Is Aetna in financial trouble?

Asked by: Forrest Hodkiewicz  |  Last update: May 19, 2025
Score: 5/5 (49 votes)

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.

Why is Aetna struggling?

Aetna majorly miscalculated utilization trends in pricing Medicare Advantage plans for this year, causing hundreds of thousands of seniors to flock to its generous coverage and saddling the insurer with an unexpectedly steep price tag for their care.

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.

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.

Are people happy with Aetna insurance?

Aetna has an average rating of 1.2 from 90 reviews. The rating indicates that most customers are generally dissatisfied. The official website is aetna.com. Aetna is popular for Insurance, Financial Services. Aetna has 109 locations on Yelp across the US.

Why Aetna is not in every exchange

34 related questions found

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.

What is the best healthcare insurance?

Investopedia's analysis ranks Kaiser Permanente as the best health insurance company for 2025 because of its blend of affordability and low customer complaints. UnitedHealthcare and Aetna also earned top marks. We evaluated nine insurers using dozens of criteria, such as customer satisfaction, plan types, and costs.

What is the financial status of Aetna?

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.

Does CVS still own Aetna?

Aetna® is proud to be part of the CVS Health family.

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.

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.

Is Aetna having technical issues?

Aetna.com is UP and reachable by us. Please check and report on local outages below ... The above graph displays service status activity for Aetna.com over the last 10 automatic checks. The blue bar displays the response time, which is better when smaller.

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 losing money?

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 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.

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.

Who was Aetna bought out by?

A federal judge yesterday approved CVS Health's $69 billion acquisition of Aetna.

Will CVS layoff Aetna employees?

Aetna headquarters, in Hartford, Conn. Oct. 11, 2024. CVS Health announced Friday it will lay off 164 employees who report to the Hartford headquarters of its insurance division Aetna, all of them remote workers.

What pharmacies does Aetna use?

Our Aetna Medicare preferred pharmacy network
  • Albertsons®
  • Costco® Pharmacy.
  • CVS Pharmacy® stores.
  • Kroger®
  • Publix Super Markets.
  • Safeway.
  • Walmart.

What is the financial rating of Aetna?

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'.

What insurance company owns Aetna?

Aetna® group of companies. Aetna is proud to be a part of the CVS Health® family of companies.

Is Aetna insurance good in all states?

Aetna offers group health insurance plans in all 50 states and in terms of membership is the third largest health insurer in the United States behind United Healthcare and Anthem Blue Cross. In California, Aetna ranks sixth in number of members among health insurance companies.

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.

Is $200 a month good for health insurance?

Health insurance that costs $200 per month is a good deal in California. Silver plans typically cost $513 per month for a 21-year-old or $656 per month for a 40-year-old. The best way to get cheap rates is to use health insurance subsidies, which lower the cost of an insurance plan based on your income.