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8 May 2023, 5:00 am by Wachler & Associates, P.C.
Some of the most popular MA health plans are administered by Humana, UnitedHealthcare, Aetna, BlueCross BlueShield, and Cigna. [read post]
1 Mar 2023, 12:35 pm by Ben Vernia
”In the Settlement Agreement, the United States alleged that Numotion did not disclose all discounts Numotion received from, or the cost Numotion actually paid to, DME manufacturers when submitting claims for manually priced DME to Kentucky Medicaid, two Kentucky Medicaid MCOs (Aetna Better Health of Kentucky and WellCare of Kentucky), MO HealthNet, and D.C. [read post]
4 Feb 2023, 3:20 am by Cynthia Marcotte Stamer
,  Clinical Laboratory Pays $25,000 To Settle Potential HIPAA Security Rule Violations (May 25, 2021); Health Insurer Pays $5.1 Million to Settle Data Breach Affecting Over 9.3 Million People (January 15, 2021); Aetna Pays $1,000,000 to Settle Three HIPAA Breaches(October 28, 2020); Health Insurer Pays $6.85 Million to Settle Data Breach Affecting Over 10.4 Million People (September 25, 2020); HIPAA Business Associate Pays $2.3 Million to Settle… [read post]
31 Jan 2023, 9:31 am by Greg Reed
What To Do When Someone I know becomes Disabled Part 3 Appealing for benefits is best done under the guidance of an experienced disability lawyer. [read post]
25 Jan 2023, 11:02 am by Brad Schnure
” According to NJ.com, the City of Trenton says it will save more than $4 million annually by switching from the SHBP to Aetna. [read post]
17 Jan 2023, 3:00 am by Chip Merlin
Two of the actions against insurers were for selling health-benefit plans that did not comply with the law, and only one concerned claim practices; Aetna Health was fined $ 850,000 for improperly delaying and denying claims and misinforming consumers. [read post]
16 Jan 2023, 9:17 am by Chip Merlin
One Aetna bulletin from 1964 advised underwriters to ‘use a red line around questionable areas on territorial maps. [read post]
26 Oct 2022, 5:45 pm by Sabrina I. Pacifici
On May 26, 2022, following reports that patients were facing barriers to accessing birth control without cost-sharing, Chairwoman Maloney sent letters to health insurers UnitedHealth, Anthem, Aetna, Cigna, and Humana and pharmacy benefit managers CVS Caremark, Express Scripts, OptumRx, and Prime Therapeutics, requesting information regarding zero-cost coverage of contraceptives and related services for individuals enrolled in private health plans, as required by the ACA. [read post]
25 Oct 2022, 1:50 am by Kevin Kaufman
Launch Our Interactive Tool Executive Summary The Tax Foundation’s State Business Tax Climate Index enables business leaders, government policymakers, and taxpayers to gauge how their states’ tax systems compare. [read post]
6 Oct 2022, 6:03 am by Dan Bressler
Take, for example, pharmaceutical company Merck’s lawsuit against insurer Aetna, or cookie manufacturer Mondelez’s dispute with insurer Zurich, both regarding the NotPetya ransomware attack. [read post]
5 Oct 2022, 4:11 am by Robert Liles
Enforcement Efforts Targeting Aquatic Therapy Providers and CPT Code 97113 Claims (October 3, 2022): Aquatic therapy is a common method of rehabilitation and maintenance for several types of injuries and conditions, and the practice is widely accepted by Medicare, Medicaid and many private payors. [read post]
An example of an unmitigable OCI was presented in Aetna Government Health Plans, Inc., B-254397 et al., Jul. 27, 1995, 95-2 CPD ¶ 129. [read post]