Aetna is expanding its Medicare Advantage and ACA plan offerings for 2024.
Here are eight updates about Aetna and parent company CVS Health Becker's has reported since Sept. 18.
- Aetna will offer a home health visit from Signify Health to Medicare Advantage beneficiaries at no extra cost as part of the payer's coverage changes for 2024.
- Aetna will provide Medicare Advantage prescription drug plans in 46 states and Washington, D.C., next year, adding 255 new counties and offering 2.2 million more Medicare-eligible beneficiaries access to an Aetna plan.
- Lawmakers are launching an investigation into the largest Medicaid managed care organizations, including Aetna, over prior authorization denial rates. Sen. Ron Wyden, chair of the Senate Committee on Finance, and Rep. Frank Pallone, ranking member of the House Committee on Energy and Commerce, sent letters to several Medicaid managed care providers, requesting they submit information on the rate of appeals and denials in their plans, and information on any AI algorithms used in the prior authorization process.
- Aetna was one of 11 payers named among Newsweek's 2023 America's Greatest Workplaces for Parents and Families.
- GuideWell named Jeff Goddard, former CFO of CVS Caremark, as CFO. GuideWell is the parent company of Florida Blue, a Blue Cross Blue Shield company, and Triple-S Management, which operates Blue Cross Blue Shield plans in Puerto Rico.
- Rippl Care, a startup dementia care provider, named Jamie Sharp, MD, as chief medical officer. Dr. Sharp was most recently chief medical officer for Medicare at Aetna.
- Building and maintaining successful value-based care arrangements is difficult and will require innovative thinking from leaders across the healthcare spectrum, according to Aetna's Southeast region president, Rich Weiss. He sat down with Becker's to share the building blocks of successful value-based care models and what payers can do to encourage more of them alongside providers.
- Aetna filed to offer individual health plans on the Maryland ACA exchange in 2024.The CVS Health company joins three other insurers, CareFirst BlueCross BlueShield, Kaiser Permanente and UnitedHealthcare, that also offer individual plans on the Maryland exchange.