Aetna

Star ratings probably won’t shine at CMS listening session | Modern Healthcare | 9/14/2019

Print Sept. 17: Although healthcare isn’t the focus of a Senate Judiciary Committee hearing, mega-mergers very well may come up as lawmakers delve into the government’s enforcement of antitrust laws. Federal Trade Commission and Justice Department officials are slated to testify. A federal judge this month officially signed off on CVS Health’s acquisition of Aetna, putting aside antitrust concerns raised by physician groups and others. State officials have been …

IMPORTANT INVESTOR ALERT: The Schall Law Firm Announces the Filing of a Class Action Lawsuit Against CVS Health Corporation and Encourages Investors with Losses in Excess of $100,000 to Contact the Firm – Company Announcement - FT.com | Financial Times | 9/14/2019

… 20(a) of the Securities Exchange Act of 1934 and Rule 10b-5 promulgated thereunder by the U.S. Securities and Exchange Commission . Investors who acquired shares of CVS in exchange for their shares of Aetna Inc. in connection with CVS’s acquisition of Aetna on November 28, 2018 , are encouraged to contact the firm before October 14, 2019 . If you are a shareholder who suffered a loss, click here to participate …

Follow Aetna:    

EQUITY ALERT: Rosen Law Firm Announces Filing of Securities Class Action Lawsuit Against CVS Health Corporation – CVS | Business Wire | 9/14/2019

NEW YORK- Rosen Law Firm, a global investor rights law firm, announces the filing of a class action lawsuit on behalf of all former Aetna Inc. shareholders who acquired CVS Health Corporation (NYSE:CVS) shares in exchange for their Aetna shares in connection with CVS’s acquisition of Aetna on November 28, 2018. The lawsuit seeks to recover damages for CVS investors under the federal securities laws. To join the CVS …

SHAREHOLDER ALERT: CLAIMSFILER REMINDS CVS, GVA, IFF, PS INVESTORS of Lead Plaintiff Deadline in Class Action Lawsuits | Benzinga | 9/14/2019

… IFF) Class Period: 5/7/18 - 8/5/19 Lead Plaintiff Motion Deadline: October 11, 2019 SECURITIES FRAUD To learn more, visit https://www.claimsfiler.com/cases/view-international-flavors-amp-fragrances-inc-securities-litigation CVS Health Corporation (CVS) Class: Aetna shares exchanged for shares of CVS in connection with the November 2018 acquisition of Aetna by CVS Lead Plaintiff Motion Deadline: October 14, 2019 MISLEADING PROSPECTUS To learn more, visit https://www.claimsfiler.com/cases/view-cvs …

IMPORTANT INVESTOR ALERT: The Schall Law Firm Announces the Filing of a Class Action Lawsuit Against CVS Health Corporation and Encourages Investors with Losses in Excess of $100,000 to Contact the Firm | Benzinga | 9/14/2019

… 20(a) of the Securities Exchange Act of 1934 and Rule 10b-5 promulgated thereunder by the U.S. Securities and Exchange Commission. Investors who acquired shares of CVS in exchange for their shares of Aetna Inc. in connection with CVS’s acquisition of Aetna on November 28, 2018, are encouraged to contact the firm before October 14, 2019. If you are a shareholder who suffered a loss, click here to participate …

Sutter Health | Aetna Enlists Docent Health to Elevate Member Experience | Business Wire | 9/13/2019

SAN FRANCISCO- Sutter Health Aetna today announced members will have access to a unique technology-enabled service from Docent Health that will help them find a provider, schedule an appointment, understand tools available to them and more starting this Fall. The pilot program, part of an agreement between Sutter Health and Docent Health, delivers personalized services across phone, email and text to members. “We’re re-imagining the member experience by …

Diagnostic device startup Healthy.io raises $60M, adds Aetna exec to board | Becker’s Hospital Review | 9/13/2019

… to aid in the diagnosis of chronic kidney disease. The startup also announced the addition of Gary Loveman, PhD, to its board of directors. Most recently, Dr. Loveman served as executive vice president of Aetna and president of Healthagen, the company’s consumer health and services business. “Today, too many patients face barriers to care, leading to missed appointments, undiagnosed conditions, and increased visits to the emergency room or hospital. Healthy.io …

Actigraphy Sensors & PSG Devices Market key Insights Based On Product Type, End-use and Regional Demand Till 2024 | 9/13/2019

… solutions, to create innovative health and activity monitoring solutions. By combining ActiGraph‘s CentrePoint data analytics platform with the sensor data from Garmin wearables, the companies are planning to launch powerful wearable solutions for different patient monitoring applications. ActiGraph recently launched its new activity monitor device, the CentrePoint Insight Watch, which uses raw data capture technology to capture high-resolution signal from the accelerometer and provides actionable information to the user …

Online petition calls for GovGuam health insurance choice | 9/13/2019

An online petition is drawing hundreds of supporters who are calling for a choice in GovGuam’s health insurance provider. This follows the announcement this week that the incumbent carriers have been replaced by new vendor Aetna, administered locally by Netcare. Longtime vendor Calvo’s SelectCare said earlier this week it has been flooded with concerns raised by members. The petition seeks to amend a law passed by the previous legislature that …

When Punitives Don’t Punish | 9/13/2019

In the largest verdict for bad faith in U.S. history, the jury found that Aetna “recklessly disregarded its duty to deal fairly and act in good faith” and awarded punitive damages. But will Aetna get the message? By Connecticut Law Tribune Editorial Board 01:07 PM X Companies are punished with monetary damages, but who’s out the dollars? In November 2018, an Oklahoma jury returned a $25.5 million verdict against Aetna …

Biometric Passwords Are About to Go Big Time; Here’s Who’s Set to Profit - TheStreet | 9/13/2019

… e-commerce transactions are abandoned because users can’t log in. By 2016, the group was 260 members strong, including Amazon.com ( AMZN ) , Alibaba ( BABA ) , Mastercard ( MA ) , Visa ( V ) , Samsung ( SSNLF ) , Bank of America ( BAC ) and Aetna ( AET ) , among others . The goal is to use the sophisticated sensors inside smartphones to do away with passwords once and for all. Facial recognition, fingerprint scans, voice prints and even physical security keys can do …

Case Manager RN | 9/12/2019

Job Description Aetna Description: Full time telework opportunity if residing in a compact state. Candidates must have a compact RN license and be located 2 hours from an Aetna office in one of the following states: AZ, AR, CO, DE, FL, GA, ID, IA, KY, MD, MS, MN, MO, NM, NE, NC, ND, RI, SC, SD, TN, TX, UT, VA, WV, WI Nurse Case Manager is responsible for telephonically and …

(USA-AZ-Phoenix) Behavioral Health Clinical Case Manager | 9/12/2019

Aetna Behavioral Health Clinical Case Manager in Phoenix , Arizona Req ID: 64153BR This role is office based in Phoenix, AZ with 25-50% of travel around Maricopa County. Standard business hours Monday-Friday are required. Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization …

Sutter Health | Aetna Enlists Docent Health to Elevate Member Experience - InsuranceNewsNet | 9/12/2019

Aetna is a joint venture that brings together Sutter Health’s clinical excellence with Aetna’s leading health plan expertise, cutting-edge data, analytics and health information technology, and shared care management capabilities. This joint venture aims to deliver a differentiated, personalized experience for members and is designed to improve efficiency and lower the cost of care, resulting in greater affordability. Learn more at www.sutterhealthaetna.com . About Docent Health Docent Health is a …

Healthy.io Raises $60 Million in Series C Funding and Receives FDA Clearance for Smartphone-Based Test to Diagnose Chronic Kidney Disease | Benzinga | 9/12/2019

… Aleph, and Samsung NEXT. The funding round will be used to accelerate Healthy.io’s global expansion and product development. Additionally, the company announced that longtime leader in health care innovation, former executive vice president of Aetna Gary Loveman , Ph.D. will join its Board of Directors. “The smartphone has the potential to be the great equalizer of healthcare,” said Yonatan Adiri , founder and CEO of Healthy.io. “To unlock this potential, companies must …

SHAREHOLDER ALERT BY FORMER LOUISIANA ATTORNEY GENERAL: KSF REMINDS CVS, GVA, IFF, PS INVESTORS of Lead Plaintiff Deadline in Class Action Lawsuits | Benzinga | 9/12/2019

… action lawsuits: International Flavors & Fragrances Inc. (IFF) Class Period: 5/7/18 - 8/5/19 Lead Plaintiff Motion Deadline: October 11, 2019 SECURITIES FRAUD To learn more, visit https://www.ksfcounsel.com/cases/nyse-iff/ CVS Health Corporation (CVS) Class: Aetna shares exchanged for shares of CVS in connection with the November 2018 acquisition of Aetna by CVS Lead Plaintiff Motion Deadline: October 14, 2019 MISLEADING PROSPECTUS To learn more, visit https://www.ksfcounsel.com/cases/nyse-cvs …

