Keyword: Dave Jones

Aetna is hitting back against recent news coverage that cast doubt on its clinical review process.

Aetna is facing backlash—and an investigation in California—due to the testimony of a former medical director.

From Kaiser Health News: Experts and regulators are concerned about new health plans claiming to be lower-cost alternatives to Affordable Care Act coverage.

From Kaiser Health News: California and other states will exempt themselves from a federal rule that cuts the ACA open enrollment period in half.

Covered California reports that premiums are expected to rise an average of 12.5% in 2018, and that Anthem will significantly reduce its presence in the state.

Two new analyses make it crystal clear that uncertainty about the fate of the Affordable Care Act is weighing heavily on health insurers.

State insurance commissioners are stepping in to provide flexibility and reassurance to insurers leery about ACA exchange participation.

From Kaiser Health News: California’s health exchange and a major insurer pressed Republican leaders to clear up confusion about their plans for parts of the ACA.

Twenty-one California doctors are facing charges in an alleged $40 million fraudulent medical billing and kickback operation.

Investigators believe hackers acting on behalf of a foreign government exploited common industry weaknesses in the 2015 Anthem breach.