Pluto Health Expands Care Model to Medicare, Medicaid and Major Commercial Plans
Pluto Health is now working with Medicare, Medicaid and commercial plans like UnitedHealthcare, Aetna, Blue Cross Blue Shield, Ambetter and Cigna.
Insurers are Pulling Back on MA. How Does this Affect Patients?
Many insurers seem to be retreating from Medicare Advantage by exiting unprofitable markets and reducing benefits. This could be extremely disruptive to patients, experts warn.
Transforming the OR: CEO Reveals Game-Changing AI Tech for Better Efficiency
How Apella leverages technology to increase OR efficiency.
DOJ Sues MA Insurers, Brokers Over Alleged Kickbacks
The Department of Justice has filed a complaint against Aetna, Elevance Health, Humana, eHealth, GoHealth, and SelectQuote, alleging that the insurers paid illegal kickbacks to brokers to boost enrollment in their Medicare Advantage plans.
Healthcare Moves: A Monthly Summary of Hires, Exits and Layoffs
April has seen a slew of executive hires, exits and layoffs across the healthcare industry. For example, AdventHealth and DexCare both named new CEOs, and Crozer Health and UNC Health have undergone CEO exits. There were also layoffs at organizations including Aetna, Sanford Health and Caribou Biosciences.
Aetna Taps InStride Health for Specialty Youth Mental Health
By working with Aetna, more than 90% of commercial lives in Massachusetts and Connecticut now have access to InStride Health’s services.
Should CVS Health Break Up?
CVS Health is reportedly exploring a breakup. But some experts aren't sure if this is a good idea.
Integrating GLP-1s: How Berry Street is Redefining Nutrition Care
Richard Fu details the company's approach to nutrition therapy and strategy for patients using GLP-1s.
Aetna Expands Access To Fertility Services, Covers IUI
Aetna will begin covering intrauterine insemination. It is the first major insurer to update this coverage policy nationwide, the payer claimed.
Healthcare Moves: A Monthly Summary of Hires and Layoffs
Here is a selection of recent executive hires, promotions and layoffs occurring across the healthcare industry.
Mental Health Platform Wave Gains First Payer Contract
Wave is now in network with Aetna in California, giving 3 million members access to the company's mental health services.
AHA Urges Labor Department to Investigate MultiPlan’s ‘Unconscionable Practices’
Following an extensive investigative report from the New York Times, the AHA is calling for the Labor Department to probe into the business practices of data analytics firm MultiPlan. The report revealed that MultiPlan works with major payers to negotiate reduced reimbursements for out-of-network medical providers — and that this practice ends up costing patients and employers.
Solera Health’s Playbook To Beat Rising Employer Expenses
Solera Health is working to streamline employer contracting with health tech.
The Kraft Heinz Lawsuit Against Aetna Is the ‘Tip of the Iceberg’
Kraft Heinz recently sued Aetna, claiming that the insurer is not providing all of Kraft Heinz's medical claims data. More lawsuits of this sort are likely to come, experts warned.
CVS Health: 60% of Mental Health Physicians See Patients’ Conditions Declining
New CVS Health data found that while 42% of respondents are concerned about their mental health, only 12% are seeing a mental health professional, such as a psychiatrist, psychologist, psychotherapist or wellbeing therapist. Younger respondents are especially struggling: 60% of those aged 18 to 32 years old are concerned about their mental health.
Oshi Health Scores Its 1st Commercial Contract Through VBC Partnership with Aetna
Oshi Health recently entered a value-based care contract with Aetna. The New York-based startup provides specialized virtual care for patients with digestive disorders, focusing on dietary and behavioral health interventions to reduce the root cause of patients' symptoms.
Banner|Aetna launches program to reduce billing confusion among members
Banner|Aetna — the Arizona health plan owned by Banner Health and Aetna — rolled out a new frictionless billing program. It is designed to minimize confusion among members by combining billing information from both the provider and payer.
CVS Health reports 15.7% reduction in suicide attempts among Aetna members
Among CVS Health's adult members, there was a 34.1% decrease in suicide attempts in 2022, compared to 2019. However, there was a 32% increase among adolescents, largely due to challenges from Covid-19. In response, CVS Health is expanding its resources with new initiatives that focus on adolescents.