Seabrook Joins the Aetna Network for Substance Use | 9/12/2019

Seabrook Joins the Aetna Network for Substance Use Disorder Treatment septiembre 12, 2019 Seabrook Joins the Aetna Network for Substance Use Disorder Treatment 2019-09-12T12:48:00+00:00 New Jersey BRIDGETON, N.J. , Sept. Seabrook Treatment Centers, the premier behavioral health and addiction treatment provider in the MidAtlantic area, is now an in-network provider for Aetna Behavioral Health. Today, with six (6) Seabrook locations throughout the New Jersey and Pennsylvania region, Aetna members …

CVS’ Bhathena Reveals More Details About Future Plans | 9/12/2019

CVS Health Chief Digital Officer Firdaus Bhathena recently discussed how the company would move forward with its consumer-centric mission following its merger with Aetna, Fierce Healthcare reports. Bhathena made the comments Monday during the Digital Health Impact conference in Boston. “There are things you can do at scale that are hard to do in healthcare,” Bhathena said during the event. “We’re not going to invent every connected device and …

Vote For Talbert House | 9/12/2019

Posted on: September 12, 2019 Vote For Talbert House in 2019 Aetna Voices of Health Campaign September 12, 2019, CINCINNATI, OH – Aetna recently selected Talbert House as a finalist in the 2019 Voices of Health, a competition and celebration of grassroots non-profit organizations across the country that are working to address social determinants of health in their communities. Online voting is available to the public from September 9 – October …

Strategic Product Manager (Healthcare Solutions)~63764BR | 9/12/2019

Strategic Product Manager (Healthcare Solutions)~63764BR Professional Diversity Network Job Description Aetna Description: Aetnas mandate is to transform health and wellness via products that enable consumer engagement and best-in-class experience. This team is responsible for Aetnas digital transformation and all digital products; as well as the development and execution of the digital roadmap. A key part of the responsibility is to build an integrated platform that enables the …

AMA

L.A. Care and Blue Shield Team Up for Community Resource Centers | 9/11/2019

… but it also makes sense: Blue Shield Promise contracts with L.A. Care to offer Medi-Cal in the state. CVS-Aetna Clears Last Hurdle, Not Without Critics We forgive you if you thought this was … groups opposing the merger, had harsh words for the merger. AMA President Patrice Harris said the decision fails patients and will likely raise prices, lower quality, reduce choice and stifle innovation. MEDICARE CMS Cracks Down …

HRH Dr. Percy Tamayo Joins C3 International, Inc. as Vice President | PR Newswire | 8/26/2019

… that has played a leadership role in the emerging cannabinoid therapeutics health sector, today officially announced that HRH Dr. Percy Tamayo is joining the company in the role of Vice President. Together the two aim … major insurance providers and employer-provided policies such as PacifiCare, Aetna, Cigna, Universal Care and United Health Care, for both PPOs and HMOs and the State Compensation Insurance Fund. Prescription Idrasil is currently not covered …

Medicare

CVS-Aetna merger approved despite objections from consumer advocates | 9/10/2019

… With little fanfare, a federal judge in Washington D.C. last week removed the final obstacle to CVS’s blockbuster merger with Aetna. The $70 billion consolidation, announced in 2017, will combine the nation’s third-largest health … competitive concerns. The settlement requires Aetna to sell off its Medicare prescription drug plans. Critics, however, argued that such vertical integration of the businesses would make an already uncompetitive marketplace even more so, forcing health …

(USA-NY-New York) Manager, Joint Venture Medicare Strategy & Business Development | 9/10/2019

Aetna Manager, Joint Venture Medicare Strategy & Business Development in New York , New York Req ID: 63774BR Job Description Overview To dramatically improve its relationships with hospitals, physicians and other providers, Aetna has established five joint ventures with leading hospital systems across the United States. Its mission is to develop mutually beneficial partnerships between Aetna and key providers, enabling their transformation from a hospital factory to a clinically integrated supplier of …

Medicaid

Aetna Medicaid proposes better ways to work with Kansas healthcare providers | News | kansan.com | 9/10/2019

Submitting Letters To The Editor When Aetna became one of the Medicaid providers for Kansas, it did not load the Lawrence Memorial Health contract with the correct rates. Aetna Medicaid is changing the management team for Kansas in hopes to resolve many issues, including delayed payments to healthcare providers Kansan file photo Aetna Medicaid proposes better ways to work with Kansas healthcare providers Lindley Lund @Lindley_Mae98 Save The state …

Trump’s Health Team Making It Tough On ‘Medicare For All’ | Forbes | 9/1/2019

… private Medicare Advantage coverage through technology upgrades and added benefits to such plans. Just last week, the Centers for Medicare & Medicaid Services rolled out a new “Plan Finder” and highlighted a lot of the private … insurers including Anthem, Cigna, Humana, UnitedHealth Group and CVS Health’s Aetna insurance business, are signing up record numbers of seniors to Medicare Advantage and offering such coverage in new regions for next year. “In 2019 …

ACA

Medicare’s New Plan Finder Could Boost Insurers’ Advantage Enrollment | Forbes | 8/27/2019

Aetna health insurance unit, Cigna, Humana and UnitedHealth Group are expanding sales of Medicare Advantage plans into new states, counties and regions. Meanwhile, several startups and new entrants including Bright Health and medical care provider plans are also expanding while some companies like Oscar Health, best known for sales of individual Obamacare coverage, are going to be selling Medicare Advantage for the first time. Medicare Advantage plans provide extra benefits …

Aetna, Centene protest managed care bid loss in Louisiana, charge process was flawed | FierceHealthcare | 8/21/2019

Managed care divisions of Centene and Aetna charge that the bidding process to pick new Medicaid managed care plans in Louisiana was tainted, and that Humana gave inaccurate information. On August 5, Louisiana selected Humana … in a statement. RELATED: Study: Luring managed care organizations into ACA exchanges could drive down premiums Louisiana Healthcare Connections argues that the bid process was tainted with “multiple conflicts of interest within the evaluation committee

Medicare Advantage

(USA-NY-New York) Manager, Joint Venture Medicare Strategy & Business Development | 9/10/2019

Aetna Manager, Joint Venture Medicare Strategy & Business Development in New York , New York Req ID: 63774BR Job Description Overview To dramatically improve its relationships with hospitals, physicians and other providers, Aetna has established five joint … joint venture with Inova (Northern Virginia). In 2018, we introduced Medicare Advantage products at Innovation Health, our JV with Inova. In 2019, we introduced Medicare Advantage products at Allina Health Aetna. Working with the Senior

(USA-MN-St Louis Park) Manager, Joint Venture Medicare Strategy & Business Development | 9/10/2019

Aetna Manager, Joint Venture Medicare Strategy & Business Development in St Louis Park , Minnesota Req ID: 63774BR Job Description Overview To dramatically improve its relationships with hospitals, physicians and other providers, Aetna has established five joint … joint venture with Inova (Northern Virginia). In 2018, we introduced Medicare Advantage products at Innovation Health, our JV with Inova. In 2019, we introduced Medicare Advantage products at Allina Health Aetna. Working with the Senior

ACO

Value-based health insurer contracts growing in number, but not risk adoption | Modern Healthcare | 8/24/2019

… said. The health system formed a value-based arrangement in 2014 with the Blues plan when the insurer joined its ACO, WakeMed Key Community Care. Claims sometimes aren’t processed correctly or at all, health system … The network is in value-based payment contracts with UnitedHealthcare, Aetna and other large commercial payers. Crow said sections of data reports from insurers are left blank because they can’t disclose the total cost of …

Why insurers Harvard Pilgrim and Tufts want to merge | Modern Healthcare | 8/15/2019

… Harvard Pilgrim-Tufts deal, first announced Wednesday , follows a recent large-scale provider merger in the state between Beth Israel Deaconess Medical Center and Lahey Health, which closed in May. Partners, the owner of Massachusetts … Tufts-Harvard Pilgrim combined entity to combat the Humanas and Aetnas, but also new entrants like Oscar.” Manoogian said he could also see the combination as a stepping stone to a vertical deal down the …

Behavioral Health

(USA-AZ-Phoenix) Behavioral Health Clinical Case Manager | 9/12/2019

Aetna Behavioral Health Clinical Case Manager in Phoenix , Arizona Req ID: 64153BR This role is office based in Phoenix, AZ with 25-50% of travel around Maricopa County. Standard business hours Monday-Friday are required. Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization …

Seabrook Joins the Aetna Network for Substance Use | 9/12/2019

Seabrook Joins the Aetna Network for Substance Use Disorder Treatment septiembre 12, 2019 Seabrook Joins the Aetna Network for Substance Use Disorder Treatment 2019-09-12T12:48:00+00:00 New Jersey BRIDGETON, N.J. , Sept. Seabrook Treatment Centers, the premier behavioral health and addiction treatment provider in the MidAtlantic area, is now an in-network provider for Aetna Behavioral Health. Today, with six (6) Seabrook locations throughout the New Jersey and Pennsylvania region, Aetna members …

