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Clarification of Aetna's Stop-Loss Calculation
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Beginning September 1, Aetna changed how it calculated reimbursement under stop-loss provisions for participating facilities when inpatient days are denied as “length of stay not necessary.” As a clarification, this change applies to reimbursement under stop-loss provisions for participating facilities for all Aetna plans, with the exception of the Traditional Choice plan. This change was made so that the stop-loss calculation will be more consistent with other Aetna plans. Click here for more information.
