CMS is pursuing empiric fee-schedule accuracy in original Medicare (eg, validating procedure time assumptions) while rapidly expanding MSSP and CMMI pathways to move beyond unmanaged fee-for-service.

Spartanburg Regional announced Thursday that negotiations have ended with insurance company Aetna.

Negotiations between Spartanburg Regional Healthcare System and Aetna have stalled as a deadline quickly approaches that would leave many Upstate residents out of ...

The hospital system is offering resources and help.

As confidence grows in the technology, more than twice as many doctors now say they use artificial intelligence (AI) in their practices than they did in 2023 (81% vs 38%), according to a survey from ...

Aetna, a unit of CVS Health, agreed to pay $117.7 million to resolve U.S. government charges it defrauded Medicare by knowingly submitting inaccurate diagnosis codes for morbid obesity and other ...

This administration has different priorities and would prefer a contract that is more in line with those priorities,” said a plan spokesperson.

Health insurance company Aetna has agreed to pay over $117 million to Pennylvanians to resolve allegations that it violated ...

Aetna has agreed to pay $117.7 million to resolve allegations that it violated the False Claims Act by submitting or failing to withdraw inaccurate diagnosis codes for its Medicare Advantage enrollees ...

On Wednesday, Aetna Inc. agreed to pay $117.7 million to resolve allegations that the insurance company gave inaccurate information to increase its payments from Medicare & Medicaid ...

The federal government's settlement with Aetna followed a record $556 million settlement with Kaiser Permanente January and a $172 million agreement with Cigna in 2023.

Centene's disclosure that its Obamacare enrollment is down more than 1 million is a sign Americans can no longer pay for ...