid articlePaid AdventHealth-MultiPlan suit spotlights out-of-network pay fight: The AdventHealth-MultiPlan lawsuit is the latest example of the litigious relationship between ...
modernhealthcare.com/legal/adventhealth-multiplan-lawsuit-out-of-network-pay
Paid articlePaid
CVS's earnings show that its healthcare investments have really paid off: The drug store chain also announced cost-curbing moves, including cutting 5,000 jobs
qz.com/cvss-earnings-show-that-its-healthcare-investments-have-1850701524
Paid articlePaidQuick Glance: CVS Health eliminates 5,000 jobs in restructuring plan
- CVS Health cuts about 5,000 non customer-facing roles to reduce costs after recent acquisitions.
- CEO Karen Lynch stated during an earnings conference call that the $496 million restructuring charge in Q2 was due to job cuts and impairment charges.
- The Wall Street Journal first reported the job cuts earlier this week.
Stage set for ‘bloodbath’ insurer-employer contract negotiations: Health insurance companies, providers and employers are sparring over how much rates need to ...
modernhealthcare.com/payment/insurance-premiums-rise
Paid articlePaid Aetna, Optum to face revived 'dummy code' lawsuit: CVS Health's Aetna and UnitedHealth Group's OptumHealth must face a class of nearly 88 ...
modernhealthcare.com/legal/aetna-optum-dummy-code-lawsuit-cvs-unitedhealth
CVS expects $1B hit from Medicare Advantage star ratings dip: CVS Health subsidiary Aetna enrolled just 21% of its Medicare Advantage members in plans with four- ...
modernhealthcare.com/finance/medicare-advantage-star-rating-cvs-health-aetna-2024
Oscar’s Schlosser out as CEO, ex-Aetna chief Bertolini in: Oscar Health, billed as a health insurance company for the 21st century, has hired Mark Bertolini ...
modernhealthcare.com/people/oscar-health-mark-bertolini-ceo-mario-schlosser-joshua-kushner
Oscar Health to exit California amid restructuring: Oscar Health narrowed its net loss 48.7% to $39.6 million during the first quarter.
modernhealthcare.com/finance/oscar-health-california-mark-bertolini
Straight? Your fertility treatments are covered. Queer? Tough luck: Insurance told us fertility is covered if “if he or she is unable to conceive or produce ...
sfchronicle.com/opinion/openforum/article/fertility-treatments-insurance-lgbtq-17915851.php
CVS Health names former Humana exec as president of Aetna: Brian Kane will replace Dan Finke, who is stepping down from the role for health reasons.
modernhealthcare.com/people/cvs-health-aetna-president-brian-kane-humana
Aetna, UC clash over contract terms. Why it may disrupt care for thousands of patients
sacbee.com/news/local/health-and-medicine/article274104740.html
Oscar Health's new CEO Mark Bertolini shares his plans for the insurer: Oscar Health sought to disrupt the insurance industry's incumbents. Now it's tapped the ...
businessinsider.com/oscar-health-new-ceo-mark-bertolini-interview-2023-3
Paid articlePaid
CVS digs into primary care with $9.5 bln Oak Street Health deal: CVS Health Corp (CVS.N) will buy Oak Street Health Inc (OSH.N) for about $9.5 billion in cash ...
reuters.com/markets/deals/cvs-health-buy-oak-street-health-95-bln-2023-02-08/
I wrote about high-priced drugs for years. Then my toddler needed one.: Despite being a health and science reporter, I still got lost when my son got sick as I ...
washingtonpost.com/wellness/2023/01/30/high-priced-drugs-step-insurance-policies/
Blue Cross ramps up drive to win back State Health Plan contract: Blue Cross NC asks state judges to overturn decision giving the massive State Health Plan ...
charlotteobserver.com/article272528193.html
New documents show how Aetna won NC’s State Health Plan contract: Documents: Blue Cross NC had the lowest bid, but Aetna offered better service for North ...
charlotteobserver.com/news/politics-government/article272217163.html
Opinion: Transforming nursing through digital innovation: Automating key processes and tasks can help healthcare facilities support staff amid the current ...
modernhealthcare.com/opinion/automation-nursing-care-retention-aetna-julia-bietsch
State Health Plan emails show ‘lost confidence’ in Blue Cross NC before big switch
charlotteobserver.com/news/politics-government/article271363512.html
Q&A: What does the Blue Cross NC ouster mean for State Health Plan members?: Changes are expected for state employees if Aetna takes over as State Health Plan ...
charlotteobserver.com/news/politics-government/article271054812.html
CVS searches for 'the right asset': Day 2 at J.P. Morgan 2023 healthcare conference
modernhealthcare.com/finance/jp-morgan-2023-healthcare-conference-live-updates-day-2
Vote to fire Blue Cross as health plan administrator was unanimous, NC treasurer says
charlotteobserver.com/news/politics-government/article270860642.html
State Health Plan ousts longtime insurer Blue Cross NC, signs new contract with Aetna
charlotteobserver.com/news/business/article270757437.html
College student health insurance costs can blindside families: Many colleges require students to have health insurance coverage and pay a fee to cover health ...
latimes.com/california/story/2022-12-16/college-student-health-insurance-costs-can-blindside-families
Aetna settles spinal surgery lawsuits: Patients allege Aetna improperly and systematically denied to cover lumbar artificial disc replacement surgeries ...
modernhealthcare.com/legal/aetna-lumbar-disc-surgery-lawsuits-settled
CVS expects $2B hit from Medicare Advantage ratings, Centene losses: Declines in CVS Health's pharmacy business and an opioid settlement led to a $3 ...
modernhealthcare.com/finance/cvs-earnings-report-reveals-34b-net-loss
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