Tagged with Aetna

Aetna HCPCS Code Updates to Specific Drug Contract Service Groupings

Effective March 1, Aetna will implement code updates under which individual service codes will be assigned within contract service groupings. Changes to an individual provider’s compensation will depend on the presence or absence of specific service groupings within the contract.

Aetna Changes to Commercial Drug Lists Begin on April 1

Effective April 1, Aetna will implement several updates to its pharmacy plan drug lists. These changes will affect all Pharmacy Management drug lists, precertification, quantity limits, and step-therapy programs. 

Aetna-CVS Health Merger Complete

Following its recent approval from the New York’s Department of Financial Services, the $69 billion merger between CVS Health Corp. and Aetna closed Wednesday, November 28. The two organizations say that the merger will immediately improve health-care outcomes and reduce costs.

Aetna Updates Commercial Drug Lists

Effective July 1, Aetna will update its pharmacy plan drug lists. These changes will affect all Pharmacy Management drug lists, precertification, quantity limits and step-therapy programs.

Aetna Balance Billing Notice for Medicare Beneficiaries

Aetna has issued a notice reminding providers and billing professionals that Medicare beneficiaries under the Qualified Medicare Beneficiary (QMB) program should not be billed for cost sharing (balanced billing).

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