UnitedHealth Group has 1,000 uses for AI technology currently in production across its insurance, care delivery and pharmacy businesses, The Wall Street Journal reported May 5. The applications are split between generative AI and more traditional AI and are being…
Author: Jakob Emerson
Blue Cross Blue Shield of North Carolina is seeking sanctions against LifeBrite Community Hospital of Stokes (N.C.) in a longstanding legal dispute that centers around allegations of fraudulent billing practices. The dispute began in 2018 when LifeBrite accused BCBSNC of…
CareSource will pursue affiliation with Lakeland Care, a Fond du Lac, Wis.-based managed care company. Following regulatory approvals, Lakeland will become part of Dayton, Ohio-based CareSource, which serves more than two million Medicaid members across 13 states. Lakeland serves older…
Highmark Blue Cross Blue Shield Delaware President Nicholas Moriello is stepping down, effective May 9, the Delaware Business Times reported. Highmark has named vice president of commercial business, Tom Fitzpatrick, as acting president, and the company is searching for a…
The nation’s largest payers have filed their first-quarter earnings reports, revealing which recorded the largest profits in the first three months of 2025. 1. UnitedHealth Group: $6.3 billionTotal net earnings in the first quarter were nearly $6.3 billion. UnitedHealthcare’s total…
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The Department of Justice has filed a sweeping lawsuit against Humana, Aetna, and Anthem, along with Medicare Advantage brokers eHealth, GoHealth, and SelectQuote, alleging a multi-year scheme involving unlawful kickbacks and discriminatory practices against disabled MA enrollees. According to the…
The Cigna Group raised its year-end adjusted income from operations to at least $29.60 per share, according to the company’s first quarter earnings published May 2. Total revenues in the first quarter were $65.5 billion, up 14% year over year.…
Novo Nordisk and Humana’s CenterWell Pharmacy are expanding their GLP-1 partnership to further increase access to Wegovy through direct-to-patient delivery and telehealth services. Telehealth providers Hims & Hers Health, LifeMD, and Ro will work directly with NovoCare to prescribe Wegovy…
Health insurers face “relatively modest short-term effect from tariffs,” according to an April 28 brief from Fitch Ratings. The short-term effects could change though depending on how long tariffs last and the industries they apply to, and insurers could face…
Priority Health, the insurance arm of Grand Rapids, Mich.-based Corewell Health, has named Nick Gates as interim president, effective May 1. He succeeds Praveen Thadani, who made the decision to step away from the role, according to a news release…