Department of Health and Human Services

First Edition: August 14, 2019 | Kaiser Health News | 8/14/2019

… a position that puts them at odds with major adolescent health groups. The panel, which is appointed by the federal Department of Health and Human Services but operates independently, said that its proposed guidelines are … of her presidential bid. (8/13) The Associated Press: Kansas Says Aetna Still Not Living Up To Contract Terms The Kansas health department says insurance company Aetna is still not living up to the terms of …

Wednesday, August 14, 2019 | Kaiser Health News | 8/14/2019

… a position that puts them at odds with major adolescent health groups. The panel, which is appointed by the federal Department of Health and Human Services but operates independently, said that its proposed guidelines are … deal with the developer and county. (Cohn, 8/14) Kansas Rejects Aetna’s Plan To Correct Problems With Its Private Medicaid Services Aetna’s $1 billion-a-year business with Kansas is in jeopardy after the state rejects …

Pharmacy Benefit Management

CVS Health Banks on Health Care Benefit Prospects Amid Woes - Nasdaq.com | 8/14/2019

Shutterstock photo On Aug 13, we issued an updated research report on CVS Health CVS . Increasing demand for Pharmacy Benefit Management (PBM) and specialty pharmacy has been a major driver for the stock. The company … The company’s recently introduced Health Care Benefits segment following the Aetna acquisition is showing a robust momentum, particularly in government business. Notably, CVS Health expects to earn $750 million from near-term synergies of the

Digital Health

Healthtech startup Healthy.io raises $60 million to help over 35 million Americans suffering from chronic kidney disease with its FDA-approved urine test smartphone device | 9/12/2019

… Tel Aviv, Israel-based startup is on a mission to help people suffering from this chronic disease. Healthy.io is a digital health tech startup company that has turned the smartphone into a clinical-grade medical … leader in health care innovation, former executive vice president of Aetna Gary Loveman, Ph.D. will join its Board of Directors. “The smartphone has the potential to be the great equalizer of healthcare,” said Yonatan Adiri …

CVS Health exec: Retail giant wants to create a Netflix-like healthcare experience | FierceHealthcare | 9/11/2019

BOSTON—When CVS and Aetna closed their merger about a year ago, they promised the combined behemoth would benefit patients. While that remains to be seen, the merged entities unveiled more details this week on … Chief Digital Officer Firdaus Bhathena said while speaking at the Digital Health Impact conference in Boston on Monday. Those experiences could be a virtual doctor visit, using an AI-powered chatbot or sending health data

CVS Health

IMPORTANT INVESTOR ALERT: The Schall Law Firm Announces the Filing of a Class Action Lawsuit Against CVS Health Corporation and Encourages Investors with Losses in Excess of $100,000 to Contact the Firm – Company Announcement - FT.com | Financial Times | 9/14/2019

CVS Health Corporation (“CVS” or “the Company”) (NYSE: CVS ) for violations of §§10(b) and 20(a) of the Securities Exchange Act of 1934 and Rule 10b-5 promulgated thereunder by the U.S. Securities and Exchange Commission . Investors who acquired shares of CVS in exchange for their shares of Aetna Inc. in connection with CVS’s acquisition of Aetna on November 28, 2018 , are encouraged to contact the firm before October …

EQUITY ALERT: Rosen Law Firm Announces Filing of Securities Class Action Lawsuit Against CVS Health Corporation – CVS | Business Wire | 9/14/2019

NEW YORK- Rosen Law Firm, a global investor rights law firm, announces the filing of a class action lawsuit on behalf of all former Aetna Inc. shareholders who acquired CVS Health Corporation (NYSE:CVS) shares in exchange for their Aetna shares in connection with CVS’s acquisition of Aetna on November 28, 2018. The lawsuit seeks to recover damages for CVS investors under the federal securities laws. To join the CVS …

CVS

Star ratings probably won’t shine at CMS listening session | Modern Healthcare | 9/14/2019

Print Sept. 17: Although healthcare isn’t the focus of a Senate Judiciary Committee hearing, mega-mergers very well may come up as lawmakers delve into the government’s enforcement of antitrust laws. Federal Trade Commission and Justice Department officials are slated to testify. A federal judge this month officially signed off on CVS Health’s acquisition of Aetna, putting aside antitrust concerns raised by physician groups and others. State officials have been …

IMPORTANT INVESTOR ALERT: The Schall Law Firm Announces the Filing of a Class Action Lawsuit Against CVS Health Corporation and Encourages Investors with Losses in Excess of $100,000 to Contact the Firm – Company Announcement - FT.com | Financial Times | 9/14/2019

CVS Health Corporation (“CVS” or “the Company”) (NYSE: CVS ) for violations of §§10(b) and 20(a) of the Securities Exchange Act of 1934 and Rule 10b-5 promulgated thereunder by the U.S. Securities and Exchange Commission . Investors who acquired shares of CVS in exchange for their shares of Aetna Inc. in connection with CVS’s acquisition of Aetna on November 28, 2018 , are encouraged to contact the firm before October …

UnitedHealth

Medicare’s New Plan Finder Could Boost Insurers’ Advantage Enrollment | Forbes | 8/27/2019

Aetna health insurance unit, Cigna, Humana and UnitedHealth Group are expanding sales of Medicare Advantage plans into new states, counties and regions. Meanwhile, several startups and new entrants including Bright Health and medical care provider plans are also expanding while some companies like Oscar Health, best known for sales of individual Obamacare coverage, are going to be selling Medicare Advantage for the first time. Medicare Advantage plans provide extra benefits …

FTC Approves UHG-DaVita Merger Settlement in Nevada | HealthPayer Intelligence | 8/27/2019

… August 27, 2019 - The Federal Trade Commission (FTC) announced that it approves of the limitations set on the $4.3 billion UnitedHealth Group (UHG)-DaVita merger in Nevada. “The proposed acquisition would likely have reduced competition … the concerns associated with healthcare industry mergers. With the CVS-Aetna merger awaiting the court’s final verdict and the Wellcare-Centene and Tufts-Harvard Pilgrim mergers underway, experts express concerns about the long-term effects …

UnitedHealth Group

Health Insurance Market Providers, Plans, Present Trends, Top Vendors and Future Forecast till 2025: Aviva, AXA, Zurich Insurance Group Ltd., International Medical Group, UnitedHealth Group | 9/11/2019

… 2025. Some of the major players operating in the market are Apollo Munich Health Insurance Company Ltd., AXA, Aviva plc, Aetna, Inc., Allianz SE, Star Health and Allied Insurance Co Ltd, Cigna Corporation, Bajaj Allianz … Scripts Holding Company, Zurich Insurance Group Ltd., International Medical Group, UnitedHealth Group Inc., Bupa, Blue Cross, Liberty International Insurance, AIG, MetLife, Alltrust Insurance Company, Arab Orient Gulf Insurance Group, AXA, Allied World, Abu Dhabi National …

Trump’s Health Team Making It Tough On ‘Medicare For All’ | Forbes | 9/1/2019

UnitedHealth Group and CVS Health’s Aetna insurance business, are signing up record numbers of seniors to Medicare Advantage and offering such coverage in new regions for next year. “In 2019, CMS added nearly 600 Medicare Advantage plans with average premiums declining to their lowest levels in 6 years,” CMS said last week . There’s already 22 million seniors, or 35% of Medicare beneficiaries enrolled in Medicare Advantage. And some are projecting …

Optum

Cigna seeks sale of group benefits insurance business: Reuters | CNBC | 8/20/2019

… people as of that date, according to Cigna’s second-quarter financial statement. Other health insurers have carried out similar divestitures. Aetna announced in October 2017 that it would sell its U.S. group life and disability … well as UnitedHealth Group Inc and its pharmacy benefit manager Optum. Any proceeds from the sale of its group benefits insurance business could help Cigna pay down its long-term debt, which totaled $37 billion …

Exclusive: Cigna seeks sale of group benefits insurance business - sources | Yahoo News | 8/20/2019

… people as of that date, according to Cigna’s second-quarter financial statement. Other health insurers have carried out similar divestitures. Aetna Inc announced in October 2017 that it would sell its U.S. group life and … as UnitedHealth Group Inc UNH.N and its pharmacy benefit manager Optum. Any proceeds from the sale of its group benefits insurance business could help Cigna pay down its long-term debt, which totaled $37 billion …

Express Scripts

Here’s how the top insurers performed in the second quarter of 2019 | FierceHealthcare | 8/23/2019

Aetna. Cigna posted similar results, with its revenues skyrocketing from $11.5 billion in the second quarter of 2018 to $34.4 billion in Q2 2019, thanks in large part to its purchase of Express Scripts, the nation’s largest pharmacy benefit manager. Whitepaper Elevate Health Plan Member Engagement Through Call Center Transformation Learn how health plans can rapidly transform their call center operations and provide high-touch, concierge service to health plan …

