Ever wonder if people really stand up at weddings when the pastor asks if there is anybody who believes the couple shouldn’t get married? Judge Richard Leon just did that when he interrupted CVS and Aetna’s $70 billion merger. Leon, according to Modern Healthcare, told the two healthcare giants they had until December 14 to show ...
In CMS
Nov 13th, 2018
Proton therapy has been a tough sell for payers, but recent $25 million Oklahoma decision against Aetna may make them reconsider coverage for the spreading radiation therapy technique. Proton Tx Considered Best Choice According to the Associated Press, jurors believed Aetna reckless disregarded its duty to deal fairly and in good faith with Orrana Cunningham.  ...
In CMS
Oct 10th, 2018
The Department of Justice preliminary OK’d the merger between pharmacy giant CVS and insurance stalwart Aetna. What does this new model of healthcare mean to medical coders and the industry? CVS & Aetna Symbiotic Partners Aetna will take advantage of CVS’ huge network of locations, all of which distribute pharmaceuticals and most of which have some level ...
In Billing
Sep 28th, 2018
Patients may be asking providers’ staffs, including medical coders, about Aetna’s plan to sell its Medicare Part D drug plan business to WellCare Group. And providers’ staff should also stay on top of the change. Part D Sale to Help CVS Merger Aetna’s sale will affect 2.2 million members as of June, according to CNBC, but ...
May 31st, 2018
Aetna, bruised by a PHI breach where letters detailing a lawsuit settlement were sent to HIV-positive members revealing their status, is now suing the plaintiffs in the original 2014 class action lawsuit  for $20 million, blaming a consumer advocacy group and law firm for their woes. Aetna demands $20 million and indemnification from any actions related to the breach. ...