Oregon health officials are weighing a potential cap on commercial health insurance payments to hospitals in an effort to address rising costs, the Oregonian reported July 15. According to the report, the state’s Committee on Health Care Affordability has been…
Author: Jakob Emerson
AdventHealth’s Shawnee Mission Medical Center is suing Blue Cross and Blue Shield of Kansas City, alleging the insurer improperly withheld more than $2 million in payments by denying hundreds of valid medical diagnoses submitted by the hospital’s physicians. The lawsuit,…
UnitedHealth Group has engaged in an “an aggressive and wide-ranging campaign” against several groups of critics following the murder of UnitedHealthcare CEO Brian Thompson in late 2024, The New York Times reported on July 12. Throughout this year, the company…
UnitedHealthcare has named four CEOs to lead government-focused units of the company, a spokesperson confirmed to Becker’s. In May, former UnitedHealth Group CEO Andrew Witty stepped down, and Stephen Hemsley returned to lead the business. Since Mr. Hemsley became CEO,…
New Jersey public employees are facing an up to 36.5% rise in health insurance premiums in 2026. The State Health Benefits Program for county and local employees could see costs rise 36.5%, school employees’ premiums could rise 29.7%, and state…
Advertisement
Blue Cross and Blue Shield of Louisiana has lost its legal challenge against CMS over how its 2025 Medicare Advantage star ratings were calculated. On July 9, the U.S. District Court for the District of Columbia ruled that CMS acted…
A virtual diabetes management program offered by UnitedHealthcare has shown measurable changes in members’ behavior, and for some employers, a return on investment. The Level2 program, originally launched under Optum in 2019, combines continuous glucose monitors, personalized coaching, and a…
Aetna’s former president Brian Kane has been named a senior advisor at healthcare and technology private equity firm Welsh, Carson, Anderson & Stowe. Mr. Kane will advise the firm’s healthcare team to help “foster innovative collaborations and strategic partnerships across…
Independent Health President Jim Dunlop has departed from his role, Buffalo Business First reported July 8. Under a leadership succession plan, Mr. Dunlop was promoted to president in February 2024 after serving as executive vice president and CFO for three…
A federal court has partially ruled in favor of Alignment Healthcare in a legal challenge against CMS, resulting in the Medicare Advantage company’s Arizona HMO star rating being raised from 3.5 to 4 stars. All of Alignment’s members are now…