Report: Cigna may look to divest group benefits insurance business | MedCity News | 8/20/2019

… healthcare is evidenced by a number of recent moves, including, most notably its $54 billion acquisition of pharmacy benefits manager Express Scripts last year. Post a comment / at 4:41 PM Shares 0 Major health insurer … lines as it hones its focus on the healthcare space. Aetna – which was the subject of its own 2018 mega-merger with CVS Health – unloaded its U.S. group life and disability business to The Hartford …

DaVita

FTC Approves UHG-DaVita Merger Settlement in Nevada | HealthPayer Intelligence | 8/27/2019

Private Payers News FTC Approves UHG-DaVita Merger Settlement in Nevada The embattled merger demonstrates that experts continue to question the potential consequences of payer mergers and acquisitions. Source: Getty By August 27, 2019 - The … the concerns associated with healthcare industry mergers. With the CVS-Aetna merger awaiting the court’s final verdict and the Wellcare-Centene and Tufts-Harvard Pilgrim mergers underway, experts express concerns about the long-term effects

Why Health Care Service Corp. is looking for a new CEO | Modern Healthcare | 8/5/2019

DaVita Medical Group in June. Last year’s $70 billion merger of Aetna and CVS Health joined one of the nation’s largest health insurers with its biggest pharmacy chain. The two, which intend to transform healthcare delivery, are in the process of launching a network to provide more vulnerable beneficiaries with access to local resources to address social factors that affect health. Meanwhile, Cigna bought pharmacy benefit manager Express Scripts for …

Apple Health

9 Safe Dividend Stocks to Buy for 2019 | Yahoo News | 8/21/2019

Use dividend stocks to boost market returns. In times of stock market turbulence, investors start searching for relatively safe places to invest. Money flows from high-risk growth stocks to stocks with reasonable valuations, solid cash flow and reliable dividends. When early forecasts for 2019 debuted, analysts expected another range-bound year, implying dividends as a safe-haven source of market returns. Companies with relatively low payout ratios – the percentage …

Apple Health employee departures show split over ambitions | CNBC | 8/20/2019

Aetna , as well as pharmaceutical companies such as Eli Lilly and Johnson & Johnson . Desai, Lynch and Kim all report to Williams. Cha has a different chain of command and reports to Douglas Beck, a vice president of Americas and Northeast Asia. These four leaders manage hundreds of people working within Apple Health, which has been aggressively hiring and expanding in recent years. At present, there’s no single senior vice president …

Pfizer

THE DIGITAL HEALTH ECOSYSTEM: An in-depth examination of the players and tech trends reshaping the future of healthcare (AAPL, IBM, ANTM, GOOGL, MSFT, AMZN, PFE, GE, MCK, TMUS, WMT, WBA, MRK, CVS) | Yahoo News | 7/15/2019

… advantage in your understanding of the fast-moving world of the Digital Health. The companies mentioned in this report are: Aetna, Alphabet, Amazon, American Well, AmerisourceBergen, Anthem, Apple, Arizona Care Network, Arterys, Babylon Health, Beth … Novartis, Olive, Omada Health, Optum Rx, Oscar Health, Pear Therapeutics, Pfizer, Philips, PillPack, ResMed, Rite Aid, Roche, Samsung, Sanofi, Senseonics, Suki, Tallahassee Memorial Hospital, T-Mobile, UnitedHealth Group, Verily, Viant, Walgreens, Walmart, Wellpepper, Zocdoc …

Big Pharma won’t like Trump’s next move after rebate rule is abandoned, investors fear | Yahoo News | 7/12/2019

… Aetna, ended the session up 4%. Meanwhile, pharma stocks tanked on fears the administration’s focus would shift to drugmakers. Pharmaceutical giant Pfizer closed down more than 2%. Shares of Eli Lily and Merck both ended the day down 4%. The end of the drug rebate proposal is Trump’s second setback this week. The news comes three days after a federal judge in Washington, D.C., dealt a blow to the White …

Rite Aid

3 Rock-Solid Reasons Why CVS Health Is the Best Pharmacy Stock on the Market - Nasdaq.com | 8/11/2019

… a clinical trial of this system. Merlo said CVS Health hopes to launch its home dialysis system in 2021. 2. Aetna is a huge plus Some expressed skepticism when CVS Health first announced its intention … opposite impact. 3. It’s expanding while other rivals are shrinking Rite Aid is much smaller than it once was. CVS Health’s biggest rival, Walgreens Boots Alliance , recently announced that it plans to close around 200 …

Goldman Sachs

H2O raises $72.5 million to simplify enterprise AI deployment | VentureBeat | 8/20/2019

Aetna, Booking.com, Comcast, Hitachi, Nationwide Insurance, PwC, and Walgreens, actively use H2O’s data science tools. In perhaps another sign of the industry’s upward momentum, H2O today announced that it has raised $72.5 million in a round led by Goldman Sachs and the Ping An Global Voyager fund, with continued investments from Wells Fargo and Nexus Venture Partners. Jade Mandel from Goldman Sachs will join H2O’s board of directors as part …

H2O.ai Raises $72.5M Led by Goldman Sachs and Ping An to Democratize AI | PR Newswire | 8/20/2019

… secured $72.5 million in a Series D round, bringing the total funding to $147 million . The round was led by Goldman Sachs ( NYSE: GS ) and the Ping An Global Voyager Fund ( OTCMKTS: PNGAY) with continued … of H2O.ai are becoming AI companies including leaders such as Aetna, Booking.com, Capital One, Comcast, Commonwealth Bank of Australia , Franklin Templeton , Hitachi, MarketAxess, Nationwide Insurance, PwC, Tokio Marine, Wells Fargo and Walgreens, leading AI transformations …

Morgan Stanley

LocatorX Appoints Tom Watjen to its Board of Directors | PR Newswire | 8/21/2019

Morgan Stanley and Co., Conning & Co. and Aetna Life and Casualty over the course of his career. He joined Provident Companies in 1994 as executive vice president and chief financial officer, and was later named as vice chairman and a director of Provident, Inc. Following a merger in 1999, Watjen became executive vice president, finance and risk management, for successor company, UnumProvident Corporation. In 2002, Watjen was elevated to vice …

Apple’s (AAPL) Advanced Technologies Driving Inroads In Healthcare - Nasdaq.com | 8/19/2019

… of care and recovery for the procedures is still lacking and costs to the U.S. healthcare system continue to rise.” Aetna has also entered into a partnership with Apple. The Aetna app on Apple Watch … related to medical information through devices while ensuring strict privacy. Morgan Stanley projects that healthcare could bring in over $15 billion for Apple by 2021 and up to $313 billion by 2027. “At the mid …

Leerink Partners

Inspire Medical Systems, Inc. (INSP) CEO Tim Herbert on Q1 2019 Results - Earnings Call Transcript | Seeking Alpha | 5/11/2019

… Relations, LifeSci Advisors Tim Herbert – President and Chief Executive Officer Rick Buchholz – Chief Financial Officer Conference Call Participants Richard Newitter – Leerink Partners Chris Pasquale – Guggenheim Jon Block – Stifel Bob Hopkins – Bank of America Kyle Bauser … by additional Blues plans that the National Coverage Policy from Aetna in 2018 also continues to have a beneficial impact at our approval rates and reducing review cycle times. A key trend, we expect to …

CVS’s $68 Billion Bid to Bring One-Stop Shopping to Health Care - Bloomberg | 12/7/2017

Business CVS’s $68 Billion Bid to Bring One-Stop Shopping to Health Care The purchase could shunt thousands of Aetna customers to the retailer’s health centers and transform the way America goes to the doctor … a CVS location, according to David Larsen, an analyst at Leerink Partners. “This is going to be appealing to a huge number of people,” says Ingrid Lindberg, president of Kobie Marketing Inc. and a former

Citigroup

Wall Street Brunch | Seeking Alpha | 7/14/2019

… has a huge Microsoft event and some Congressional scrutiny to factor in. Notable earnings reports: Charles Schwab (NYSE: SCHW ) and Citigroup (NYSE: C ) on July 15; Johnson & Johnson (NYSE: JNJ ), Goldman Sachs (NYSE: GS ), JPMorgan … 16. A court hearing on the CVS Health (NYSE: CVS )-Aetna (NYSE: AET ) merger is scheduled for July 17. U.S. District Richard Leon is expected to rule on the deal shortly after hearing the oral …

Stocks To Watch: Prime Day And FAANGs Out In DC - Apple Inc. (NASDAQ:AAPL) | Seeking Alpha | 7/13/2019

