Optum Health, the care delivery arm of UnitedHealth Group, has named Krista Nelson as its new CEO. “I’m deeply grateful to be part of an organization with such an important mission and an incredible ...

Horizon Blue Cross Blue Shield of New Jersey has agreed to pay $100 million to settle allegations that it fraudulently induced the state to award it a multibillion-dollar contract to administer ...

The Office of the New York City Comptroller approved the NYC Employees PPO plan, according to a Nov. 14 news release. Under the new health plan, EmblemHealth and UnitedHealthcare will take over the ...

State insurance regulators are issuing warnings around what they describe as unfair practices by Medicare Advantage insurers to restrict enrollment. Amid rising costs and increased regulatory ...

As part of the ongoing enterprise-wide recalibration effort to improve financial performance, UnitedHealth Group leadership shared in late October that it would be moving its finance business at Optum ...

Aetna’s new “level of severity inpatient payment” policy is now set to kick off next year instead of Nov. 15, according to a Nov. 6 company document. As part of the reimbursement approach, Aetna will ...

3. What if durable medical equipment went from error-prone to seamless? Explore how health plans are rethinking DME end-to-end. Learn more ...

The Wasteful and Inappropriate Service Reduction initiative from CMS will take effect next year, adding prior authorization requirements to traditional Medicare. Providers in Arizona, Washington, New ...

UnitedHealth Group is working to position itself as a frontrunner in the wider healthcare industry’s ongoing technological transformation, with AI at the heart of its strategy to innovate, improve ...

Business services provider Conduent faced a data breach going into 2025, leaving insurers scrambling. According to the company, the breach could have revealed members’ names, social security numbers, ...

Elevance Health’s Medicaid business is expected to reach a low point on profits in 2026, according to the company’s CFO, Mark Kaye. While speaking at the UBS Global Healthcare Conference on Nov. 11, ...

Horizon Blue Cross Blue Shield of New Jersey has agreed to pay $100 million to settle allegations that it fraudulently… ...