Aetna Health Inc. did not properly calculate benchmarks in some negotiations with providers over surprise medical bills, according to a new federal audit.
The Centers for Medicare and Medicaid Services released its first compliance audit under the No Surprises Act on Thursday, finding that Aetna did not follow proper procedure in a handful of cases involving payments for air ambulance services between January and June 2022.
The report provides more ammunition to medical providers in their arguments that insurers are gaming the system. Doctors are increasingly suing insurance companies in court over allegedly delayed or missing payments, skewed arbitrator selections, ...
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