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Hackensack Meridian Health, locked in a contract dispute with Aetna, has sent letters to the insurer's customers warning them that they may lose in-network coverage if the two sides can't reach a ...
The class action lawsuit alleges Aetna Health is claiming reimbursement it isn't entitled to when customers settle medical malpractice cases. Lawsuit claims insurer Aetna is wrongly taking money ...
Aetna Inc. (/ ˈ ɛ t n ə / ET-nə) is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare.
Mark Bertolini, former Aetna CEO and current chief executive of Oscar Health, said Americans’ frustration with insurance systems is justified. Employer-sponsored health insurance, which insured ...
Aetna Life Insurance Co. v. Lavoie, 475 U.S. 813 (1986), was a United States Supreme Court case in which the Court held the Due Process Clause requires state supreme court justices to recuse themselves from cases in which they have a direct, personal, substantial, and pecuniary interest in the outcome.
Crawford & Company is one of the world's largest independent providers of claims management to the risk management and insurance industry as well as self-insured entities. The company is based in Atlanta, Georgia with clients in more than 70 countries. Jim Crawford, formerly an insurance company claims manager, founded Crawford & Company in ...
During negotiations, Providence, a nonprofit, complained that Aetna, a for-profit owned by Connecticut-based CVS Health, was unwilling to accept reimbursement increases related to rising costs of ...
Pure IBNR refers to only unreported claims, not any development on reported claims. Incurred but not enough reported (IBNER), in contrast, refers to development on reported claims. For example, when a claim is first reported, a $100 payment might be made, and a $900 case reserve might be established, for a total initial reported amount of $1000.