… has a huge Microsoft event and some Congressional scrutiny to factor in. Notable earnings reports: Charles Schwab (NYSE: SCHW ) and Citigroup (NYSE: C ) on July 15; Johnson & Johnson (NYSE: JNJ ), Goldman Sachs (NYSE: GS ), JPMorgan … 16. A court hearing on the CVS Health (NYSE: CVS )-Aetna (NYSE: AET ) merger is scheduled for July 17. U.S. District Richard Leon is expected to rule on the deal shortly after hearing the oral …

Jefferies Financial Group

TherapeuticsMD, Inc. (TXMD) CEO Robert Finizio on Q1 2019 Results - Earnings Call Transcript | Seeking Alpha | 5/7/2019

TherapeuticsMD, Inc. (NASDAQ: TXMD Nichol Ochsner - Vice President, Investor Relations Robert Finizio - Chief Executive Officer Daniel Cartwright - Chief Financial Officer Dawn Halkuff - Chief Commercial Officer Conference Call Participants Louise Chen - Cantor Fitzgerald Ken Cacciatore - Cowen Jay Olson - Oppenheimer Annabel Samimy - Stifel Chris Schott - JPMorgan Chris Howerton - Jefferies Operator Good afternoon ladies and gentlemen. Thank you for joining us for the TherapeuticsMD First Quarter 2019 Financial Results Conference Call. Following prepared …

Pacira Biosciences, Inc. (PCRX) CEO David Stack on Q1 2019 Results - Earnings Call Transcript | Seeking Alpha | 5/3/2019

Pacira Biosciences, Inc. (NASDAQ: PCRX ) Q1 2019 Earnings Conference Call May 2, 2019 8:30 AM ET Company Participants Susan Mesco - Head, IR David Stack - Chairman & CEO Richard Scranton - Chief Medical Officer Charles Reinhart - CFO Conference Call Participants David Amsellem - Piper Jaffray Companies Randall Stanicky - RBC Capital Markets David Steinberg - Jefferies Vasiliana Moussatos - Wedbush Securities Gary Nachman - BMO Capital Markets Serge Belanger - Needham & Company Operator Good morning, ladies and gentlemen, and …

Centerview Partners

Here’s who’s projected to win Wall Street bragging rights this year (JPM, GS, MS) | Business Insider | 12/19/2017

… Dealogic. The four largest tie-ups of the year were all announced in Q4, including Broadcom-Qualcomm ($130 billion) , CVS-Aetna ($69 billion) , Disney-21st Century Fox ($69 billion) , and Hochtief-Abertis Infraestructuras ($42 billion … here is boutiques: Evercore climbs to eighth from 11th, and Centerview Partners — a firm of just 37 senior bankers — jumped to seventh from 12th after landing assignments on both December megadeals: CVS-Aetna and Disney …

Bankers on the Disney-21st Century Fox deal are set to make a $150 million payday (DIS, FOXA) | Business Insider | 12/14/2017

Centerview Partners, Deutsche Bank, and Goldman Sachs will split $70 million to $85 million for advising Fox. Goldman Sachs will earn another $15 million to $25 million for arranging the $9 billion bridge loan on the deal. It’s shaping up to be a very lucrative month for dealmakers at Goldman Sachs and Centerview Partners. The two firms also advised on opposite sides of the $69 billion CVS-Aetna deal announced …

TPG Capital

Humana paying $800M for part of Kindred’s home health care business, | TheStreet | 12/20/2017

… includes hospice care and serves about 130,000 patients daily. The remaining stake will be purchased by the private equity firms TPG Capital and Welsh, Carson, Anderson & Stowe. Those firms also will acquire the rest of … would pay about $69 billion to buy the health insurer Aetna in a deal that will expand the role of its drugstores in managing patient care. Tuesday’s announcement also comes several days after another insurer …

Humana, private equity firms buy Kindred Healthcare for $810 million | Reuters | 12/20/2017

… Inc ( KND.N ) on Tuesday for about $810 million, the latest expansion by an American health insurer into patient care. Humana, TPG Capital and Welsh, Carson, Anderson & Stowe will pay $9 per share in cash. They … health outcomes and save costs. The deal comes after competitors Aetna Inc. ( AET.N ) and UnitedHealth Group Inc ( UNH.N ) announced deals that will expand the reach of those insurers into healthcare services in locations and sites …

JP Morgan

US STOCKS-Wall Street set to open lower as investors shun risk due to trade worries | Yahoo News | 8/7/2019

… to suffer in a lower interest-rate environment, fell in premarket trading. Bank of America Corp, Goldman Sachs Group Inc, JP Morgan and Morgan Stanley fell between 1.6% and 2.1%. At 8:51 a.m. ET, Dow … posted profit above estimates, boosted by strong sales in the Aetna health insurance business it acquired last year and raised its full-year earnings forecast. Cambrex Corp soared 47.3% after the contract development and manufacturing …

RBC Capital Markets

CVS launches home hemodialysis device clinical trial | Healthcare Dive | 7/17/2019

… receive dialysis at home or receive a viable organ transplant by 2025. Dive Insight: CVS, which now includes insurance giant Aetna, argues it can help the government reduce costs associated with the treatment of end … the home dialysis market, according to a recent note from RBC Capital Markets. Conversely, hemodialysis uses an artificial kidney machine to pump blood out of a patient to clean the blood before returning it to …

Pacira Biosciences, Inc. (PCRX) CEO David Stack on Q1 2019 Results - Earnings Call Transcript | Seeking Alpha | 5/3/2019

… Chairman & CEO Richard Scranton - Chief Medical Officer Charles Reinhart - CFO Conference Call Participants David Amsellem - Piper Jaffray Companies Randall Stanicky - RBC Capital Markets David Steinberg - Jefferies Vasiliana Moussatos - Wedbush Securities Gary Nachman - BMO Capital Markets … a payer-by-payer basis. Our ASC pilot program with Aetna has delivered results, and we are now meaningfully expanding this program into a national initiative. As you may recall, Aetna has a stated corporate …

Merrill Lynch

Weighing The Week Ahead: Should Investors Bank On The Fed? | Seeking Alpha | 6/9/2019

… upon implied volatility is your preferred measure for fear, you might want to compare stocks and bonds. Here is the Merrill Lynch MOVE index versus VIX, courtesy of The Daily Shot. The News Each week … Todd Sullivan ) likes CVSHealth ( CVS ). He notes synergies from the Aetna acquisition, insider buying, and a move to lower costs in healthcare delivery. RoseNose updates her portfolio discussing both changes and the results so far …

CVS Stock Gets a Boost as Final Judicial Review on Aetna Merger Begins | 6/4/2019

… NYSE: CVS) popped nearly 4% Tuesday morning following the company’s announced strategy to drive growth now that the merger with Aetna is (almost) in the books. At its Investor Day presentation in New York Tuesday … new debt in connection with the transaction. A week ago, Merrill Lynch analyst put long-term EPS growth estimates of 3.5%, 7.0% and 11.0% on the stock under three scenarios: low-growth, middle and high …

HCA

FTC Approves UHG-DaVita Merger Settlement in Nevada | HealthPayer Intelligence | 8/27/2019

… settlement on August 22, 2019. As a result, within the next 40 days UHG and DaVita will divest themselves of Healthcare Partners Nevada Assets, which Intermountain will acquire. UHG and DaVita will provide transition and … the concerns associated with healthcare industry mergers. With the CVS-Aetna merger awaiting the court’s final verdict and the Wellcare-Centene and Tufts-Harvard Pilgrim mergers underway, experts express concerns about the long-term effects …

Centene, Aetna protest losing Louisiana MCO contracts worth billions care Finance News | Healthcare Finance | 8/25/2019

The Centene subsidiary, Aetna and three other MCOs were paid $7.6 billion by Medicaid to cover more than 1.7 million beneficiaries. Susan Morse , Senior Editor Aetna and Centene, two insurers on the losing side for bids for Louisiana’s Medicaid managed care contracts, have protested the state’s decision, saying the process was flawed and biased. Centene, as Louisiana Healthcare Connections, and Aetna were among five Medicaid MCOs paid $7.6 billion by …

HCA Healthcare

State Highlights: Indiana, Texas Governors Sign First Laws Making Fertility Fraud Illegal; New Law In Oregon Upholds Medical Decision Process For Vulnerable Adults | Kaiser Health News | 7/3/2019

… Jacobs recently ruled in favor of the N.C. Department of Health and Human Services to deny preliminary injunction requests from Aetna Better Health, a commercial health care company; Optima, a health care group connected to … Healthcare: HCA Buys Two Dozen Urgent-Care Centers From Fresenius HCA Healthcare purchased 24 MedSpring urgent-care centers from Fresenius Medical Care, the investor-owned hospital chain announced Tuesday. The urgent-care centers will operate …

What a “Healthcare Platform” Is and Why It Should Matter to You: Industry Analysis by Loyale Healthcare | PRWeb | 7/2/2019

