安泰的争议事件

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• The requirement, which went into effect July 1, 2021, affects about 20,000 procedures per month and is causing delays and confusion, according to the American Academy of Ophthalmology (AAO).

• Ophthalmologists are protesting Aetna's new requirement that it preapprove all cataract surgery as a condition for reimbursement.

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• The Hartford health insurer filed a lawsuit in New York Supreme Court earlier this month accusing the city’s Office of Labor Relations of selecting an “inexperienced and unqualified bidder,” violating New York procurement law, lacking transparency and breaching “principles of public trust and fairness for a procurement that could last up to a minimum of five or as many as 11 years and generate $34 billion in claims revenue.”

• Aetna is suing New York City and a rival health insurers group over a $34 billion Medicare contract it says was awarded to unqualified bidders.

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• The plaintiff is suing for recovery of benefits and breach of fiduciary duty.

• On Friday a case was filed in the Northern District of California by a beneficiary against Aetna Life Insurance and Playworks Education Welfare Benefits Plan. The case is regarding improper denial of mental health benefits under ERISA.

• A plaintiff filed suit last Friday in the District of New Jersey against his insurance company, Aetna Inc. and Aetna Life Insurance Company.

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• Despite the patient and her treating doctors providing medical records, documentation of the treatment’s efficacy and acceptance, and submitting appeals for manual review instead of automated denial of the treatment, Aetna continued to automatically deny the billing, which per the plaintiff violates Aetna’s higher fiduciary duty as a processor of ERISA plan claims.

• On Tuesday a case was filed in the District of Arizona by an ERISA plan benefit recipient against Aetna as third party administrator of the plan. The case concerns the denial of benefits by Aetna for Proton Beam Radiation Therapy (PBRT) as an experimental treatment.

• The plaintiff argues that this requirement acts as a tax upon these couples that is discriminatory

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• Aetna’s strategy for capturing more of this market was “highly confidential and would be invaluable to Cigna,” according to the lawsuit, which was filed Feb. 9.

• Aetna is asking the court for punitive damages, legal fees and an order to prevent Brown from working at Cigna for a year.

• The defection of a top Aetna executive has prompted parent company CVS to sue Cigna in Rhode Island district court alleging the potential misuse of trade secrets.