One of the main principles behind purchasing health insurance is protection in the event of an emergency.
But in the case of Anthem, the nation's second-largest insurer, policy holders may be denied coverage if the company considers their visit to the emergency room unnecessary.
Under the health insurance company's "avoidable ER program," Anthem can retroactively restrict or deny coverage if the company decides that the patient didn't actually have an emergency condition. For instance, if you went to the ER for chest pain that turned out to be attributed to anxiety o...
A whistleblower with Aetna who accused CVS Caremark of gouging Medicaid and Medicare customers with high prescription-drug costs has been placed on paid administrative leave by the insurance company.
The move comes after the whistleblower’s lawsuit was unsealed in federal court in early April. It also comes as CVS Caremark, one of the country’s largest pharmacy benefit managers, pursues the acquisition of Aetna for a reported $69 billion.
Sarah Behnke, at the time the chief Medicare actuary for Aetna, filed the whistleblower lawsuit, which is pending. Her attorney to...
Wells Fargo & Co. said Friday that it had agreed to pay $480 million to settle a class-action lawsuit accusing the banking giant of securities fraud related to the fake-accounts scandal that has rocked the company since 2016.
The San Francisco-based bank denied the allegations but said it had "entered into the agreement in principle to avoid the cost and disruption of further litigation."
"We are making strong progress in our work to rebuild trust, and this represents another step forward," Wells Fargo Chief Executive Tim Sloan said in a statement.