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Aetna

Latest Headlines

Latest Headlines

Novartis' deal with insurers could signal new wave of drug pricing

The recent performance-based deal that Novartis cut with two insurance giants could signal the beginnings of a new approach to drug pricing,  according to  a  Bloomberg  editorial.

Q4 earnings roundup: Big five insurers' ACA exchange woes deepen

If the "big five" U.S. health insurers' fourth-quarter earnings reports made one fact clear, it's that the profitability of their Affordable Care Act exchange products continues to be an issue.

Docs say oncologists--not payers--should determine cancer care pathways

Though the concept of designing cancer care "pathways" has potential, oncologists have reason to be concerned about the possibility of health insurers determining these pathways on their own, according to an opinion piece published in  JAMA Oncology.  

Insurers move to stem ACA losses--but at expense of consumers?

Seeking to stem their financial losses on Affordable Care Act exchange products, health insurers have started to discourage consumers from signing up for coverage outside of standard enrollment periods and choosing less-profitable plans,  Kaiser Health News  reports.  

Aetna reports rise in fourth-quarter profits

Aetna on Monday reported a net income of $320.8 million, or $.91 per share, in the fourth quarter of 2015, a 38 percent rise from the same time last year. 

More provider-sponsored health plans in the Medicare Advantage market

Nearly 60 percent of new entrants to the Medicare Advantage market are provider-sponsored health plans, according to a new report from Avalere Health.  

3 out-of-network billing cases insurers should know

As lawsuits involving out-of-network billing continue at a brisk pace, health insurers should know how the courts have ruled in some key, publicly published cases in order to guide their business practices, writes Luke Punnakanta, of the firm Manatt Phelps & Phillips LLP, in an article for  Lexology.  

AHIP's Marilyn Tavenner hopes to win back Aetna, UnitedHealth

The industry's largest trade association hopes to convince the two major health insurers that left its ranks to return amid a particularly high-stakes year for payers.

Aetna's AHIP exit may be turning point for industry advocacy

In the wake of Aetna's announcement that it would leave America's Health Insurance Plans, speculation has continued to swirl about what it means for the industry. Some think two insurers' decision to part ways with AHIP may herald a new chapter in which multiple trade associations and interest groups represent the insurance industry.    

Special enrollment periods costly and open to abuse, insurers warn

Among the slew of criticisms highlighted in recent comment letters about proposed Affordable Care Act marketplace reforms, one major theme emerges--insurers are very concerned about consumers' use of special enrollment periods.