The National Committee for Quality Assurance has named Vivek Garg, MD, as its next president and CEO, effective Jan. 5. Dr. Garg succeeds NCQA founder and current president Margaret O’Kane, who will retire at the end of this year. He…
Author: Jakob Emerson
UnitedHealth Group has asked a Minnesota federal court to throw out a proposed class action lawsuit filed against it by the country’s largest pension fund. The lawsuit, originally filed by the California Public Employees’ Retirement System (CalPERS) in May 2024 and…
The Cigna Group has named Eva Borden as chief product officer for its commercial insurance business. Ms. Borden has been with the company since 1999 and has served in a variety of leadership roles. She was named president of behavioral…
A federal judge has vacated a CMS rule that would have allowed the agency to claw back billions of dollars in alleged Medicare Advantage overpayments, siding with Humana in a closely watched legal battle. On Sept. 25, the U.S. District…
Regional, nonprofit health plans are falling behind large national insurers, with 71% recording an operating loss in 2024 and more than half having two years or less before regulatory intervention is triggered, according to a Sept. 24 report from HealthScape…
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Oncology care company Thyme Care has raised $97 million in a Series D funding round backed by major insurers Humana and CVS Health, as well as JPMorgan’s Morgan Health division. The round also drew support from Texas Oncology and Houston-based…
CMS has formally terminated UCare’s Medicare Advantage contracts after the insurer declined to sign agreements for 2026. The move impacts about 158,000 MA members in Minnesota and western Wisconsin, where UCare is the second-largest MA carrier with 26% market share.…
A federal judge has granted preliminary approval to Elevance Health’s $12.9 million settlement resolving a class action lawsuit that accused the insurer of improperly denying coverage for residential treatment of mental health and substance use disorders. The lawsuit was originally…
Dan Kueter is the CEO of UnitedHealthcare’s employer and individual insurance business, an $80 billion division and the nation’s largest company that offers health coverage to employers nationwide. Mr. Kueter has been with the company since 2001 and has served…
In one of the largest shifts in the Medicare Advantage landscape in recent years, Health Care Service Corporation has nearly quadrupled its Medicare Advantage membership after closing on a $3.3 billion acquisition of Cigna’s Medicare business in March. The deal,…