CMS cannot track whether states are repaying the federal government the correct share of funds Medicaid managed care plans do not spend on beneficiary care, according to an audit HHS Office of Inspector General published May 16. Many states require…
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Detroit-based Henry Ford Health has named Margaret Anderson, interim president of Health Alliance Plan, as the health plan’s permanent president. HAP grew under Ms. Anderson’s leadership in 2024, now serving 476,000 members across Michigan and closing the year with a…
UnitedHealth Group is asking shareholders to support a $60 million stock option award for its new CEO. In a May 20 letter to shareholders, Christopher Zaetta, UnitedHealth’s chief legal officer, urged shareholders to approve the company’s executive compensation. Institutional Shareholder…
Centene subsidiary Superior Health Plan’s use of private investigators did not violate any laws, an investigation by Texas’s Attorney General’s Office found. In March, Texas Attorney General Ken Paxton launched an investigation into Superior Health Plan, after former CEO Mark…
In my experience as a physician and healthcare leader, I’ve often encountered people whose needs fall outside the scope of our healthcare system. Frankly, for many years, while I understood the magnitude of those needs and the need to fulfill…
CVS Health has named Creagh Milford, DO, as president of Oak Street Health. Dr. Milford has been with CVS since 2021, most recently serving as president of retail health. “I’m excited to start a new chapter at CVS Health as…
A federal judge has ruled against Florida Blue, deciding the insurer is not entitled to have its Medicare Advantage star ratings reevaluated. In December, attorneys for Florida Blue filed a lawsuit in federal district court in Washington, arguing CMS did…
California’s ACA exchange, Covered California, previously was sharing sensitive data provided by website visitors to LinkedIn through website trackers, The Markup reported in April. Visitors to the state website had information sent to Linkedin about whether they were blind, pregnant,…
Healthcare operations, such as customer care contact centers and revenue cycle departments, often face significant challenges: high volumes, stressful environments, and heavy manual workloads. These teams manage complex, repetitive tasks—like explaining insurance coverage or guiding patients through financial decisions—which can…
Five executives and directors at UnitedHealth Group purchased the company’s stock on May 16 following a major downturn over the last month. Board chair and new CEO Stephen Hemsley made the largest purchase of more than $25 million — 86,700…