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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
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...
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...
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 ...
MultiPlan faces another price-fixing lawsuit
Becker’s Hospital Review· 6 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 ...
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...
MARPAI TO HOST WEBCAST ON MAY 10, 2024 TO DISCUSS FIRST QUARTER 2024 FINANCIAL RESULTS
Loudoun Times-Mirror· 2 days agoMarpai, Inc. ("Marpai" or the "Company") (Nasdaq: MRAI), an independent national Third-Party Administration (TPA) company transforming the $22 billion TPA market supporting self-funded employer ...
Dignity ends Anthem contract after other insurance disputes
Santa Maria Sun· 6 days agoAs of July 16, Central Coast residents insured by Anthem Blue Cross lost in-network coverage at Marian Regional Medical Center in Santa Maria, Arroyo Grande Community Hospital, and French Hospital ...
CVS cuts annual profit forecast and flags challenges in 2025, shares fall 18% By Reuters
Investing.com· 4 days agoThe U.S. healthcare conglomerate said it now expects 2024 adjusted earnings of at least $7.00 per...