News & Analysis as of

Healthcare Anthem Insurance

King & Spalding

Recent Health Plan Practices That Are Resulting in Underpayments to Providers

King & Spalding on

Health Plans’ Use of Policies and Guidelines to Reduce Coverage and Reimbursement - A technique we have seen payers use more commonly in recent months than in the past is to unilaterally implement policies or “clinical...more

Robinson & Cole LLP

Data Privacy + Cybersecurity Insider - October 2018 #3

Robinson & Cole LLP on

This week the Securities and Exchange Commission (SEC) issued an investigative report that outlined cyber incidents that nine public companies had experienced, causing fraudulent losses totaling more than $100 million. The...more

Robinson+Cole Data Privacy + Security Insider

Anthem Settles with OCR for $16M for 2015 Data Breach

The Department of Health and Human Services Office for Civil Rights (OCR) announced this week that it has settled the largest health care data breach for the largest enforcement fine in history....more

Baker Donelson

Congress Takes Long Look at Proposed Health Insurance Mergers

Baker Donelson on

While the Department of Justice Antitrust Division is responsible for reviewing the proposed Anthem/Cigna and Aetna/Humana mergers for any potential competitive concerns, Congress jumped into the process with both feet in...more

BakerHostetler

Send Lawyers, Guns and Money:* Providers Lining Up Against Anthem/Cigna and Aetna/Humana Mergers

BakerHostetler on

In the wake of Anthem’s proposed acquisition of Cigna and Aetna’s proposed acquisition of Humana, providers are lining up to be heard. Take the American Medical Association (AMA), for example, which is urging federal and...more

Baker Donelson

Health Insurers Announce Merger Plans; Congress Announces Intention to Review

Baker Donelson on

In the last few months, several of the largest commercial health insurers in the nation have announced their intentions to merge. First, Aetna (currently the nation’s third largest health insurer by revenue) announced its...more

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