Word: aetna
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...rights, and recently decided to make all HMO complaint records public. Texas is the only state in the U.S. to allow consumers to sue insurance companies if they do not use "ordinary care" in denying or delaying payment for treatment. The law is currently being challenged in court by Aetna and other insurance companies...
...Americans have health insurance because their employers have decided it just costs too much. Boy, did we show that busybody Hillary a thing or two. It's true that there aren't any of those pesky government bureaucrats mucking around in your health care--instead it's bureaucrats at Aetna or Prudential whom you must convince that those heart palpitations call for a look-see by a cardiologist. The great fear that you wouldn't be able to see your own doctor under Clinton care has been replaced by the reality that you won't be able...
...diet-drug revolution is facing a backlash. Some of the nation's largest HMOs, including Aetna U.S. Healthcare and Prudential Healthcare, have begun cutting back or eliminating reimbursement for both pills. Diet chains like Jenny Craig and Nutri/System are backing away from them too. Several states, meanwhile, have restricted the use of fen-phen. Last week the Florida legislature banned new prescriptions entirely and called on doctors to wean current patients from the drug within 30 days; it also put a 90-day limit on Redux prescriptions. Even New Jersey doctor Sheldon Levine, who touted Redux last year...
...conference has made tremendous use of the technology it is talking about," said attendee Patricia C. Mitchell, director of corporate benefits at Aetna...
...Healthcare has earned higher marks as a penny pincher than as an efficient health-care crusader. U.S. Healthcare spends about 75 cents of every dollar in premiums on medical care, compared with the 81 cents averaged by managed-care plans in general and the 85 cents spent by Aetna specifically. That means that 14.5 cents of every U.S. Healthcare dollar goes to administration and 10.5 cents goes to profit--an interesting contrast with the 2 cents of every Medicare dollar that goes to administrative costs. A study of U.S. Healthcare and 11 other commercial HMOs by the office...