Suit claims Aetna misrepresented network to win contract

A newly unsealed whistleblower lawsuit claims that Aetna Inc. misrepresented its provider network to secure lucrative Medicaid contracts in Pennsylvania, reports Fierce Healthcare. In the suit, former care management nurse Carol Wessner said she reported multiple times to superiors at Aetna Better Health of Pennsylvania that patients were being assigned to primary care doctors who were falsely represented as in-network.