Aetna, based in Connecticut, is the fourth key insurer sanctioned in this true way in two years. In the last two years, the government has transformed how it enforces Medicare regulations, said Robert Zirkelbach, a spokesman for America's MEDICAL HEALTH INSURANCE Programs, a trade group. Although the government has provided oversight, Zirkelbach said, there were more sanctions and even more general public announcements of the sanctions .Friedman, executive director of AAHIVM. 'Our company and Academy People will continue steadily to advocate for this legislation that is so vital to the health of all Pennsylvanians.'.. A simple pneumothorax? Emergencies can spring up anytime and in lots of incarnations. Are you equipped to cope with them adequately? You certainly are a GP doing your regular change in the emergency department of your neighborhood hospital. According to the screen of waiting patients, another patient to be observed has been classified as a category 3. This means the problem isn't life-threatening and the patient can be seen in 30 minutes. Subconsciously you feel a bit more at ease because, as a GP, you still be concerned about the critically ill sufferers regardless of all the support that's readily available in the emergency division.