the medical benefits ratio (MBR) soaring to 90% from 86% in prior year and the medical loss ratio (MLR) going up to 89.6% from 86.2%. These were attributed to increased utilization, the decline in Medicare Advantage Star ratings, Medicaid acuity...
Centers for Medicare & Medicaid Services (CMS). Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer’s Disease (200.3 - Version 1). Decision Memorandum. Baltimore, MD: CMS; April 7, 2022. Available at: https://www.cms.gov/. Accessed: May 1, 2024. Cummings J, Sa...
The insurer has offered same-day prescription delivery since 2019. Deliveries under this new policy should take three hours or less. Aetna is the first managed care organization in the state to offer this benefit to Medicaid members. Members must live within 15 miles of a CVS pharmacy. Aetna ...