In a recent audit, the Centers for Medicare & Medicaid Services (“CMS”) uncovered non-compliance by Aetna Health Inc. of Texas (“Aetna”) in calculating key payment information for air ...

The OIG looked at 210 unique enrollees with high-risk diagnosis codes that Aetna received higher payments for between 2015 and 2016. The audit determined that most of the codes Aetna submitted to CMS ...

The insurers engaged in a vast kickback scheme with insurance brokers eHealth, GoHealth and SelectQuote from 2016 to 2021, the DOJ alleged.

Aetna Medicare Advantage plans provide benefits that Original Medicare does not. These typically include some level of dental coverage, including twice-yearly oral health exams, teeth cleaning ...

Today, Aetna is one of the largest health insurance providers in the U.S., serving an estimated 39 million customers. Aetna is a provider of Medicare Supplement (Medigap) plans.

Elevated costs in inpatient, outpatient, supplemental benefits and pharmacy have particularly pummeled Aetna’s Medicare Advantage business, which grew 28.5% last year to cover more than 4.4 ...

Aetna said the sanctions relate to compliance with requirements involving Medicare prescription drug plans, primarily tied to changes in the drugs covered by some plans from 2009 to 2010.

Aetna, Humana sued by feds over alleged Medicare kickback scheme hree of the nation's largest health insurers of paying hundreds of millions of dollars in kickbacks to brokers in exchange for ...