UnitedHealth Group is complying with criminal and civil investigations into its Medicare Advantage business, the company said in a July 24 regulatory filing. The disclosure comes after The Wall Street ...

Payer leaders need a flexible mindset, data know-how and big-picture thinking to succeed in 2025, according to more than a dozen executives. Becker’s reached out to 17 executives to learn what ...

Aligning wound patient needs with the appropriate level of care can have a significant impact on patients, hospitals, and payors. In one recent case study, two hospitals reduced wound patients’ ...

In five large counties, payers own more than one-third of the primary care market, according to a study published in the July issue of Health Affairs Scholar found. Payers, including Optum, Aetna, ...

New Hampshire Gov. Kelly Ayotte has signed a bill that requires insurers to notify the state’s insurance department at least 90 days in advance before discontinuing a line of business, including ...

A judge has dismissed Humana’s lawsuit challenging its Medicare Advantage star ratings. In a July 18 order, U.S. District Judge Reed O’Connor dismissed the case without prejudice, meaning it could be ...

Blue Cross and Blue Shield of Louisiana has lost its legal challenge against CMS over how its 2025 Medicare Advantage star ratings were calculated. On July 9, the U.S. District Court for the District ...

AdventHealth’s Shawnee Mission Medical Center is suing Blue Cross and Blue Shield of Kansas City, alleging the insurer improperly withheld more than $2 million in payments by denying hundreds of valid ...

CareOregon has laid off 80 employees and eliminated 70 empty positions in response to financial headwinds, the Oregonian reported July 22. According to the report, the layoffs included positions at ...

California’s insurance commissioner has issued a cease and desist order against Innovative Partners for illegally acting as an insurer in the state and offering health coverage without proper ...

Geisinger Health Plan is eliminating nearly 100 positions as part of a restructuring program aimed at stabilizing operations. “This decision, which only impacts GHP roles, was not made lightly,” a ...

Attorneys representing Luigi Mangione, the man accused of killing UnitedHealthcare CEO Brian Thompson in late 2024, have accused the Manhattan District Attorney’s Office of improperly obtaining over ...