Is Aetna having financial problems?
Asked by: Aidan Dickinson | Last update: October 8, 2025Score: 4.7/5 (22 votes)
Is Aetna in financial trouble?
Aetna's revenues hit $33 billion in Q3, up from $26.3 billion in Q3 2023. But it posted an adjusted operating income loss of $924 million this year. Its Medical Benefits Ratio was 95.2% in the quarter, compared to 85.7% in the same period last year.
Is Aetna health insurance in trouble?
The insurance arm's operating income fell nearly 40% in Q2 2024. Aetna, CVS's health insurance arm and the third largest payer in the US, is struggling amid higher medical costs and lower Medicare Advantage star ratings.
Is Aetna financially stable?
Fitch Ratings - Chicago - 27 Dec 2024: Fitch Ratings has assigned Aetna Life Insurance Company (ALIC) a Long-Term Issuer Default Rating (IDR) of 'A-' and an Insurer Financial Strength rating (IFS) of 'A'. The Rating Outlook is Negative.
Why is Aetna not paying claims?
If you've had a health treatment or disability claim denied by Aetna, it could be because: The procedure is considered cosmetic (not medically necessary) Your doctor is out of network or doesn't participate in the plan. Your plan doesn't cover your medical condition.
Money Talks: CVS Health to buy insurance firm Aetna for $77B
What is the class action lawsuit against Aetna?
The lawsuit seeks a declaratory judgment, injunctive relief to end Aetna's exclusionary policy, and compensatory damages for all policyholders who have had to pay out of pocket for gender-affirming facial surgery because of Aetna's discriminatory exclusion.
Which health insurance denies the most claims?
According to the analysis, AvMed and UnitedHealthcare tied for the highest denial rate, with both companies denying about a third of in-network claims for plans sold on the Marketplace in 2023, respectively.
Who bought out Aetna?
2017: On December 3, 2017, CVS Health announced the acquisition of Aetna for $69 billion. Larry Merlo became chief executive of the two brands. Aetna CEO Mark Bertolini resigned and Aetna President Karen S.
Is Aetna a reputable insurance company?
Although Aetna is one of the oldest insurance companies in the country, it's not accredited by the Better Business Bureau. It has an A+ rating with the BBB, but only a 1.05 out of 5 stars after 139 customer reviews.
What insurance company owns Aetna?
Aetna® group of companies. Aetna is proud to be a part of the CVS Health® family of companies.
What is happening with Aetna and CVS?
Citing Aetna's underperformance, CVS fired division head Brian Kane in August, handing the reins of the business directly to Cowhey and then-CEO Karen Lynch. Two months later, CVS' board replaced CEO Karen Lynch with Joyner, who previously ran CVS' pharmacy benefit manager Caremark.
Is Aetna good insurance for seniors?
Aetna is an established health insurance company with a long history of providing coverage and support to millions of seniors across the country. Their Medigap plans offer a variety of benefits and options to make sure that older adults have the quality care they need and deserve.
Who is the owner of Aetna?
Aetna® is proud to be part of the CVS Health family.
What is happening to Aetna?
CVS is removing Brian Kane, the head of Aetna, citing the division's poor performance and outlook. CEO Karen Lynch, who was the president of Aetna from 2015 to 2021, will now lead the business, while CFO Tom Cowhey will help oversee its day-to-day operations.
Why is Aetna struggling?
In the news release reporting its earnings, CVS said Aetna's struggles are being spurred by “increased utilization and the unfavorable impact of the previously disclosed decline in the Company's Medicare Advantage star ratings for the 2024 payment year within the Medicare product line, higher acuity in Medicaid ...
Where does Aetna rank?
By membership and revenue, Aetna is ranked third in the country for health insurance. Aetna has over 22 million members and receives annual revenues of over $60 billion. With revenue over 50 billion and membership over 14 million, Humana ranks number five of all U.S. health insurers.
Does Aetna deny a lot of claims?
In the same year, Medicare denied 6.85% of its claims. One year later, AMA reported that all the surveyed insurers were denying fewer claims: Aetna's denial rate was down to 1.81%, Anthem BCBS reduced its rate to 4.34%, and private insurers overall were down to 2.79%, while Medicare denied only 4% of claims.
What is the best health insurance company to go with?
- Best Overall and Best for Self-Employed: Kaiser Permanente.
- Best Widely Available Plans: UnitedHealthcare.
- Best for Low Complaints and Best for Chronic Conditions: Aetna.
- Most Affordable: Molina Healthcare.
Why is Aetna so expensive?
Factors influencing Aetna insurance monthly costs
Plans with broader coverage and extensive benefits, such as lower deductibles, co-pays, and comprehensive services like dental and vision care, often come with higher monthly costs.
Is Aetna merging with Humana?
Our mutual respect for our companies' capabilities has grown throughout this process, and we remain committed to a shared goal of helping drive the shift to a consumer-centric health care system.” Aetna will pay Humana $1 billion as a result of the termination of the merger agreement.
Is Aetna changing its name?
We're changing our name and logo, but our relationship with you and our members will stay the same. We value our local relationships, so our plan offerings and contract agreements won't be impacted by our name and logo change. You'll continue to follow the same processes you do today.
Is CVS in financial trouble?
Over the last few years, CVS has struggled with declining profit margins at its retail pharmacies, as well as rising costs of patient care through its insurance unit Aetna, which generates around a third of the company's revenue. So far, CVS has cut its 2024 earnings forecast for three straight quarters.
What insurances are not recommended?
- Private Mortgage Insurance. ...
- Extended Warranties. ...
- Automobile Collision Insurance. ...
- Rental Car Insurance. ...
- Car Rental Damage Insurance. ...
- Flight Insurance. ...
- Water Line Coverage. ...
- Life Insurance for Children.
Who is the most trusted insurance company?
- Best for customer satisfaction: Erie Insurance.
- Best for seniors: Nationwide.
- Best for liability insurance: Auto-Owners.
- Best for claims filing : State Farm.
- Best for bundling: American Family.
- Best for accident forgiveness: Progressive.
- Best for military members and veterans: USAA.