Attorneys representing Luigi Mangione, the man accused of killing UnitedHealthcare CEO Brian Thompson in late 2024, have accused the Manhattan District Attorney’s Office of improperly obtaining over 120 pages of confidential medical records from Aetna, Mangione’s health insurer. In a…
Author: Jakob Emerson
HHS says it has launched a study into “misleading” Medicare Advantage marketing practices “and the harms they cause to individuals.” “In recent years, concerns about aggressive and deceptive marketing practices in Medicare Advantage have become more pressing,” the HHS OIG…
Blue Shield of California is conducting a second round of layoffs this year, with 138 more employees being laid off in September. The majority of the layoffs affect employees in Oakland and El Dorado, with the remaining cuts taking place…
A coalition of 21 Democratic-led states are suing HHS and CMS over new ACA rules they allege would impose significant barriers to receiving health coverage. The lawsuit, filed July 17 in the U.S. District Court for the District of Massachusetts,…
CMS says it has identified 2.8 million Americans that have possibly either enrolled in Medicaid or CHIP in multiple states or have simultaneously enrolled in both Medicaid/CHIP and a subsidized ACA plan. The agency examined 2024 program enrollment data and…
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A new, first-of-its-kind report details the corporate structure and acquisition history of the world’s largest healthcare company, UnitedHealth Group. The “Sunlight Report” was published on July 16 by the Center for Health & Democracy and funded by Arnold Ventures. AV…
California’s insurance commissioner has issued a cease and desist order against Innovative Partners for illegally acting as an insurer in the state and offering health coverage without proper certification. The state also served 10 additional cease and desist orders to…
The California Public Employees’ Retirement System, or CalPERS, has replaced Optum Rx as its pharmacy benefit manager with CVS Caremark. The new five-year contract begins in 2026 and will provide outpatient prescription drug benefits to 587,000 members enrolled in basic…
Geisinger Health Plan is eliminating nearly 100 positions as part of a restructuring program aimed at stabilizing operations. “This decision, which only impacts GHP roles, was not made lightly,” a spokesperson for the organization told Becker’s on July 15. “We…
UnitedHealth Group discretely sold stakes in some of its business units to private equity firms near the end of 2024 in an effort to extend its long-running profit streak despite mounting internal cost pressures, Bloomberg reported July 15. According to…