Word: aetna
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Dates: during 1990-1999
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Faced with the prospect of being put out of business, old-fashioned fee-for- service doctors have mounted a campaign to secure their way into managed care and gain some control over it. In Texas, with support from the Texas Medical Association, doctors who were let into Aetna and Prudential managed- care networks and then dropped are suing them, arguing that they are being denied their "right" to serve their patients. In Virginia, doctors are suing a plan that fired them, citing an 11-year-old law called "any willing provider" that guarantees them the opportunity to continue serving their...
Even before the storm that trampled through the East Coast of the U.S. last week, the 15th such tempest in the nastiest winter in recent memory, American insurance companies had forlornly concluded that all their carefully calculated predictions about the world's weather have been blown way off course. Aetna Life and Casualty announced last Monday that first-quarter earnings would plunge $120 million -- in part because of claims related to January and February's weather. Industrywide, weather-related claims for these two months may total $825 million, on top of $1.75 billion in insured losses caused by the monstrous...
...grouping consumers and doctors into huge pools that would bargain with insurers over premiums and coverage. It was a foregone conclusion that small insurance companies would object, fearing they might be driven out of business, and they do. The odd thing is that the handful of large companies -- Aetna, CIGNA, MetLife, Prudential and Travelers -- that broke away from an organization called the Health Insurance Industry of America to form the Alliance for Managed Competition are also gearing up to oppose what is supposed to be their handiwork. Their argument: Instead of trying to institute a true managed-competition system...
Disease risk studies themselves may not affect insurance premiums, but John A. Sanders, general manager of Aetna Health Care Plans for the New England area, says changes in medical technique resulting from medical research results are definitely a part of the actuarial process...
...million Americans. Since the election, Bristol-Myers has announced that it is cutting 2,000 of its 53,000 jobs, and Warner-Lambert expects to eliminate 2,700 of its 35,000 positions. Insurance companies, a principal target of Clinton's reform philosophy, are bracing for the worst. Aetna and Travelers have both announced plans for major layoffs...