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 ...

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’ ...

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 ...

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 ...

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 ...

Humana has reintroduced a lawsuit challenging its Medicare Advantage star ratings. On July 18, U.S. District Judge Reed O’Connor dismissed the case without prejudice. Mr. O’Connor ruled that Humana ...

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 ...

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 ...

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 ...

Enrollment in Blue Cross Blue Shield plans declined slightly between 2022 and 2024, according to a June 10 report by Mark Farrah Associates, a healthcare industry data aggregator. The report examined ...

Cigna is launching a suite of AI tools designed to help members navigate their health benefits. The new features are being rolled out in phases on Cigna’s member portal, according to a June 12 news ...

Discover how industry experts in revenue cycle management have harnessed the power of automation and artificial intelligence to transform manual remittance-to-deposit reconciliation into a seamless, ...