Aetna said former marketing executive Dale Mackel was aware of the Hartford, Conn.-based insurer’s profit margins and other confidential information like why Aetna decided to stay in Iowa and Nebraska Affordable Care Act exchanges after exiting others.
According to the report, Aetna’s complaint read Mr. Mackel “knows exactly how Aetna prices its products, and exactly what rates can be negotiated with providers.” The complaint, filed with the U.S. District Court of Connecticut, said Mr. Mackel “is not likely to turn a blind eye and allow [BCBS] to miss opportunities to use this information in its competition against Aetna.”
Connecticut Law Tribune reports the defendant has not filed a response to the complaint.
More articles about payer issues:
DOJ files to dismiss $338M risk-corridors suits from BCBS, Moda Health
Connecticut insurer opens retail store for members
Double-digit increases on the way for Delaware individual health premiums
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.