After pushback from prominent provider organizations, Aetna is easing a controversial "downcoding" policy for inpatient Medicare Advantage claims. The insurer said in an updated notice late last week ...

Aetna, a CVS Health company, announced it will scale the Aetna Clinical Collaboration program to 10 hospitals by year-end, with implementations underway with AdventHealth Shawnee Mission, Houston ...

The CMS’ first audit of an insurer for compliance with a law preventing surprise bills for consumers found some evidence to support provider allegations that insurers are gaming the system to lower or ...

CVS's withdrawal from the ACA exchange will impact 1 million individuals in 17 states, necessitating alternative insurance options. The decision aligns with the expiration of ACA tax credits and ...

The Justice Department accused three of the nation’s largest health insurers of paying hundreds of millions of dollars in kickbacks to brokers in exchange for steering patients into the insurers’ ...

Editor's note: This story was updated with additional commentary from CVS' earnings call. Aetna will exit the individual markets in 2026, less than five years after making a return to this space. The ...

Aetna and Optum have finalized an almost $8.4 million class settlement over allegations that the two companies used so-called “dummy codes” to hide administrative expenses in patients’ medical charges ...

Aetna is modifying its commercial policy to no longer cover certain telemedicine services starting on Dec. 1, the company said by statement. This is for audio-only and asynchronous text-based visits ...

Aetna, a CVS Health company, and Oshi Health have formed a new value-based collaboration that provides Aetna commercial members with in-network access to Oshi’s integrated multidisciplinary care teams ...