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Aetna hit with $900M in surprise MA costs, CVS Health reports
Modern Healthcare· 4 days agoAetna is eyeing benefit cuts and other measures to lift Medicare Advantage profit margins from -3% to at least 4% over the next few years, CVS Health executives said.
Medicaid disclosure unfairly benefits Aetna, rival insurers say
Modern Healthcare· 6 days agoTexas gave two consultancies and a law firm a sneak peek into how managed care companies bid to run Texas’ $116 billion Medicaid program, which some insurers contend gave CVS Health's
Rising healthcare costs sink 1Q earnings for Aetna parent CVS
Hartford Business Journal· 4 days agoCVS Health Corp., parent of Hartford-based Aetna Inc., said Wednesday it experienced a dramatic drop...
State’s premature release of bid proposal info touches off new battle over $116 billion in Medicaid...
Texas Tribune via Yahoo Finance· 6 days agoSo far, eight insurance plans have filed protests in response to the state’s intent to award the new...
MultiPlan, insurance giants sued over out-of-network rates
Modern Healthcare· 6 days agoA rural health system sued technology company MultiPlan and eight of the country's largest insurance companies over alleged schemes to strongarm providers into accepting low ...
Are Consumer Driven Health Plans the right FEHB plan for you?
Government Executive· 4 days agoConsumer Driven Health Plans or CDHPs have been around for a while, but we still get lots of...
Collusion in Health Care Pricing? Regulators Are Asked to Investigate
New York Times· 4 days agoA data analytics firm has helped big health insurers cut payments to doctors, raising concerns about...
MultiPlan faces another price-fixing lawsuit
Becker’s Hospital Review· 7 days agoData analytics firm MultiPlan is facing another lawsuit alleging that it conspired with major payers to underpay providers by tens of billions annually. The lawsuit, filed ...
CVS slashes 2024 outlook — again — as Medicare seniors drive spending
Healthcare Dive via Yahoo Finance· 5 days agoRunaway inpatient spending in particular caused CVS’ insurance costs to snowball after returning “to...
CVS cuts annual profit forecast and flags challenges in 2025, shares fall 18%
Reuters via Yahoo Finance· 4 days agoCVS said it anticipates the surge in medical procedures that fueled higher costs for its Aetna...