UnitedHealth Group leveraged “aggressive strategies” to secure higher-paying Medicare Advantage diagnoses, according to a Jan. 12 Senate report. The Wall Street Journal initially covered the news. Senate Judiciary Chair Chuck Grassley, R-Iowa, started an investigation into the insurer’s billing and…
Author: Elizabeth Casolo
The Blue Cross Blue Shield Association commended the House of Representatives’ vote to extend enhanced ACA tax credits in a Jan. 9 statement shared with Becker’s. A spokesperson said the credits are “the most straightforward and effective step Congress can…
CMS has become more aggressive with its rollout of new payment and care delivery models. To provide healthcare leaders with an outlook for 2026, research firm ATI Advisory compiled observations from 2025 to gain a sense of CMS’ plans for…
As Minnesota faces scrutiny over fraud in its public assistance programs, the state is planning to freeze provider enrollment across 13 Medicaid services, according to a Jan. 8 news release from the Minnesota Department of Human Services. The statement said…
Texas Gov. Greg Abbott appointed Amanda Crawford as the state’s next commissioner of insurance, according to a Jan. 8 news release. Ms. Crawford’s term will run until Feb. 1, 2027. She follows Cassie Brown, who will retire on Feb. 2,…
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Blue Cross Blue Shield licensee Hawaii Medical Service Association and Honolulu-based Hawaii Pacific Health are coming together under a new nonprofit parent organization, One Health Hawaii, the organizations confirmed in a Jan. 7 news conference recorded by Hawaii News Now.…
A team of Stanford (Calif.) University researchers specializing in health law, AI, ethics and medicine identified “risks of supercharged flaws” in harnessing AI for prior authorization in a Jan. 6 Health Affairs report. Prior authorization is a longstanding sore spot…
About 20% of Nevadans who actively selected a health plan through the state’s marketplace, Nevada Health Link, picked a new public option, Nevada Health Authority Director Stacie Weeks told lawmakers Jan. 6. In 2025, Nevada secured federal approval for its…
Insurer Fallon Health will join Somerville-based Mass General Brigham Health Plan, according to a Jan. 8 joint statement. “This reflects the outcome of Fallon Health’s thoughtful and intentional process to identify a long-term partner aligned with its mission and strategic…
The United Health Foundation’s 2025 “America’s Health Rankings Annual Report,” published Jan. 8, presented a wave of optimistic health signals, but disparities persist. The organization analyzed 99 measures from 31 sources, relying on the most recent data, as of Oct.…