Search for: "Aetna Inc"
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22 May 5:45 am
... reimbursing its plan members' visits to health care providers that are not part of the Aetna network," that is, to "nonparticipating" or
"out-of-network" providers. In re Aetna, Inc., Out-Of-Network "UCR" Rates Litig., ___ F.Supp.2d ___ (
... reasonable ('UCR') rates of reimbursement for out-of-network services based upon this data." Id. Defense attorneys for Aetna filed a motion
with the Judicial Panel for Multidistrict Litigation (MDL) requesting centralization of the class actions pursuant to 28 ...
11 Feb 1:00 pm
... joined doctors associations from Texas and other states in suing health insurers Aetna Inc. and
Cigna Corp. over a database they say was rigged to underpay ... separate lawsuit involving the AMA. Ingenix is a UnitedHealth subsidiary. The latest complaints accuse Aetna of deleting valid high charges from figures contributed to an Ingenix database. They also ... $160 using the Ingenix database. Medicare pays doctors $77
for the same visit. Aetna has already agreed to pay $20 million to help set up a new ...
16 Mar 1:54 pm
... the lady protest too much? That's the question, and the buzz, in home offices around the country:"Aetna Inc. and Humana Inc. capped a brisk week of trading Friday when their shares rose as several reports surfaced that
one insurer might want to buy the other."So far there's scant evidence that ... and UHC). Also, this might help to solve one of Humana's problems (network issues) and, perhaps, some of
Aetna's (lack of ability to actually write business). More later.
3 Nov, 2008 10:03 pm
... claims more liberally and institute reforms to resolve benefits disputes about eating disorders. Plantiffs' counsel estimated that about 530,000 of Aetna' 1.2 million policyholders are eligible for the new claims procedures. That could amount to $2 million in recoveries. Aetna ... this year, we won an appellate decision for a client suffering from bulimia. Jacobs v. Kaiser Foundation Health Plan, Inc., 04-57131 (C.D. Cal. Jan. 30, 2008). In that case, medical plan provider Kaiser, which did not ...
29 Dec, 2006 5:15 am
... companies for misrepresentation, breach of contract, unjust enrichment and conspiracy, alleging that defendants failed to reimburse pharmacies "according to an agreed-upon formula
for brand name prescriptions dispensed to Defendants' insureds." Main Drug, Inc. v. Aetna U.S.
Healthcare, Inc., 455 F.Supp.2d 1323, 1324 (M.D. Ala. 2006). Defense attorneys removed the action to federal court asserting, inter alia,
federal court jurisdiction under the ...
12 Mar, 2007 6:00 am
In Main Drug, Inc. v. Aetna U.S. Healthcare, Inc., ___ F.3d
___ (11th Cir. Jan. 16, 2007), the plaintiffs filed suit in state court, the defendants removed the action under CAFA, the district court denied the motion to remand, and the plaintiffs
filed a notice of appeal. The Eleventh Circuit dismissed the appeal for lack of jurisdiction, holding that it would be "too much of a stretch" to interpret a notice of appeal as a
petition for permission to appeal under CAFA ( ...
3 Mar, 2008 6:00 am
... and Kenneth Puentes appeal a summary judgment for defendant Wells Fargo Home Mortgage, Inc. (Wells Fargo), entered after the trial court
determined that as a matter of law they cannot ... unlawful practices' that the unfair competition law makes independently actionable." (Cel-Tech Communications, Inc. v. Los Angeles Cellular Telephone Co. (1999) 20 Cal.4th ... be actionable under . . . section 17200." (California Medical Assn. v. Aetna U.S. Healthcare of California, Inc. (2001) 94 Cal.App.4th 151, 169.) ...
15 Nov, 2006 9:30 am
... called a reasonable investigation."7 The implication is that in the no-liability ERISA case, no investigation is necessary. Aetna is far
more cautious about cases in the one state where HMOs and insurers are liable for their actions ... sound fades in and out. But the message in a newly disclosed videotape could not be
clearer: Aetna Inc. treats people who can sue for punitive damages better than those who can't."11
The tape and evidence in the case also show that following the Pilot Life decision, ...
16 Jan 6:34 am
... to pay out of his pocket." The AP (1/16, Murphy) also covers the story. Aetna settles suit, will pay $20 million. Bloomberg News (1/15,
Freifeld, Goldstein) reported, "Aetna Inc., the third-largest U.S. health insurer, settled an
investigation of reimbursement rates for ... doctors, New York Attorney General Andrew Cuomo said in a statement." The agreement stipulates that Aetna is "to pay $20 million to a qualified nonprofit organization that will establish a new database to help determine ...
24 Aug, 2006 9:41 am
... keynote speech at the 2005 Spring Meeting of the Licensing Executive Society (USA and Canada) Inc., billed as the first formal speech about
his career, Katz recalled the day in the early 1990s ... ; Hilton Reservations Worldwide, LLC; Hilton Honors Worldwide LLC; Marriott International, Inc.; Marriott Worldwide Reservation Services, LLC; and National Railroad Passenger Corporation d/b/a Amtrak and Ronald A. Katz Technology Licensing, L.P. v.
