CVS News & Events

CVS Health's Aetna agreed to pay $117.7M to resolve allegations that it violated the False Claims Act by submitting or failing to withdraw inaccurate and untruthful diagnosis codes for its Medicare Advantage Plan enrollees in order to increase its payments from Medicare, the Justice Department said in a statement. The U.S. alleges that Aetna "submitted inaccurate and untruthful patient diagnosis data to CMS in order to inflate the risk adjustment payments it received from CMS, failed to withdraw the inaccurate and untruthful diagnosis data and repay CMS, and falsely certified in writing to CMS that the data was accurate and truthful."

CVS Health (CVS) and Google Cloud (GOOG, GOOGL) announced a new strategic partnership that aims to reimagine health care experiences, increase consumer engagement, and ultimately support better health outcomes. Central to the partnership is CVS Health's launch of Health100, a health technology services subsidiary, that will deliver an integrated health care engagement platform for consumers, regardless of which pharmacy, care provider, medical insurance company, pharmacy benefits manager and digital health solution providers they use. The Health100 consumer engagement platform will use built-in agentic AI, to provide a real-time, omni-channel experience. This will give consumers an always-on personal health care partner. The platform is being developed to enable consumers to take full ownership of their health and care, provide real-time proactive support to stay on track to achieve better health, offer faster and expanded access to care, empower them with cost transparency and ways to reduce out-of-pocket spend, and eliminate stressful health care homework. Health100 also will serve as the conduit to pharmacist-led care management to leverage an integral, underutilized and trusted clinical touch point.