CVS Health

Aetna Will Offer Some Gene Therapies As Standard Medical Benefit

by Kelsey Waddill

Aetna members will have better access to gene therapies in 2022, the payer announced. “Gene therapy is poised for significant growth in the coming years, and the promise of durable improvement...

CVS Health to Offer Coverage for Moderna COVID-19 Booster Shot

by Victoria Bailey

CVS Health has announced that it will offer Moderna COVID-19 booster shots to eligible individuals at more than 9,800 pharmacy locations. The CDC, following guidance from the Advisory Committee on...

Top 5 Largest Health Insurers in the US by National Market Share

by Kelsey Waddill

Overall, the list of the top five largest health insurers at the national level has remained stable over the past six years, but the list experienced some small shifts in 2020, according to data from...

Aetna Increases Member Primary Care Access With New Virtual Plan

by Victoria Bailey

CVS Health and Aetna have launched a virtual primary care service to increase member access to preventive care. Aetna Virtual Primary Care will provide members with telehealth services as well as a...

Aetna Prior Authorization Policy Takes Effect, Providers Protest

by Kelsey Waddill

Updated 7/08/2021: This article has been updated to include a comment from an Aetna spokesperson. Ophthalmologists are responding in opposition to Aetna’s new prior authorization policy for...

Aetna Partnership Aims to Increase, Improve Suicide Prevention

by Victoria Bailey

Aetna has partnered with a behavioral health education platform to provide healthcare professionals with resources for suicide prevention. Aetna and CVS Health are aiming to reduce suicide attempts...

CVS Health Responds to Caregivers’ Pandemic Mental Health Needs

by Victoria Bailey

In response to the coronavirus pandemic’s influence on moms’ and caregivers’ stress levels, CVS Health and Aetna are taking steps to prioritize the...

3 Ways to Cut Payer, Employer Gene Therapy Healthcare Spending

by Kelsey Waddill

As gene therapies become more widespread, payers continue to rely on proven strategies to reduce gene therapy healthcare spending, CVS Health’s Health Trends Report 2021 explained. The report...

Aetna to Re-Enter ACA Individual Health Insurance Marketplace

by Kelsey Waddill

Aetna will be returning to the Affordable Care Act's individual health insurance marketplace, CVS Health announced in its 2020 fourth-quarter earnings results. “As the ACA has evolved...

Aetna Updates Policies to Cover Transgender Feminizing Surgeries

by Kelsey Waddill

Aetna has updated its coverage policies to correct care disparities and to include gender-affirming surgeries for transgender women in most of its commercial plans, CVS Health announced. Aetna worked...

New Aetna Pilot Aims To Improve Medicaid Member Engagement, SDOH

by Kelsey Waddill

Aetna’s new partnership leverages the pharmacist-patient relationship to improve Aetna’s Medicaid member engagement and better address social determinants of health, CVS Health announced...

MA Plan Uses Home Healthcare to Manage Multiple Chronic Diseases

by Kelsey Waddill

CVS Health’s Aetna is using home healthcare to address chronic disease management for those with multiple chronic diseases, the payer announced. Aetna will partner with Landmark Health...

New Aetna Health Plan Leverages CVS HealthHUBs, Narrow Networks

by Kelsey Waddill

Aetna is initiating a new employer-sponsored health plan in Kansas and Missouri that will combine a narrow network with CVS Health services, the payer announced. “This plan is just one example...

Aetna, Cleveland Clinic Form Low Cost, Narrow Network Health Plan

by Kelsey Waddill

CVS Health’s Aetna has formed a new partnership with Cleveland Clinic which involves a new narrow network health plan and new provider programs, the payer and provider announced. “As part...

CVS Health Gives Employers Access to COVID-19 Testing Solutions

by Kelsey Waddill

Update 6/29/2020: This article has been updated to include a statement from CVS Health on Aetna’s role in the Return Ready program.  As payers support employers navigating the...

Payers Eliminate Coronavirus Treatment Cost-Sharing Before Feds

by Kelsey Waddill

CVS Health has eliminated cost-sharing and co-pays for coronavirus-related treatment, the company announced on March 25. For more coronavirus updates, visit our resource page, updated twice daily...

How Payer Value-Based Contracts Seek to Cut Gene Therapy Costs

by Kelsey Waddill

Eleven gene therapies could cost an individual as much as $45 billion over the next five years, but payers can bring that cost to a more manageable price range through methods such as value-based...

CVS Health Invests $2.5M in Tobacco, Opioids Substance Abuse Care

by Kelsey Waddill

CVS Health announced that it will be investing $2.5 million in Ohio community organizations to battle opioid use disorder and tobacco substance abuse care and to fortify its workforce training...

CVS Health Seeks to Increase Access to Chronic Disease Management

by Kelsey Waddill

CVS Health’s Project Health events are expanding their footprint to address chronic disease management and prevention and to enable access to care for free. “Chronic conditions...

CVS Health-Aetna Merger Sealed, WellCare Takes Aetna’s Part D PDP

by Kelsey Waddill

Judge Richard Leon granted the settlement between the federal government and CVS Health, which divests Aetna’s Medicare Part D prescription drug plan (PDP) to WellCare. The judge stated that the...