Author: Andrew Cass

The Justice Department is suing six health plans participating in the Uniformed Services Family Health Plan program for allegedly concealing overpayments for services provided to retired military members and their families. 

The Washington state insurance commissioner's office fined Molina Healthcare of Washington $100,000 for enrollment and billing errors. 

From HHS asking insurers to pause prior authorizations in the wake of the change Healthcare cyberattack to a report finding that Medicare Part D plans have ramped up restrictions on prescription drugs, here are five updates on prior authorization Becker's…

New York City-based NewYork-Presbyterian could go out of network with Aetna if the sides are unable to reach a new contract agreement by March 31, The Journal News reported March 12. 

From the fallout of the Change Healthcare cyberattack to the Justice Department reportedly beginning an antitrust investigation into the company, here are 12 stories involving UnitedHealth Group that Becker's has covered since Feb. 22:  

Clover Health has named Clay Thornton CFO of its Medicare Advantage division. 

Wellpoint Washington, a wholly owned subsidiary of Elevance Health, has named Lisa Bogard president. 

Twenty-six states now have more than half of their Medicare enrollees in Medicare Advantage plans, according to a March 5 report from Chartis, a healthcare advisory services firm. 

Walgreens Boots Alliance's former executive vice president and global chief legal officer has been named an executive in residence at UnitedHealth Group. 

UnitedHealth Group and its Change Healthcare business are facing a proposed class-action lawsuit in the wake of a cyberattack that downed Change's applications, complicating operations at hospitals, physician practices and pharmacies.