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 ...

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

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 ...

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 ...

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 ...

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 ...

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, ...

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, ...

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

From the company’s CFO outlining financial turnaround plans to Optum launching an AI-powered claims system, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported ...