Category: Aetna

  • ‘We Are Making Very Bold Moves’: CVS Health Targets Home Health, Primary Care Investments

    In December, CVS Health (NYSE: CVS) shared its strategy for “revolutionizing” the consumer experience through its primary care, payer, digital and omnichannel health services offerings, including home health care. President and CEO Karen Lynch doubled down on that agenda while speaking at the 40th Annual J.P. Morgan Healthcare Conference Tuesday morning. “As I said in […]

  • Aetna Medicare CMO Outlines Aging-in-Place Agenda

    America’s biggest health care companies continue to focus on home-based care and aging in place as 2022 approaches. That includes CVS Health Corporation (NYSE: CVS) subsidiary Aetna. Among its home- and community-based care initiatives, Aetna is doubling down on the use of telehealth and leaning into the CVS HealthHUB network, which offers seniors a range […]

  • Breaking Up is Good to Do

    By KIM BELLARD Last week General Electric announced it was breaking itself up. GE is an American icon, part of America’s industrial landscape for the last 129 years, but the 21st century has not been kind to it. The breakup didn’t come as a complete surprise. Then later in the week Johnson and Johnson, another […]

  • Aetna’s prior authorization policy harms California patients

    Beginning July 1, Aetna now requires prior authorization for all cataract surgeries, across all its members and plans. Here in California and across the country, ophthalmologists are going to great lengths to secure approval from Aetna for cataract surgery, while the backlog caused by prior authorization and delayed elective care during the Covid-19 pandemic only grows.

  • Lawsuit: Aetna fertility coverage policy “an illegal tax” on LGBTQ people

    The lawsuit alleges that an Aetna policy discriminates against LGBTQ people by requiring them to pay thousands in out-of-pocket costs for fertility treatments before becoming eligible for coverage. Though Aetna has agreed to pay the costs incurred by the plaintiffs, the suit aims to strike down the policy as a whole.

  • Aetna Launches Connected Plan with CVS Health in St. Louis Market

    What You Should Know: – The Aetna Connected Plan with CVS Health™ is a first-of-its-kind plan offering that will deliver CVS Health® and Aetna’s combined capabilities in the St. Louis market to help members access care when and where they need it – and at a more affordable price than a traditional plan. – The […]

  • Marpai Health Acquires Continental Benefits to Launch First Smart Health Plan System

    What You Should Know: – Today Marpai Health announced that it will acquire third-party administrator Continental Benefits. Marpai brings deep learning to self-insured health plans, which will allow for the processing of comprehensive data to increase quality care, reduce costs, simplify the healthcare experience, and empower plan members to live healthier lives. The transaction is expected to close in […]

  • With telehealth, pharmacy offerings, Amazon starts to encroach on PBMs

    As Amazon starts to roll out its telehealth and pharmacy offerings, most big health systems and insurers don’t yet view it as a threat. But pharmacy benefit managers and vertically integrated payers will be keeping a watchful eye on the company as it starts to encroach on a slice of their business. 

  • Unite Us Nabs $150M, Reaching $1.6B Valuation to Address Social Determinants of Health

    What You Should Know: –   Unite Us, the tech company creating coordinated care networks nationwide, has just announced a $150M Series C round of funding led by ICONIQ Capital, bringing its valuation at $1.65 billion.   – Unite Us is leading the care transformation movement towards whole-person health with its core product, Unite Us Platform, an outcome-focused coordination software sconnecting community-based […]

  • Why A Smart Command Center Requires A Health Cloud Platform

    Dr. David Nace, Chief Medical Officer at Innovaccer Aviation, military, NASA, or even utilities like the New York Power Authority—almost all high-consequence, complex organizations have one thing in common: a command center. The concept of a command center or a ‘war room,’ or ‘air traffic control’ has been around for a while. Command centers help […]

  • CVS Health Building ‘Home Health Hub’ to Better Care for Seniors

    CVS Health (NYSE: CVS) has allotted ample resources toward home- and community-based care over the past year. It has done so for several reasons, CVS Health leaders point out. For one, investing in home-based care makes it easier for patients to access necessary services during the public health emergency. But CVS Health’s focus on the […]

  • CVS Launches Community-Based Strategy to Address COVID-19 Vaccine Education and Equity

    Source: CVS Health What Should Know: – CVS Health unveils community-based strategy increase access to COVID-19 vaccinations for vulnerable communities and advance vaccine education while combating hesitancy. – The strategy includes a strategic partnership with Lyft to help underserved communities access vaccination appointments by providing free or discounted rides for those in need. CVS Health […]

  • CVS plans to re-enter ACA marketplace in 2022

    After completely exiting the ACA exchanges in 2018, CVS plan to re-enter them in 2022. Last year, enrollment through federal exchanges increased, and Aetna CEO Karen Lynch said the markets have stabilized.

  • Aetna expands gender-affirming surgery coverage

    Aetna will now cover breast augmentation for trans women, signaling hope for increased access to healthcare for the transgender community. The coverage expansion comes after transgender individuals and groups advocated for the change.

  • Hurdle Secures $5M for Digital Mental Health Platform for People of Color

    What You Should Know: – Washington, D.C.-based Hurdle raises $5M in seed funding to accelerate its digital mental health platform for people of color. – Hurdle aims to provide an innovative teletherapy solution for employers and insurers; aims to remove barriers to mental health care for People of Color by rooting its services in evidence-based […]

  • CVS Health Launches Senior Medical Alert System, Symphony

    What You Should Know: – Today, CVS Health announced Symphony, a medical alert system designed to keep seniors safe and connected at home. – Symphony consists of a collection of in-home and wearable devices that offer a new at-home experience by connecting a suite of sensors that can monitor for falls, motion, and room temperature […]

  • 98point6 Lands $118M to Expand Text-Based Primary Care Platform

    98point6 App What You Should Know: – On-demand text-based primary care platform 98point6 raises $118M in Series E funding to further invest in research and development and expand its robust medical practice. – 98point6 offers patients easy access to primary care in the same way they’ve grown accustomed to receiving the majority of services today—on […]

  • In-Home Primary Care Investments Likely to Trickle Down to Home-Based Care Agencies

    Medicare Advantage plan Aetna and primary care provider WellBe Senior Medical are teaming up in the Chicagoland area to serve about 2,000 patients in their homes. The partnership further highlights the growing momentum behind in-home primary care models, which often enlist the services of home health and home care providers to care for vulnerable populations.  […]

  • $5M Research Grant Launches to Evaluate Efficacy of Virtual Diabetes Care

    What You Should Know: – DreaMed Diabetes, the developer of personalized, AI-based diabetes management solutions, will participate in a clinical study, led by Jaeb Center for Health Research Foundation, to evaluate the efficacy of virtual treatment for diabetes patients. The research is funded by a $5 million grant from The Leona M. and Harry B. […]

  • Ginger Lands $50M to Expand On-Demand Mental Health Support Platform

    What You Should Know: – Ginger announces $50 Million in Series D funding to expand access to its on-demand mental healthcare system led by Advance Venture Partners and Bessemer Venture Partners; joined by Cigna Ventures and existing investors. – Company has more than tripled revenue over the past year, now brings access to on-demand mental […]