On Monday the Justice department gave the $52 billion merger between Cigna and Express Scripts a green light. The health insurance giant and massive pharmacy benefits manager aim to cut costs of care.
The deal passed a shareholder vote toward the end of August but the DOJ's vote was the last major obstacle to clear, all that...National News
Uncertainty surrounds potential mega-healthcare mergers as the CVS-Aetna deal and Cigna's acquisition of Express Scripts are in question. Just last year, the Justice Department thwarted the Cigna-Anthem and Aetna-Humana mergers.
The California Insurance Commissioner is adamant that the CVS-Aetna $69 billion merger proposal be blocked...National News
CMS said it will increase payments to privately run health plans for the elderly by an average of 3.4 percent next year, almost double the amount it had previously estimated.
Insurers such as UnitedHealth Group Inc. and Humana Inc. have big lines of business selling Medicare Advantage plans. Including changes based on how sick or...National News
Drug manufacturers often give insurance companies discounts on prescription drugs, but what happens to the savings has not been clear.
Beginning in 2019, Aetna will automatically apply these rebates at the time of sale for its commercial fully insured plan members.
The change will mostly benefit those with high-deductible health...
Attention focused after a former Aetna medical director admitted he never reviewed patient medical records when deciding whether to authorize treatment.
California Insurance Commissioner Dave Jones confirmed he is launching an investigation into Aetna's processes in denying claims and requests for prior authorization for care, as...
Medicare Advantage enrollment is projected to rise to 38 million, or 50% market penetration, by the end of 2025.
Anthem, Humana and WellCare Health Plans are signaling plans to aggressively grow their Medicare Advantage businesses with the help of mergers and acquisitions. The three health insurers are in a competitive battle with...Arizona Comings & Goings
Dr. Gina Conflitti was named VP and CMO for Medicaid at Aetna. She was previously CMO national accounts and a regional medical director, but began her local Medicaid career as CMO of Mercy Care Plan.Arizona News
The idea is to offer health plans in Maricopa County that promise to save employers money on health insurance premiums.
This is the first time the two organizations not only jointly govern the health plans they are launching, but also will share in the risks of the plans' financial success, said Dr. David Hanekom, CEO of Arizona Care...
The potential merger between CVS and Aetna could be worth more than $66 billion.
The online retailer Amazon's flirtation with the pharmacy business has been raised as a factor in the merger. But many industry experts say CVS and Aetna have another huge competitor on their minds: UnitedHealth Group. Kaiser Health News quotes Ana Gupte,...
The window of an informational letter revealed personal health information, including HIV status.
Customers were affected in Arizona, California, Georgia, Illinois, New Jersey, New York, Ohio, Pennsylvania and the District of Columbia.
Legal Action Center and the AIDS Law Project of Pennsylvania immediately engaged Aetna with a...Arizona News
Citing financial risk and an uncertain outlook.
People who purchased health insurance directly from Aetna can keep their plans through the end of this year but will need to search for other options in 2018.
Aetna did not offer subsidized plans through the Affordable Care Act marketplace this year, but it did sell "off-exchange"...
