State Medicaid agencies have made an estimated $289 million in improper capitation payments to managed care organizations on behalf of deceased enrollees since 2016, according to a series of audits from the HHS Office of Inspector General. The latest OIG…
The Latest
Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Ardent Health, based in Brentwood, Tenn., seeks a vice president of payer strategies. …
Switching from Medicare Advantage to traditional Medicare was associated with increased mental health visits, along with a shift toward nurse practitioners and away from emergency and internal medicine specialists, according to a December study published in the American Journal of…
Payers are trimming their workforces and cutting jobs due to financial or operational challenges, along with contract losses.
By 2027, many people who get their health insurance through Medicaid will need to show they are working, pursuing an education or volunteering to remain eligible for their coverage. The new rules, passed as part of the “One Big Beautiful…
Mail-order pharmacies owned by UnitedHealth and Humana dispensed Medicare prescription refills earlier and more frequently than industry peers, according to an analysis of federal prescription data published Dec. 26 by The Wall Street Journal. The analysis found mail-order pharmacies filled…
More than 15.6 million people have enrolled in plans on federally run ACA exchanges so far, down from about 16 million at the same point last year, CMS Administrator Mehmet Oz, MD, said Dec. 23. Dr. Oz attributed the decline…
From releasing a companywide policy audit report to seeking the dismissal of a Medicare Advantage lawsuit filed by Ballad Health, here are 11 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since Dec. 4: 1. A federal…
Residency has always been demanding. But today’s trainees face new stressors layered on top of old ones: EHR overload, reduced autonomy, economic pressure and social isolation. Traditional mental health models weren’t built for this — and residents are feeling the…
Feb 5, 2026 11:00 AM - 12:00 PM America/Chicago
Presented by:
Presenters
Dr. Mickey Trockel
Director of Evidence Based Innovation for the Stanford University School of Medicine WellMD Center
Dr. Robert Flora
McLaren Health Care Chief Academic Officer and Vice President of Academic Affairs
Jacinta Harman, MSW, LCSW
VP of Clinical Services, Marvin Behavioral Health
A federal judge has granted UnitedHealthcare and PacificSource preliminary injunctions that block Idaho from taking action against the insurers over their Medicare Advantage broker compensation practices. The insurers sued Idaho Insurance Director Dean Cameron in November after the state issued…