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August 5, 2016

Merger Update

As The Department of Justice (DOJ) recently filed Antitrust lawsuits against both the Connecticut-based Aetna and Indianapolis-based Anthem “Mega-Mergers,” the DOJ is suggests a February start date to the trial. With Aetna aiming to complete a $37 billion acquisition of Humana…

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July 20, 2016

Anthem/Cigna and Aetna/Humana Merger Update

Developments continue regarding the proposed mergers between Anthem/Cigna and Aetna/Humana. Yesterday,  the Justice Department reported they will likely file lawsuits this month to halt both proposed mergers.  If the Justice Department does take action, it may significantly delay any merger. …

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July 8, 2016

Detrimental Anthem/Cigna & Aetna/Humana Mergers

If the proposed Anthem/Cigna and Aetna/Humana mergers are allowed to proceed, the combined entities will control roughly 90 percent of both Georgia’s individual health insurance market. Additionally, these entities will subsequently control 90 percent of both the Medicare Title XVIII…

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June 23, 2015

Humana Notification of payment policy and code-editing updates

Humana has posted a policy/coding update that will take effect on 9/14/2015: http://apps.humana.com/marketing/documents.asp?file=2642614 Unless otherwise noted below, these updates will be applicable across all of Humana’s product lines (commercial & Medicare): Humana addresses maximum dosages/acceptable diagnosis codes for several drugs…

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