CVS to Merge with Aetna in $69 Billion Deal

Posted by & filed under Aetna, Uncategorized.

On Sunday, CVS Health announced its plans to buy health insurance giant Aetna in a $69 billion deal. Each company’s board of directors fully supported the move. CVS Health (CVS) is a leading pharmacy benefits manager that serves approximately 90 million plan members. Aetna, a health care benefits company, serves roughly 44.6 million individuals as…

2016 Medicare Parts C & D Audit & Enforcement Findings

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Last Tuesday, the Centers for Medicare and Medicaid Services (CMS) released their 2016 Medicare Part C and Part D Program Audit and Enforcement Report. This report summarizes the audit findings on carriers’ Compliance Program Effectiveness (CPE), Part D Formulary and Benefit Administration (FA), Part D Coverage Determinations, Appeals, and Grievances (CDAG), Part C Organization…

2016 Medicare Parts C & D Audit & Enforcement Findings

Posted by & filed under CMS, Medicare.

Last Tuesday, the Centers for Medicare and Medicaid Services (CMS) released their 2016 Medicare Parts C and Part D Program Audit and Enforcement Report. This report summarizes the audit findings on carriers’ Compliance Program Effectiveness (CPE), Part D Formulary and Benefit Administration (FA), Part D Coverage Determinations, Appeals, and Grievances (CDAG), Part C Organization…

Anthem-Cigna Merger Trial Currently Underway

Posted by & filed under Anthem, Cigna, News.

It’s been 17 months since Anthem announced it would buy Cigna for $48.4 billion. With the recent start of the Anthem-Cigna merger trial, we’ll all soon know if they can legally seal the deal. Throughout the two-part hearing, the U.S. Department of Justice, Anthem, and Cigna will argue over the merger’s effect on the…