• UnitedHealth CEO: Decision to pay Change ransom was mine

    In written testimony provided ahead of two scheduled May 1 congressional hearings, UnitedHealth Group CEO Andrew Witty said it was his decision to pay ransom in an attempt to protect patient data stolen during the February cyberattack against one of its subsidiaries, Change Healthcare.
  • UCare posts $82M operating loss in 2023

    UCare posted an operating loss of $82.1 million in 2023, a decrease of more than 75% year over year, the Star Tribune reported April 26.
  • Opening the Kimono

    The year 2024 marks a turning point for healthcare transparency in the United States. Regulations like the Transparency in Coverage Rule (TCR) aim to empower patients with cost information, allowing them to make better informed decisions about their healthcare. However, for health insurers, complying with these regulations presents a complex challenge, further strained by rising labor costs, staffing shortages, and the ever-present risk of inaccurate information dissemination.
  • Why the ACA health insurance exchange is the next reimbursement battle ground

    There are now more than 20 million Americans enrolled through the individual health insurance exchange marketplace (HIX) and growing. A product originally designed to provide coverage for the uninsured and those caught between having too much to qualify for Medicaid, but not quite enough to afford commercial coverage, is now setting its sights on the small group commercial market through ICHRA, or an individual coverage health reimbursement arrangement. This has the potential to be incredibly disruptive to providers given the negative impact this shift could have on overall reimbursement and provider margins.
  • The five non-negotiable traits of an exceptional medical benefits management partner

    When it comes to medical benefits management, finding the right partner is crucial. Safeguarding and improving members’ health while effectively supporting providers is paramount to a successful strategy. An exceptional partner should align with your goals and embody five key traits.
  • Centene: States slow to pick up Medicaid weight-loss drug coverage

    Few states are adding coverage of GLP-1 drugs for weight loss, Centene executives said. 
  • Centene posts $1.2B profit in Q1

    Centene reported nearly $1.2 billion in net income in the first quarter and a more than 18% decrease in Medicaid membership year over year, according to its first-quarter earnings posted April 26.
  • Highest-paid payer CFOs in 2023

    UnitedHealth Group CFO John Rex was the highest-paid CFO of a major insurer in 2023. 
  • Cigna sets quarterly dividend

    The Cigna Group's board authorized the company to pay a cash dividend of $1.40 to be paid on June 20. 
  • Humana expands partnership with prior authorization platform

    Humana is expanding its use of Cohere's prior authorization platform for diagnostic imaging and sleep services. 
  • Humana plans to leave some Medicare Advantage markets in 2025

    Humana expects to exit Medicare Advantage markets in 2025, company executives told investors. 
  • Humana posts $741M profit in Q1

    Humana reported $741 million in net income in the first quarter of 2024. 
  • California hospitals sue Anthem Blue Cross over discharge delays

    The California Hospital Association is alleging Anthem Blue Cross of California violated the state's patient safety laws by failing to facilitate members' transfer to post-acute care. 
  • Payers ranked by CEO-to-worker pay ratios

    Health insurance leaders were paid up to 392 times more than their respective median employee in 2023, according to recently filed proxy statements with the Securities and Exchange Commission.
  • Highest-paid payer CEOs in 2023

    UnitedHealth Group's CEO was the highest paid out of major payer CEOs in 2023. 
  • UnitedHealth Group's 5 highest-earning executives in 2023

    UnitedHealth Group CEO Andrew Witty was paid $23.5 million in total compensation in 2023. 
  • Elevance Health launches specialty pharmacy navigator

    CarelonRx will launch SpecialtyRx Savings Navigator, designed to help employers manage specialty drug spending. 
  • California's ACA marketplace, Google partner on AI-powered enrollment

    California’s ACA marketplace, Covered California, is partnering with Google to automate parts of the coverage enrollment process using artificial intelligence.
  • UnitedHealth Group in the headlines: 12 updates

    From a hearing date set for CEO Andrew Witty's testimony before a congressional panel, to the release of its first earnings report since the Change Healthcare cyberattack, here are 12 updates on UnitedHealth Group that Becker's has reported since April 3. 
  • Broker caps a step toward level playing field for Medicare Advantage

    New rules implemented by CMS will create a level playing field for community health plans in Medicare Advantage, Ceci Connolly, CEO of Alliance of Community Health Plans, said. 

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