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22 Aug 2014, 1:18 pm by Marty Lederman
As promised, the federal government today issued an an interim final rule in which it has augmented the secondary accommodation for nonprofit religious employers that have religious objections to including contraceptive coverage in their employee (or student) insurance plans. [read post]
21 Aug 2014, 10:46 am
So when that Relative Value committee essentially sets Medicare's fees, they're also effectively setting Anthem's, and Aetna's and Humana's (to name a few). [read post]
20 Aug 2014, 11:47 am
.■ Finally, Thanks to Bob, we'll leave you with this eye-opening video of Aetna Chairman Mark Bertolini discussing the major changes to our health care system. [read post]
11 Aug 2014, 3:15 pm
But by the end of June Aetna had less than 600,000 paying customers, IBD reports, and the company expects paying customers to fall to “just over 500,000″ by the end of 2015. [read post]
30 Jul 2014, 7:19 am
"And remember, Aetna's not even the biggest boy on the block; what happens when Blue Cross or UHC take their place in line? [read post]
23 Jul 2014, 11:50 pm by Marty Lederman
As I've discussed, the Supreme Court in Hobby Lobby in effect redirected the most contentious questions in the contraceptive-coverage challenges to those cases in which nonprofit organizations are challenging the government's regulatory accommodation for objecting religious nonprofit organizations. [read post]
18 Jul 2014, 11:33 am by Marty Lederman
 Application of the accommodation in the case of “self-insured” plans, however, may raise slightly more complicated questions.Insured plansMost employers purchase their employees’ insurance coverage from an insurance company, or issuer, such as Aetna or Blue Cross/Blue Shield. [read post]
15 Jul 2014, 12:26 pm
And it also poses a parallel problem, which we addressed last week:"Sick enrollees may be more likely to stick with their QHPs, even if prices rise, because they are in the middle of courses of treatment and need to keep their doctors and hospitals"Now, we fisked this point on its merits, but the larger issue is that, once these people have insurance, and especially subsidized policies, it doesn't really matter to the system whether they're with (for example) Anthem or… [read post]
14 Jul 2014, 12:57 pm
  Back in January the Aetna CEO said the same thing and we commented on it:CMS pays private insurers to take over the risk for each senior who enrolls for Medicare Advantage. [read post]
10 Jul 2014, 7:05 pm by Maureen Johnston
The petitions of the day are: Aetna Life Insurance Company v. [read post]
4 Jul 2014, 10:43 am by Marty Lederman
[Originally published in slightly different form at SCOTUSblog, together with an excellent supplemental post by Tom Goldstein, as to which I've incorporated a couple of responses, noted herein.]By a 6-3 vote yesterday afternoon, the Supreme Court issued this interim order in an “ACA contraceptive coverage” case brought by a religious nonprofit organization, Wheaton College:If the applicant informs the Secretary of Health and Human Services in writing that it is a non-profit… [read post]
14 Jun 2014, 2:58 am by Marty Lederman
First, it is of course true that the employer’s earlier decision to contract with a particular insurer—in the case of Aquinas College, that would be Blue Cross Blue Shield instead of, say, Aetna—is what causes thatinsurer, rather than all the other insurers throughout the land, to make payments to these particular employees. [read post]
12 Jun 2014, 4:19 pm by Amy Howe
Aetna Life Insurance Company, in which the government had recommended that cert. be denied. [read post]
4 Jun 2014, 7:41 pm by Schachtman
Aetna Ins., 24 Ohio Misc. 27, 52 Ohio Op. 2d 316, 259 N.E.2d 177, 177-79 (Ohio Mun. [read post]
3 Jun 2014, 7:15 am by Maureen Johnston
Aetna Life Insurance Company 13-130Issue: (1) Whether an Employee Retirement Income Security Act (ERISA) plan may enforce an equitable lien by agreement under Section 502(a)(3) of ERISA where it has not identified a particular fund that is in the defendant’s possession and control at the time the Plan asserts its equitable lien; and (2) whether a discretionary clause in an ERISA plan mandating that an abuse-of-discretion standard of judicial review be applied to a Section… [read post]
30 May 2014, 9:20 am by Amy Howe
Aetna Life Insurance Co. involves a dispute under the Employee Retirement Income Security Act (ERISA) that arose from the denial of long-term disability benefits for petitioner Sharon Thurber, who was injured in an automobile accident. [read post]