… insight, patient revenue cycle and all associated workflow processes. Proving the merits of an integrated approach, innovative networks such as HCA Healthcare consistently demonstrate superior financial performance. These evolving and innovative companies aim to transform … mega mergers such as JP Morgan and Instamed , CVS and Aetna and the newly created Haven , a joint venture of Amazon , JP Morgan and Berkshire Hathaway , are just some examples of the developing trend to …

Kaiser Permanente

When it comes to health care costs, Rochester patients win | 9/9/2019

Aetna, United Healthcare, Humana and Kaiser Permanente. The vast majority of their enrollment is in the New York City and downstate regions and do not reflect upstate costs. Upstate health coverage is largely provided by regional nonprofit insurers that partner with local hospitals and providers to keep costs affordable. An article published by The New York Times in December 2015 titled, “The Experts Were Wrong About the Best Places for …

Detailed Study on Short Term Health Insurance Market Developing Trends and Outlook to 2023 | International Key Players – Allianz, Zurich, Anthem, DKV, BUPA, Kaiser Permanente, Aetna | 8/29/2019

Kaiser Permanente, Aetna, PICC, PingAn Request a Discount on standard prices of this premium report @ https://www.businessindustryreports.com/check-discount/189754 . Region segment: This report is segmented into several key regions, with sales, revenue, market share (%) and growth Rate (%) of SHORT TERM HEALTH INSURANCE in these regions, from 2014 to 2023 (forecast), covering: North America, Europe, Asia Pacific, Middle East & Africa and South America. With tables and figures helping analyze worldwide …

DaVita Medical Group

UnitedHealth (UNH) Closes DaVita Unit Buy, Expands OptumCare | Yahoo News | 6/27/2019

UnitedHealth Group Inc. ’s UNH Optum unit has completed the buyout of DaVita Medical Group, a unit of DaVita Inc. DVA, for $4.3 billion in cash. This acquisition has been made by OptumCare — a sub … care. Some of the recently completed buyouts are that of Aetna Inc. by CVS Health Corp., and Express Scripts by Cigna Corp. These deals have enabled the surviving entities to develop an ecosystem of healthcare

St. Joseph Health

Walgreens’ CMO on the retailer’s expanding healthcare role, Microsoft partnership | FierceHealthcare | 6/12/2019

… looks to outmaneuver rivals like CVS Health and Amazon. In November, CVS completed its $69 billion acquisition of healthcare insurer Aetna and has been rapidly expanding its influence in transforming healthcare delivery. Last June, Amazon … to 20 healthcare provider organizations including Advocate Health Care, Providence St. Joseph Health and LabCorp as well as telehealth providers DermatologistonCall and MDLive. The Walgreens mobile app has been downloaded more than 50 million times …

Providence St. Joseph Health

Walgreens’ CMO on the retailer’s expanding healthcare role, Microsoft partnership | FierceHealthcare | 6/12/2019

… looks to outmaneuver rivals like CVS Health and Amazon. In November, CVS completed its $69 billion acquisition of healthcare insurer Aetna and has been rapidly expanding its influence in transforming healthcare delivery. Last June, Amazon … connects to 20 healthcare provider organizations including Advocate Health Care, Providence St. Joseph Health and LabCorp as well as telehealth providers DermatologistonCall and MDLive. The Walgreens mobile app has been downloaded more than 50 million …

Ascension

How blockchain has strange bedfellows singing kumbaya | Managed Care Magazine | 7/5/2019

Aetna; Ascension, the largest Catholic health care system in the country; MultiPlan benefit administrators; Cognizant professional services; and Quest Diagnostics. Other blockchain alliances include: IBM health utility network, which preceded Synaptic’s launch announcement by two months, is composed of Cigna, Aetna (again), Health Care Service Corporation (HCSC), and Anthem, along with Sentara Healthcare and PNC Bank. Coalesce Health Alliance comprises Express Scripts, the Blue Cross Blue Shield plans in Massachusetts …

Bypassing the middleman for a cheaper way to self-pay | Modern Healthcare | 6/15/2019

… hospitals in 31 states, including those owned by big players like Community Health Systems, CommonSpirit Health’s Catholic Health Initiatives and Ascension. Its revenue went from $5 million in 2015 to a projected $50 million in … MDsave and request paperwork to do so. Representatives with UnitedHealthcare, Aetna, Cigna and Blue Cross and Blue Shield of Georgia did not respond to questions about whether they honor MDsave customers’ requests to have the …

Tenet Healthcare

UHS’ Howard Cutler on the shift to value-based payment | Modern Healthcare | 7/20/2019

Tenet Healthcare Corp. and Main Line Health. Prior to that, he spent nearly a dozen years at Aetna , including Coventry Health Care, which it acquired in 2013. One of the key challenges the industry needs to overcome, he said, is the myriad ways people describe the shift to outcomes-based payment. Cutler recently talked with Modern Healthcare finance reporter Tara Bannow. The following is an edited transcript. MH: Can you …

UnitedHealth to jumpstart Q2 results with eyes on volume, ‘Medicare for All’ | Healthcare Dive | 7/16/2019

… positive for payers and their medical cost trends and for hospital operators heavily invested in outpatient settings, including HCA and Tenet Healthcare with its outpatient surgical unit, USPI. “Share of procedures in [inpatient] declined across … home care and chronic disease management and the acquisition of Aetna, the company is “an ideal partner to manage chronic kidney disease.” ‘Medicare for All’ debate continues With the 2020 campaign heating up among Democrats …

Dignity Health

AI, Wearables Take Back Seat to Financials for Healthcare Orgs | HealthIT Analytics | 4/24/2019

Aetna closed at the end of 2018, followed quickly by Cigna’s acquisition of Express Scripts. And in the health system space, deals between well-known providers such as Beth Israel Deaconess and Lahey Health , CHI and Dignity Health , and Bon Secours and Mercy Health have changed the landscape in many communities. Hospitals aren’t just acquiring each other, either. They are snapping up physician practices at a breakneck pace. Data from …

Predictions: Insurers, Hospitals To Merge, Be Led By Movie Studio Execs | Forbes | 1/16/2018

Both the health insurance and the hospital business are being reshaped by M&A. Within a few days last December, San Francisco-based Dignity Health and Colorado-based Catholic Health Initiatives signed a definitive agreement to merge and form a nonprofit health system of 139 hospitals, CVS Health agreed to buy insurance giant Aetna for $69 billion, and UnitedHealth’s Optum division announced plans to buy DaVita Medical Group with its …

Catholic Health Initiatives

AEP Names McCarthy to Board of Directors | Markets Insider | Business Insider | 4/23/2019

… at CVS since December 2018 supporting the company’s technology organization through a period of transition following the CVS acquisition of Aetna Inc. She was executive vice president of Technology and Operations for Aetna from 2010 … Technology at Cigna and served as chief information officer at Catholic Health Initiatives and Franciscan Health System. McCarthy also has worked in technology consulting at Andersen Consulting (Accenture) and was a consulting partner at Ernst …

Humana

Flu-shot clinics scheduled in Sangamon, Menard counties | 9/11/2019

Aetna, Humana, Cigna, Molina, Coventry, Meridian, IlliniCare and Health Alliance. People 65 and older have the option to receive a high-dose influenza vaccination for $60. Health department officials said they join with the U.S. Centers for Disease Control and Prevention in recommending that everyone 6 months of age and older get a yearly flu shot. Flu season typically runs from October through May, and it takes up to two …

When it comes to health care costs, Rochester patients win | 9/9/2019

Aetna, United Healthcare, Humana and Kaiser Permanente. The vast majority of their enrollment is in the New York City and downstate regions and do not reflect upstate costs. Upstate health coverage is largely provided by regional nonprofit insurers that partner with local hospitals and providers to keep costs affordable. An article published by The New York Times in December 2015 titled, “The Experts Were Wrong About the Best Places for …

Cigna

We Asked Prosecutors if Health Insurance Companies Care About Fraud. They Laughed at Us. - Eagle Pass Business Journal | 9/12/2019

Aetna, Cigna, UnitedHealthcare and others ignored or refused my many requests to interview their fraud investigators or responded with assurances about their fraud-fighting efforts, with few specifics. A United spokesperson said I couldn’t speak to a fraud investigator because “we do not want to make information public that would make it easier for those intent on engaging in fraud to commit these crimes.” She said the insurer uses analytics …

Anthem

Zacks Industry Outlook Highlights: Joint, Anthem, Centene and UnitedHealth | 8/8/2019

… Release Chicago, IL – August 8, 2019 – Today, Zacks Equity Research discusses Health Insurance, including The Joint Corp. ( JYNT - Free Report ) , Anthem Inc. ( ANTM - Free Report ) , Centene Corp. ( CNC - Free Report ) and UnitedHealth Group, Inc. ( UNH … supply chain through mergers and acquisitions. The mega mergers of Aetna with CVS Health Corp. (CVS) and Cigna Corp. (CI) with Express Scripts are the best examples of inter industry deals that led to the …

