UnitedHealthcare Community & State CEO, Krista Nelson, has been named COO at Optum Health. Ms. Nelson served as CEO of the company’s Medicaid division beginning in 2024, and she has been with the company since 2009. “It has been an…
Author: Jakob Emerson
An investor-led lawsuit has been dropped against UnitedHealth Group, its former CEO Andrew Witty, and CFO John Rex, which alleged the company misled investors about its corporate strategy in the aftermath of the December killing of UnitedHealthcare CEO Brian Thompson. …
Santa Clara Family Health Plan is pushing back against Santa Clara County’s move to transition its Medi-Cal infrastructure to a “single plan” model, calling the move a “hostile takeover,” the Mercury News reported May 22. Santa Clara Family Health Plan…
Cincinnati-based Bon Secours providers and facilities in South Carolina are facing a network split with UnitedHealthcare. If an agreement is not reached before July 1, the two organizations will be out-of-network across commercial, ACA, Medicare Advantage, and veteran plans. Some…
Hospitals and medical practices faced slower payment processing from insurers in 2024 compared to 2023 even as prior authorization denial rates fell, according to new revenue cycle data from Kodiak Solutions. The data was derived from more than 2,100 hospitals…
Advertisement
UnitedHealth Group’s former CEO Andrew Witty has resigned from the company’s board of directors, effective immediately. Mr. Witty will not stand for re-election as a director during the company’s annual shareholder meeting scheduled for June 2, the company said in…
In a reversal, Colorado will continue to cover GLP-1s for state employees who already have prescriptions, the Colorado Sun reported May 20. Copays for those individuals will increase from $30 to $120 in July, and the state’s health plan will…
McLaren Health Plan has named Danielle Devine as Michigan market president, effective immediately. In her new role, Ms. Devine will lead all operational aspects of McLaren Health Plan while leading strategies to expand and enhance services for members across Michigan,…
Federal lawmakers have reintroduced the “Improving Seniors’ Timely Access to Care Act,” a bipartisan bill that aims to streamline the prior authorization process for Medicare Advantage enrollees. The proposal would establish an electronic prior authorization process for Medicare Advantage plans,…
Medicare could face nearly $500 billion in cuts over the next decade under Republicans’ “One Big Beautiful Bill Act,” which also proposes significant reductions to Medicaid and other healthcare programs. According to a May 20 report from the nonpartisan Congressional…