Aetna Inc.; Aetna RX Home Delivery, LLC; Wellpoint,
Inc.; ...
16 Sep 11:02 am
... you need any incentive: ANNUAL COMPENSATION 2007: * Ronald A. Williams, Chair/ CEO, Aetna Inc.,
$23,045,834 * H. Edward Hanway, Chair/ CEO, Cigna Corp, ... CEO, Medco Health, $21.76 million * Michael B. MCallister, CEO, Humana Inc, $20.06
million * Stephen J. Hemsley, CEO, UnitedHealth Group, $13,164, ... have been abused. In 1995, the Boston Globe found that Nationwide, Allstate, State Farm, Aetna, Metropolitan Life, The Equitable Companies, First Colony Life, The Prudential and the Principal Financial ...
7 Oct, 2008 11:03 am
Arbitration providing individual with due process equivalent to that provided by statute held appropriate Guyden v Aetna, Inc., USCA 2nd Circuit, Docket #06-4954-cv, Decided October 2, 2008 Linda C. Guyden sued Aetna, ... dismissed her
petition, ruling that she was required to avail herself of the arbitration agreement set out in her contract of employment with Aetna. The
court rejected Guyde's theory that her whistleblower claim under the Sarbanes-Oxley Act is nonarbitrable because arbitration is ...
18 Dec, 2008 8:37 pm
... sure what this means, but these two stories just popped onto the radar.First, the good news:"Humana Inc. is increasing its expansion at a
distribution facility in West Chester with another 300 employees...Humana currently has more than 100 employees at ... can only be viewed as "a good thing."For our friends in The Nutmeg
State, however, are about to see the other side of the equation:"Aetna Inc. is laying off 1,000
employees companywide, including 375 in Connecticut -- about 5 percent of its work ...
2 Jun 2:19 am
... uninsured. Families USA used federal data compiled by actuarial consulting firm Milliman Inc. Ronald A. Williams, the chairman and chief
executive of Aetna Inc., appeared at a news conference with Families USA officials to support the
findings. ... other healthcare providers have unreimbursed expenses, they generally increase what they charge private insurance companies like Aetna in order to make up for it. The insurance companies then pass on these increased costs as higher premiums. According to ...
21 Jul 3:30 am
... 048,179 Bart Colli, ARAMARK Corporation, PA, $1,037,981 Scott Rozzell, CenterPoint Energy, Inc., TX, $1,035,513 Kenneth Siegel, Starwood
Hotels & Resorts, NY, $1,032 ... Foot Locker Inc., NY, $901,421 Gary Chadick, Rockwell Collins, Inc., IA, $897,420 William Casazza, Aetna Inc., CT, $895,491 R. Edwin
Selover, Public Service Enterprise, ... $1,133,333 Ellen Fitzsimmons, CSX Corporation, $1,092,500 Cheryl Hodges, Omnicare, Inc., KY, $1,081,689
Susan Lanigan, Dollar General Corporation, TN, $1,048,179 ...
26 Jan, 2007 3:01 pm
... that contained computer backup tapes with information on Nationwide Health Plan customers was taken during an Oct. 26 break-in at Concentra Preferred Systems in Weymouth, Mass.,
Columbus-based Nationwide said. In that theft, backup tapes of medical claim data of about 130,000 Aetna Inc. health insurance members also were taken, Aetna said in December. For the complete article, click here. Source:
MercuryNews.com
16 Feb, 2008 1:18 pm
... one major roadblock: Many health insurers wouldn't pay for it. Until now. In recent weeks, Aetna Inc., the nation's largest insurer, and Cigna Corp. have agreed to reimburse doctors for online visits. Other large insurers are expected to follow, experts
say. These new online ... -care doctor and longer for a specialist. ... To have immediate access is huge," said Dr. Melissa Welch, Aetna's
medical director for northern California. "Paying doctors to do more patient care over the ...
14 Jan 7:04 am
... , is this an election year? UPDATE [HGS, 1/17/09]: Well, well, well:"Another health insurer, Hartford, Conn.-based Aetna Inc., also agreed Thursday to pay $20 million toward the creation of that database...UnitedHealth said Tuesday it will close the databases and help fund the
creation of a new one to be operated by a nonprofit organization. Aetna announced Thursday it will chip in, too."So is this the end of
Ingenix?Time will tell.
14 Apr 8:44 pm
The Senate Finance Committee recently announced that it will hold a roundtable to discuss reforming America's health care delivery system at 10:00 a.m. on April 21, 2009. Among others,
witnesses will include representatives from the Blue Cross Blue Shield Association, Medicare Payment Advisory Commission, Department of Health and Human Services' Office of Inspector
General, American College of Physicians, American Hospital Association and Aetna, Inc.
23 Jun 12:33 pm
... hearing will include a myriad of witnesses, including (but not limited to) individuals associated with the Georgetown Public Policy Institute, Physicians for a National Health
Program, Pacific Business Group on Health, AARP, U.S. Chamber of Commerce, American Academy of Family Physicians, Federation of American Hospitals and Aetna, Inc.
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