UnitedHealthcare

Value-based health insurer contracts growing in number, but not risk adoption | Modern Healthcare | 8/24/2019

… they are still more interested in filling hospitals beds,” said Dr. Anthony Nguyen, senior vice president of population health at UnitedHealthcare. The Minnetonka, Minn.-based insurer reports that nearly $75 billion in annual payments to … The network is in value-based payment contracts with UnitedHealthcare, Aetna and other large commercial payers. Crow said sections of data reports from insurers are left blank because they can’t disclose the total cost of …

Big 5 payers grow MA market share in August | Healthcare Dive | 8/22/2019

Healthcare, Humana, Aetna, Anthem and Cigna outpaced other competitors in the space, according to RBC Capital Markets. Anthem had the highest percentage growth in August (up 1% or roughly 12,000 members) while Humana and UnitedHealthcare had the strongest gains numerically, with Humana picking up almost 22,500 members and UnitedHealthcare up almost 22,000. Overall MA membership increased 0.4% month-over-month, with the big five insurers gaining 0.5% as a group …

Wellcare

Kaiser Permanente, Molina Healthcare, and Humana take top spots for digital experience | FierceHealthcare | 8/14/2019

Kaiser Permanente, Molina Healthcare, and Humana offer the best digital experience based on customer satisfaction and Net Promoter Scores, according to a survey of 11,500 consumers conducted by Verint Systems Inc. Blue Cross Blue Shield of Michigan took the fourth top spot in digital, followed by Horizon, WellCare Health Plans, Cigna, Anthem, Aetna and UnitedHealthcare. Verint’s industry benchmarking study evaluated the online health insurance experience based on four factors: navigation …

Kaiser Permanente, Molina Healthcare, Humana take top spots for digital experience | FierceHealthcare | 8/14/2019

Kaiser Permanente, Molina Healthcare, and Humana offer the best digital experience based on customer satisfaction and Net Promoter Scores, according to a survey of 11,500 consumers conducted by Verint Systems Inc. Blue Cross Blue Shield of Michigan took the fourth top spot in digital, followed by Horizon, WellCare Health Plans, Cigna, Anthem, Aetna and UnitedHealthcare. Verint’s industry benchmarking study evaluated the online health insurance experience based on four factors: navigation …

Wellcare Health Plans

Kaiser Permanente, Molina Healthcare, and Humana take top spots for digital experience | FierceHealthcare | 8/14/2019

Kaiser Permanente, Molina Healthcare, and Humana offer the best digital experience based on customer satisfaction and Net Promoter Scores, according to a survey of 11,500 consumers conducted by Verint Systems Inc. Blue Cross Blue Shield of Michigan took the fourth top spot in digital, followed by Horizon, WellCare Health Plans, Cigna, Anthem, Aetna and UnitedHealthcare. Verint’s industry benchmarking study evaluated the online health insurance experience based on four factors: navigation …

Kaiser Permanente, Molina Healthcare, Humana take top spots for digital experience | FierceHealthcare | 8/14/2019

Kaiser Permanente, Molina Healthcare, and Humana offer the best digital experience based on customer satisfaction and Net Promoter Scores, according to a survey of 11,500 consumers conducted by Verint Systems Inc. Blue Cross Blue Shield of Michigan took the fourth top spot in digital, followed by Horizon, WellCare Health Plans, Cigna, Anthem, Aetna and UnitedHealthcare. Verint’s industry benchmarking study evaluated the online health insurance experience based on four factors: navigation …

Molina Healthcare

Kaiser Permanente, Molina Healthcare, and Humana take top spots for digital experience | FierceHealthcare | 8/14/2019

Kaiser Permanente, Molina Healthcare, and Humana offer the best digital experience based on customer satisfaction and Net Promoter Scores, according to a survey of 11,500 consumers conducted by Verint Systems Inc. Blue Cross Blue Shield of Michigan took the fourth top spot in digital, followed by Horizon, WellCare Health Plans, Cigna, Anthem, Aetna and UnitedHealthcare. Verint’s industry benchmarking study evaluated the online health insurance experience based on four factors: navigation …

Kaiser Permanente, Molina Healthcare, Humana take top spots for digital experience | FierceHealthcare | 8/14/2019

Kaiser Permanente, Molina Healthcare, and Humana offer the best digital experience based on customer satisfaction and Net Promoter Scores, according to a survey of 11,500 consumers conducted by Verint Systems Inc. Blue Cross Blue Shield of Michigan took the fourth top spot in digital, followed by Horizon, WellCare Health Plans, Cigna, Anthem, Aetna and UnitedHealthcare. Verint’s industry benchmarking study evaluated the online health insurance experience based on four factors: navigation …

Centene Corp

Centene, Aetna protest losing Louisiana MCO contracts worth billions care Finance News | Healthcare Finance | 8/25/2019

The Centene subsidiary, Aetna and three other MCOs were paid $7.6 billion by Medicaid to cover more than 1.7 million beneficiaries. Susan Morse , Senior Editor Aetna and Centene, two insurers on the losing side for … network and Aetna, the report said. The news comes as Centene Corporation announced this month that it is expanding its footprint in the Affordable Care Act marketplace for 2020 in Arizona, Florida, Georgia, Kansas, North

Regence names new Idaho provider network executive | Globe Newswire | 8/12/2019

Centene Corporation, a diversified health care enterprise serving more than 11 million members nationwide. There, he had responsibility for development and oversight of network strategies across multiple markets and product lines. Earlier in his career, he guided provider network operations for a large privately owned Medicaid health plan in Illinois and directed network development for Aetna in Texas, focused primarily on Aetna’s government service products across the state. “We’re excited …

Oscar Health

Insurtech company Oscar Health chooses MA launch markets | MedCity News | 7/18/2019

… a $375 million funding round from Alphabet last year. Post a comment / Jul 17, 2019 at 5:23 PM Shares 0 Oscar Health’s long awaited entry into the Medicare Advantage market will initially start in its … looking to compete with blue chip insurers like UnitedHealthcare, Humana, Aetna and Anthem, which all have more than 1 million Medicare Advantage members, vastly outstripping the membership of any of the MA startups. In a …

THE DIGITAL HEALTH COMPETITIVE EDGE REPORT: How the big four US insurers rank on digital feature awareness — and what it means for customer satisfaction (AET, ANTM, CI, UHC) | Yahoo News | 7/16/2019

As digital permeates every corner of the US healthcare sector, the big four US insurers — Aetna, Blue Cross Blue Shield, Cigna, and UnitedHealthcare — have padded their health plans with digital tools that customers can use … Health, Doctor On Demand, Fitbit, Garmin, Humana, JPMorgan Chase, MDLive, Oscar Health, Samsung, UnitedHealthcare, UnitedHealth Group. Here are some of the key takeaways from the report: Digital is a nascent but growing part of the

Health Net

20 payer exec moves in July | Becker’s Hospital Review | 8/1/2019

Health Net of Oregon.9. Prominence Health Plan named Kamal Jemmoua CEO.10. Molina Healthcare named former Health Net leader John Kotal president of Molina Healthcare of California. 11. Cambia Health Solutions appointed April Krutka, DO, its palliative care medical director.12. Cigna named former Aetna leader Jeffrey Langsam, DO, market medical executive for its Connecticut market.13. Inland Empire Health Plan named Jarrod McNaughton CEO.14. Alice Moore joined …

Behind the enmity, a ‘window opened’ with UPMC and Highmark —and all sides pounced on the chance | The Business Journals | 6/24/2019

… UPMC Health Plan, on the other hand, will get access to some but not all of the Highmark-owned Allegheny Health Network. The in-network will be Jefferson Hospital in the South Hills and Saint … Highmark and the rise of third-party health insurers including Aetna, Cigna and UnitedHealthcare. “We’ve achieved a competitive marketplace, and that’s good for the marketplace and our patients,” Wood said. Neither UPMC nor Highmark wanted …

Donald Trump

Trump’s Health Team Making It Tough On ‘Medicare For All’ | Forbes | 9/1/2019

… lower rates and new benefits in Medicare Advantage and Part D,” said CMS Administrator Seema Verma, who was appointed by Donald Trump to her position. Every time the Trump administration changes a rule or highlights … insurers including Anthem, Cigna, Humana, UnitedHealth Group and CVS Health’s Aetna insurance business, are signing up record numbers of seniors to Medicare Advantage and offering such coverage in new regions for next year. “In 2019 …

10 Undervalued Stocks With Breakout Potential | Yahoo News | 8/20/2019

… war cools, FL stock will presumably rally in a big way. It increasingly appears that this will happen. U.S. President Donald Trump has delayed the next round of tariffs, while China is coming under intense … front store sales. This is mostly because, thanks to the Aetna acquisition, CVS is pushing forward on a promising local healthcare plan. Meanwhile, on the legislation side, the White House scrapped a PBM rebate program …

