As people’s health needs become more complicated, they’re looking for more support from those who help them stay healthy. What they want most is a trusted partner to guide them through the ...

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 ...

Humana is offering a voluntary early retirement option to some of its employees. The buyout offer will be available for certain parts of the company and for employees who meet specific eligibility ...

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’ ...

Federal lawmakers have introduced a handful of bills aimed at speeding up prior authorization and cracking down on upcoding in Medicare Advantage. None of the introduced bills have been heard in ...

The nation’s largest payers have filed their second-quarter earnings reports, revealing which companies recorded the largest profits for the three months ended June 30. 1. UnitedHealth Group: $3.4 ...

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, ...

Insurers own less than 5% of primary care providers, but this share has grown significantly since 2016, a study published in the July issue of Health Affairs Scholar found. Researchers calculated the ...

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 ...

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 ...

A former Medicare Advantage executive has been found not guilty of healthcare fraud. A jury found Kenia Valle Boza, the former director of Medicare risk adjustment analytics for HealthSun Health Plans ...