Cleveland-based MetroHealth has improved the speed and success of its medication prior authorization process with the help of AI, cutting submission times from 18 hours to around five minutes and ...

CVS Health Corporation ( NYSE: CVS) Q1 2025 Earnings Conference Call May 1, 2025 8:00 AM ET David Joyner - President, Chief Executive Officer Tom Cowhey - Executive Vice President, Chief Financial ...

CVS Health plans to exit the individual health insurance business also known as Obamacare next year, leaving about 1 million Aetna members ... 87.3% from 90.4% in the prior year.

Aetna will exit the individual exchange business next year as parent company CVS Health seeks to turn around its struggling health insurance subsidiary. CVS Health expects to lose $350 million to ...

CVS Health’s insurance division Aetna will stop offering plans for ... CVS’ pharmacy benefit manager Caremark also reached an agreement with Danish drugmaker Novo Nordisk to give its weight ...

You can reach Bob on Signal at bobjherman.09. CVS Health will not sell its Aetna health plans in the Affordable Care Act’s individual marketplaces in 2026, marking the second time in the past ...

CVS shares fell over 40% last year due to weak performance in the company's Aetna insurance and retail pharmacy businesses, and multiple cuts to its profit outlook, but have pared most of those ...

CVS Health is laying off more people who report to its Aetna building in Hartford beginning July 26, 2025. The layoffs are expected to affect 55 employees — though just one lives in Connecticut ...

The aim of the proposals would be to cut the number of medical procedures subject to “prior authorization,” meaning ones in which doctors have to fill out additional paperwork for ultimate ...

Insurance hurdles and the complexities of prior authorization create barriers to care, according to oncologists in a new survey by Sermo. The majority of oncologists report that they’ve encountered ...

Flat prior (not usually recommended); Super-vague but proper prior ... Many times when people recommend default priors, they are restricting to some version of conjugacy for closed forms or for Gibbs; ...

The new law puts deadlines on prior authorization decisions and puts denials in the hands of doctors, not insurance analysts. North Dakota Gov. Kelly Armstrong signed Senate Bill 2280 into law on ...