Category: ASC Coding, Billing and Collections

Here are nine recent stories Becker’s has covered about Aetna and its parent company, CVS Health, in the last 30 days: 

Eighty-two percent of group practice executives say prior authorization is very or extremely burdensome, according to the Medical Group Management Association’s “Annual Regulatory Burden Report.”

As healthcare continues to move toward value-based care, payment based on the model remains a point of contention, according to the Medical Group Management Association’s “Annual Regulatory Burden Report.”

UnitedHealth Group is the largest payer by 2021 revenue, according to a Sept. 1 report from ValuePenguin. 

Willingboro, N.J.-based former physician assistant Aaron Jones, 28, was sentenced to two years in prison for a scheme that defrauded payers millions of dollars, Press of Atlantic City reported Oct. 5. 

Community Health has filed a suit to recover nearly $10 million from Fresno, Ariz.-based physician group Santé Health System, The Sun reported Oct. 5. 

A federal judge ruled an antitrust suit, filed by former employees of Deerfield, Ill.-based SCA Health, can move forward against Dallas-based Tenet Healthcare, DaVita and UnitedHealth Group affiliates, Bloomberg Law reported Sept. 27. 

UnitedHealth Group is the insurer with the largest market share, according to a September report from ValuePenguin. 

Pharmaceutical company Biogen has agreed to pay $900 million to resolve allegations it paid kickbacks to physicians to prescribe Biogen drugs, the U.S. Justice Department said Sept. 26. 

While many procedures are migrating to the ASC setting, “historically” slow payer policy changes could create delays, according to administrator Brenda Carter.