Channel Sponsor - Coding/Billing/Collections

Sponsored by National Medical Billing Services | info@nationalASCbilling.com | (636) 273-6711

Anthem, Aetna prepare for battle against DOJ in court— 5 highlights

Following news of the Justice Department filing a suit against the pending Anthem/Cigna and Aetna/Humana mergers, Aetna and Anthem both pledged to fight the suit in court, according to The Hill.

Here are five highlights:

1. Aetna officials stated the payer would "vigorously" challenge DOJ on its Humana deal, which is valued at $37 billion.

2. Anthem also said it would challenge the DOJ over its $54 billion merger with Cigna.

3. While payers have made moves to settle regulatory concerns including divesting shares, Attorney General Loretta Lynch rejected the companies' efforts, claiming the efforts are "inadequate, incomplete."

4. Antitrust officials claim the Aetna-Humana merger would control the Medicare Advantage market, causing many consumers to suffer high prices. However, the payers counter their coverage options would be cheaper than competitors and would have more high-rated plans.

5. Various medical and patient advocacy groups, including the American Medical Association, cheered DOJ's decision to push a lawsuit.

More articles on coding & billing:
DOJ files suit against 2 payer megamergers: 5 things to know
Revenue cycle management in a value-based world
Covered California pushes 13.2% rate hike on consumers: 4 things to know

© Copyright ASC COMMUNICATIONS 2019. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.

 

Top 40 Articles from the Past 6 Months