Larry Merlo

3 Rock-Solid Reasons Why CVS Health Is the Best Pharmacy Stock on the Market - Nasdaq.com | 8/11/2019

Larry Merlo said that the company’s initial HealthHUB locations are experiencing increased customer traffic as well as higher front-store sales and MinuteClinic visits. Another promising innovation from CVS Health is its home hemodialysis system. The company received FDA approval in July to begin a clinical trial of this system. Merlo said CVS Health hopes to launch its home dialysis system in 2021. 2. Aetna is a huge plus Some …

Mark Bertolini

Business issues to watch in 2020 Democratic primary debates in Miami | CNBC | 6/23/2019

Aetna CEO Mark Bertolini: I don’t think Medicare for all is feasible Squawk on the Street Health-care spending accounts for about one-sixth of the U.S. economy. Any overhaul of insurance markets has massive stakes not only for consumers but also insurance companies. Disagreements have emerged in the primary over how much to change the private insurance market — or whether to get rid of it entirely. Sanders has led …

CNBC Evolve New York Summit: Transforming companies for the future | 6/20/2019

Aetna CEO Mark Bertolini and more CNBC Evolve will return on September 24 in Chicago and November 19 in Los Angeles CNBC Evolve features iconic global companies and executives who are embracing change and transforming for the future. Featuring best-in class CEOs and innovators in conversation with CNBC anchors and reporters, this half-day event series provides a forum for companies to share strategies, tactics and lessons learned in …

Richard Leon

CVS handily beats estimates, hikes 2019 forecast | Healthcare Dive | 8/7/2019

… chain saw revenue of $63.4 billion , up 35.2% year over year, mostly due to acquisition of the health insurance giant Aetna in November as well as stronger volume and brand drug price inflation boosting pharmacy … integration of Aetna, which faces a roadblock in federal judge Richard Leon, who is conducting an unusually stringent review of the merger. Aetna revenue exceeded CVS’ internal expectations, driven primarily by strong growth in Medicare …

CVS reports earnings Wednesday. Here’s what to expect - MarketWatch | 8/3/2019

CVS has had to weather some rocky stock moves since closing on its merger with health insurer Aetna Inc. , but things could be looking up soon. Shares of the drugstore chain CVS, +0.61% have fallen … However, that may not have been enough — U.S. District Judge Richard Leon is currently reviewing whether or not the Justice Department adequately protected competition when it approved the deal

Wilde Mathews

CVS Delivers Strong First-Quarter Results, Soothing Fears About Fallout From Aetna Acquisition | Kaiser Health News | 5/2/2019

full issue CVS Delivers Strong First-Quarter Results, Soothing Fears About Fallout From Aetna Acquisition CVS shares lost a third of their value after the completion of the Aetna deal, erasing roughly $34 billion of … management team,” SVB Leerink analyst Ana Gupte said. (Terlep and Wilde Mathews, 5/1) Modern Healthcare: CVS Health’s First-Quarter Earnings Get A Boost From Aetna CVS piloted three “HealthHUB” stores in Houston earlier this year

Deals Boom in Health Industry – WSJ | Morningstar | 12/20/2017

Managed-care firms aim to wring out costs by backing treatment outside hospitals By Anna Wilde Mathews and Melanie Evans This article is being republished as part of our daily reproduction of WSJ.com articles that … CVS Health Corp., with its roughly $79 billion acquisition of Aetna Inc., wants patients to stay out of emergency rooms and do more at revamped, upgraded drugstores. UnitedHealth Group Inc.’s $4.9 billion purchase of

Bernie Sanders

Wednesday, August 14, 2019 | Kaiser Health News | 8/14/2019

… companies’ discussions on coordinating responses to an earlier congressional effort.House Oversight Chair Elijah Cummings (D-Md.) and presidential contender Sen. Bernie Sanders (I-Vt.) late Tuesday night demanded that generic drugmakers Teva, Mylan and Heritage … deal with the developer and county. (Cohn, 8/14) Kansas Rejects Aetna’s Plan To Correct Problems With Its Private Medicaid Services Aetna’s $1 billion-a-year business with Kansas is in jeopardy after the state rejects …

Elizabeth Warren and Bernie Sanders just slammed the Swiss drug giant Novartis over a new controversy swirling around the world’s most expensive drug | Business Insider | 8/9/2019

Elizabeth Warren and Bernie Sanders are among a group of five senators who slammed Novartis’ AveXis for submitting manipulated data to the FDA ahead of the approval of its gene-therapy drug. The FDA revealed … for kids, and parents say they’re running out of time Aetna and Anthem will now pay for more kids with a devastating rare disease to get a $2.1 million drug, reversing earlier denials Drugs that

Lamar Alexander

UnitedHealth to jumpstart Q2 results with eyes on volume, ‘Medicare for All’ | Healthcare Dive | 7/16/2019

… It’s still alive and moving along in Congress,” Tanquilut said, referencing the Lower Health Care Costs Act sponsored by Sen. Lamar Alexander, R-Tenn., which was passed out of committee and is expected to be … home care and chronic disease management and the acquisition of Aetna, the company is “an ideal partner to manage chronic kidney disease.” ‘Medicare for All’ debate continues With the 2020 campaign heating up among Democrats …

Health IT stakeholders calling for ONC, CMS to ‘go back to the drawing board’ on interoperability rules | FierceHealthcare | 5/30/2019

… on a call with reporters Thursday organized by the Health Innovation Alliance, which represents 75 healthcare and technology organizations including Aetna, IBM, Athenahealth and Teladoc. The call also included other industry organizations with serious concerns … for industry stakeholders to give feedback. Leading lawmakers, including Sen. Lamar Alexander, R-Tennessee, chairman of the Senate HELP committee, have urged ONC and Centers for Medicare & Medicaid Services (CMS) officials to consider delaying the …

Elizabeth Warren

First Edition: August 14, 2019 | Kaiser Health News | 8/14/2019

… who has amyotrophic lateral sclerosis, also known as ALS or Lou Gehrig’s disease, watched from his wheelchair as Massachusetts Sen. Elizabeth Warren described how he and his family had to raise money online to help … of her presidential bid. (8/13) The Associated Press: Kansas Says Aetna Still Not Living Up To Contract Terms The Kansas health department says insurance company Aetna is still not living up to the terms of …

Wednesday, August 14, 2019 | Kaiser Health News | 8/14/2019

… who has amyotrophic lateral sclerosis, also known as ALS or Lou Gehrig’s disease, watched from his wheelchair as Massachusetts Sen. Elizabeth Warren described how he and his family had to raise money online to help … deal with the developer and county. (Cohn, 8/14) Kansas Rejects Aetna’s Plan To Correct Problems With Its Private Medicaid Services Aetna’s $1 billion-a-year business with Kansas is in jeopardy after the state rejects …

Patty Murray

New Report on Prescription Drug Costs: PBMs “Rife with Potential Conflicts of Interest” | PR Newswire | 12/12/2017

… USNewswire/ – In thanking U.S. Senate Health, Education, Labor and Pensions (HELP) Committee Chairman Lamar Alexander (R-TN) and Ranking Member Patty Murray (D-WA) for holding its third 2017 hearing on rising prescription drug costs … giant CVS Health acquisition of America’s third-largest health insurer, Aetna, “represents another dangerous step toward governmental acceptance of an increasingly integrated, consolidated and oligopolistic system effectively allowing a shrinking number of mega-companies to …

New Report on Prescription Drug Costs: PBMs ’Rife with Potential Conflicts of Interest’ | PR Newswire | 12/12/2017

… USNewswire/ – In thanking U.S. Senate Health, Education, Labor and Pensions (HELP) Committee Chairman Lamar Alexander (R-TN) and Ranking Member Patty Murray (D-WA) for holding its third 2017 hearing on rising prescription drug costs … giant CVS Health acquisition of America’s third-largest health insurer, Aetna, “represents another dangerous step toward governmental acceptance of an increasingly integrated, consolidated and oligopolistic system effectively allowing a shrinking number of mega-companies to …

Bruce Broussard

Insurers’ message on ‘Medicare for All’: We’re part of the answer | Healthcare Dive | 5/3/2019

Aetna. “The path forward is to achieve universal coverage and it can be substantially reached through existing public and private platforms,” UnitedHealth Group’s CEO David Wichmann said. And increased Medicare Advantage enrollment across the country over the past decade testifies to consumers’ preference for private-sector solutions, Humana’s CEO Bruce Broussard said. Insurers like Humana sell Medicare Advantage plans that seniors can opt to enroll in instead of traditional Medicare …

Humana paying $800M for part of Kindred’s home health care business, | TheStreet | 12/20/2017

… a home health business, said the deal will help it keep costs down, improve health and manage chronic conditions. CEO Bruce Broussard said in a prepared statement that care delivered at home is a “vital … would pay about $69 billion to buy the health insurer Aetna in a deal that will expand the role of its drugstores in managing patient care. Tuesday’s announcement also comes several days after another insurer …