Level of severity review,” which determines reimbursement, has drawn the ire of the American Hospital Association.

Aetna’s new “level of severity inpatient payment” policy is now set to take effect Jan. 1, 2026, the company recently announced, along with providing additional details about the policy. The policy ...

The Justice Department accused three of the nation’s largest health insurers of paying hundreds of millions of dollars in kickbacks to brokers in exchange for steering patients into the insurers’ ...

Aetna is rolling out a new artificial-intelligence-powered, conversational tool designed to make it easier for members to ...

Aetna settled a lawsuit after a former medical director said under oath that he didn’t review patients’ medical records when making coverage decisions, according to CNN. The testimony, first reported ...

Attorneys from the U.S. Department of Justice and insurers Aetna and Humana answered a judge’s closing questions during the final day of an antitrust trial in Washington, D.C., Wednesday, Hartford ...

The Trump administration has officially released the data on the 2026 Star Ratings for Medicare Advantage, and multiple leading payers have slipped this year amid more stringent requirements. Per an ...

In this segment, Dr. Ben Kornitzer offers Medicare Advantage 101: what it is, who is eligible and understanding plan options. He also shares the important questions you should ask before enrolling and ...

Aetna is once again trying to require adherence codes G8851, G8854 and G8855 for reimbursement for CPAP devices or supplies, the Midwest Association for Medical Equipment Services & Suppliers (MAMES) ...

Miami-Dade's more than 31,000 county employees are on track for a new insurance provider after Aetna ousted longtime administrator AvMed in a County Commission vote on Wednesday. The planned change ...