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Maryland market threatens to push more Medicare Advantage plans out of state
29 Aug 2025 15:43 GMT
… of Maryland Medicare recipients use a supplemental Medicare care program … are considering terminating their Medicare Advantage plans in the … plans in Maryland are Aetna, Humana, Cigna and … that protects the Maryland Medicare beneficiaries,” Puente said.
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Clinics, patients fight Medicare claim denials
27 Aug 2025 20:58 GMT
… claims denied overall.
Medicare Advantage plans (Medicare Part C) … years — particularly among Medicare Advantage and commercial plans. … — Medicare or otherwise — stem from those with Aetna or … the issues with Aetna, her Medicare Advantage provider throughout …
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CVS Strangled, Then Swallowed, Rite Aid
31 Aug 2025 21:14 GMT
… 290 million fine for defrauding Medicare, bankruptcy trustees representing Rite … and the insurance giant Aetna.
The lawsuit suggests that … 107,400 percent, leading Medicare regulators to ban the … the ban will reduce Medicare beneficiaries’ out-of-pocket …
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New rules force CVS, Walgreens to limit COVID vaccine access in 13 states
30 Aug 2025 21:54 GMT
… $290M AFTER MEDICARE FRAUD SCHEME EXPOSED BY FORMER AETNA WHISTLEBLOWER
Masked senior …
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Cannibalism At The Pharmacy Counter
30 Aug 2025 00:15 GMT
… $290 million fine for defrauding Medicare, bankruptcy trustees representing Rite Aid … Caremark and the insurance giant Aetna.
The lawsuit suggests that CVS …
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Managed Care Under Pressure, Opportunity Emerging
29 Aug 2025 16:35 GMT
… .81 exceeded expectations, aided by Aetna’s margin recovery and 6 … , eligibility reviews and changes to Medicare Advantage bid assumptions will all …
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Months later: Have health insurers delivered on their prior auth promises?
29 Aug 2025 16:50 GMT
… than 50 plans — including UnitedHealthcare, Aetna, CVS, Cigna, and Humana — committed … . So we have this straight, Medicare Advantage denials increased 55% and …
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$1.3 Million Revenue DME Company in Massachusetts
29 Aug 2025 16:28 GMT
… 70% Medicare, 20% private insurance (including Blue Cross, UnitedHealthcare, and Aetna), 5% …
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Maverick Behavioral Health Announces New Article, ‘Does Insurance Cover Inpatient or Residential Rehab Programs?’
28 Aug 2025 10:59 GMT
… offered by providers such as Aetna, Blue Cross Blue Shield, and … Care Act (ACA). Medicaid and Medicare can also provide coverage, though …
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Addiction Providers Cautious on Promised Prior Auth Changes
27 Aug 2025 21:30 GMT
… prior authorization reforms, Centers for Medicare and Medicaid Services Administrator Dr … authorizations.
Care coordination programs like Aetna Behavioral Health 360 will be … of insurer commitments, Parsons said Aetna will be tracking engagement, readmission …