Aetna, Humana sued by feds over alleged Medicare kickback scheme
The Justice Department has accused three of the nation's largest health insurance companies of paying brokers hundreds of millions of dollars in exchange for piloting patients into insurance companies' Medicare Advantage Plans. in Litigation The DOJ, filed in federal court in Boston, alleged that CVS Health's Aetna, Evelance Health and Humana were engaged in a […]
‘Purely profit-driven’: Aetna files lawsuit accusing Jacksonville radiology group of $20 million fraud scheme – WJXT News4JAX
Jacksonville, Florida – Health care giant Aetna has filed a lawsuit in the U.S. District Court for the Middle District of Florida with Radiology Partners and its affiliate Mori Bean & Brooks (MBB) for allegedly paying high medical bills. A lawsuit was filed against him for orchestrating a large-scale medical fraud scheme. The company and […]
Aetna drops Providence in Oregon from its health insurance network, leaving patients in limbo – OregonLive
Providence Health & Services in Oregon was removed from Aetna's health insurance network after the two sides failed to reach a new agreement by the end of 2024. Aetna's contract with nonprofit Catholic Health System and insurance giant Providence has expired on Dec. 31, it announced. This means patients of Providence hospitals, clinics, and doctors […]
St. Joseph's Health and Aetna reach last minute deal, ending one insurance disputes – CNYcentral.com
Syracuse, New York — St. Joseph Health and Aetna have reached a multiyear agreement that ends one of several insurance disputes in central New York. It has been about a month since St. Joseph's Health and Excellus agreed to extend insurance negotiations. The new deadline for the dispute is now the end of February. A […]
Mount Carmel reaches deal with Aetna – 10TV
The current agreement expires on January 1, 2025, making Tuesday the last day the two groups could reach a deal. COLUMBUS, Ohio — Mount Carmel Health System announced Tuesday that it has reached a multi-year agreement with Aetna. Mount Carmel Public Relations Agency issued a statement He confirmed the agreement on behalf of the group […]
2 Jacksonville Aetna healthcare employees arrested for falsifying claims, leading to $1.14 million in fraud – WJXT News4JAX
Duval County, Florida – Duval County Chief Financial Officer announced the arrest One of two Jacksonville women who filed at least 42 fraudulent insurance claims and collected a total of $1.14 million. Employees of the healthcare company Aetna allegedly submitted false insurance claims and uploaded false documents to support the claims. According to the Florida […]
Aetna and Dignity Health fail to work out negotiations for new contract – KSBY News
Most Dignity Health facilities and providers in California are no longer considered part of Aetna’s health insurance network. Aetna and Dignity Health have been negotiating for a new contract, but were unable to reach an agreement, and the current contract has now expired. In a statement to KSBY, Dignity Health said in part: “We remain […]
Have Aetna insurance? You could soon lose coverage in New York-Presbyterian's health system. – Gothamist
Tens of thousands of New Yorkers who got insurance through Aetna could lose their insurance. 10 New York Presbyterian Hospitalstwo large physician networks and their array of specialty clinics will open in the coming months, with some types of care likely to go out of network on April 1st. The insurance giant and the hospital […]
NewYork-Presbyterian, Aetna dispute may leave Hudson Valley patients scrambling for coverage – The Journal News
NewYork-Presbyterian Hospital and health care providers across the Hudson Valley could soon be considered out-of-network for patients with Aetna health plans. The changes will take effect from April 1, unless a new health insurance coverage agreement is reached by March 31. Hospitals that could be affected include NewYork-Presbyterian Westchester Hospital (formerly Lawrence Hospital) in Bronxville […]