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The AGs say CVS Health charged these programs higher prices than they offered to the general public for the same drugs.
Aetna and Humana also allegedly discouraged brokers from enrolling disabled seniors, who were viewed as less profitable.
Aetna has struggled since its reintroduction into the ACA exchange, and posted an adjusted operating income loss of $924 million in 2024.
DeVaney ascends to the top post after having been named interim president in December.
All commercial prescriptions dispensed at CVS Pharmacy will be reimbursed through CVS CostVantage.
Drugmakers, Aetna alleged, determined their market allocation by providing high cover bids, or refusing to bid for some customers.
The complaint claims the scheme was aimed at suppressing payment rates to doctors for out-of-network services.
CEO David Joyner put much of the onus on the poor performance on elevated utilization coming out of the pandemic.
Oscar is launching a multi-condition plan for members with diabetes and pulmonary and cardiovascular disease.
Changes in methodology in 2024 and 2025 added Tukey outlier deletion that is used to set cut points for CAHPS measures.
