News Briefs

✦ The U.S. Court of Appeals for the District of Columbia Circuit on Aug. 13 overturned a key court victory notched by UnitedHealthcare regarding Medicare Advantage overpayments. In 2018, a lower federal court sided with the insurer’s challenge of a CMS rule, which required MA payments to be actuarially equivalent to those in Medicare fee-for-service and which UnitedHealth claimed resulted in the federal government underpaying MA plans. But D.C. Circuit Judge Cornelia Pillard ruled that actuarial equivalence did not apply to the overpayment rule.

✦ CVS Health Corp.’s Aetna launched what it called the “first nationwide virtual primary care” program, which will be available to self-funded employer plans through a partnership with Teladoc Health Inc. Per an Aug. 10 press release, the program will place members in “a continuous relationship with a virtual care physician beginning from the first 30-45 minute comprehensive primary care visit and extending to every visit thereafter” and will offer a $0 copay “for virtual primary care visits and select in-person services at MinuteClinic and CVS HealthHUB locations.”

0

0

0 Comments

0

0

• Health Plan Weekly