Optum’s Massachusetts-based subsidiary Atrius Health plans to acquire Acton Medical Associates, a 45-provider primary care group serving nearly 37,000 patients in the Boston area, according to a Sept. 25 filing from the Massachusetts Health Policy Commission. Atrius, a Newton-based physician…
Author: Jakob Emerson
A federal judge in Indiana has thrown out most claims in a whistleblower lawsuit accusing four insurers and six health systems of improperly billing the state’s Medicaid program, but left the door open for the case to continue. The lawsuit,…
Pittsburgh-based Highmark Health appointed Karen Hanlon as president, effective immediately. Ms. Hanlon will continue in her role as COO, according to an Oct. 8 Highmark Health news release. She is responsible for managing the operations of Highmark Health, Highmark Inc.,…
The Medicare Part D market is entering 2026 amid a period of contraction and recalibration. Premiums are ticking down on average, but plan options are shrinking as major insurers reassess the profitability of standalone drug plans under the effects of…
Leaders in healthcare are problem solvers. Our goal is to continually revolutionize healthcare by designing innovative products to address complex challenges and deliver better healthcare outcomes for our members and customers. Today’s healthcare solutions landscape is flooded with new products,…
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Molina Healthcare is facing a proposed class-action lawsuit from an investor who alleges the company misled shareholders about rising medical costs and its 2025 earnings projections. The complaint, filed Oct. 3 in the U.S. District Court for the Central District…
Insurers that own providers can use internal transactions to inflate medical spending figures and reduce their rebate obligations under the ACA’s medical loss ratio rules, according to an analysis published Sept. 29 in Health Affairs. The analysis was published by…
Sentara Health Plans will not offer Medicare Advantage, MA prescription drug HMO, or C-SNP plans in Virginia, North Carolina and Florida in 2026. “These products are no longer financially sustainable in the current environment. Industry-wide headwinds and market dynamics, including…
A shareholder of UnitedHealth Group has put forward a proposal calling for the appointment of an independent chairperson for the company’s board that is separate from the CEO position, Bloomberg reported Oct. 3. Earlier this year, UnitedHealth named its board…
Ochsner Health Plan will no longer offer Medicare Advantage plans in 2026. The insurer, part of Jefferson, La.-based Oschner Health, has around 6,000 total MA members, per CMS enrollment data. The majority of members are enrolled in an HMO plan,…