Jefferson Health hits Aetna with lawsuit over controversial 'downcoding' policy
A Pennsylvania health system filed suit this week against Aetna, challenging a policy around "downcoding" that has drawn ire from providers.
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A Pennsylvania health system filed suit this week against Aetna, challenging a policy around "downcoding" that has drawn ire from providers.
TOPEKA — Kansas state employees can choose between two health insurance companies after the Health Care Commission voted Monday to move forward with Aetna and Blue Cross Blue Shiel...
Parsley Health is now in-network with major insurers nationwide, including UnitedHealthcare, Aetna and Cigna. The post Parsley Health Wins Greater Insurance Coverage for its Functi...
Jefferson Health in Philadelphia is suing Aetna over a new Medicare Advantage payment policy that hospitals say unfairly reduces reimbursements for legitimate inpatient stays. The...
Providers allege the repricing system slashed one claim by more than 88%
Key TakeawaysActivate your Aetna Nations Benefits card quickly through Aetna.NationsBenefits.com or the MyBenefits app for seamless access to healthcare services.Use your card at p...
What You Should Know The Launch: UnitedHealthcare (UHC) has introduced Avery, a generative AI companion integrated directly into the UnitedHealthcare app and myuhc.com. The Scale:...
Major health insurers are advancing efforts to standardize prior authorization requirements as part of an effort to simplify paperwork for providers and reduce delays in medical ca...
Americans across 43 states enrolled in health plans from the nation’s four largest commercial health insurers face potential disparities in finding in-network coverage for mental h...
Aon and The Doctors Company announced senior moves
Solace previously connected Medicare and Medicare Advantage patients to its services, which are now also available to many commercially insured patients, including UnitedHealthcare...
Aon plc (NYSE: AON), a leading global professional services firm, announced the launch of its Health Network Analyzer, a new AI-powered decision-support capability that enables U....
Elevance Health is raising its guidance for 2026 even as its Q1 profits declined year-over-year.
UnitedHealth Group's plans to acquire a tech platform, TruBridge to be acquired for $557 million and more merger and acquisition news from April.
Carriers are racing to deliver on sweeping commitments as Washington tightens the screws
UnitedHealthcare plans to eliminate prior authorization requirements for 30% of services by the end of 2026.
Anthem and Mount Sinai have reached a new multi-year contract agreement, restoring coverage for thousands after the system went out-of-network last month.
UnitedHealthcare plans to eliminate prior authorization requirements for 30% of services by the end of 2026.
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