Providence Health Plan will completely shut down after it was unable to reach a deal with a national insurer to operate its Medicare Advantage business. “We are in discussion with regulators about this development and the broader wind-down of Providence’s…
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UnitedHealth Group shareholders are renewing pressure on the company in an amended complaint, filed Aug. 7 in the U.S. District Court for the District of Minnesota. An initial complaint from July 2024 focused on concerns over the “firewall” between UnitedHealthcare…
Luigi Mangione has pleaded guilty to federal stalking charges in connection with the December 2024 killing of UnitedHealthcare CEO Brian Thompson outside a Midtown Manhattan hotel, the New York Times reported. “I shot Mr. Thompson in Manhattan,” Mr. Mangione told…
Point32Health, the parent organization of Harvard Pilgrim Health Care and Tufts Health Plan, logged an adjusted net income of $68 million for the second quarter of 2026. According to an Aug. 14 update shared with Becker’s, this profit was up…
More than 8 in 10 employers say rising healthcare costs are cutting into wage and salary increases, according to a survey conducted by The National Alliance of Healthcare Purchaser Coalitions. The 2026 Pulse of the Purchaser survey, released Aug. 12,…
A single payer universal healthcare system would reduce U.S. national health expenditures by more than $1 trillion and avert 114,000 deaths annually, according to a new study from researchers at the Yale School of Public Health. The study, published July…
The federal government has referred dozens of hospitals, pharmacy benefit managers and pharmacies to investigators over potentially fraudulent billing related to pediatric gender-affirming care. Vice President JD Vance referred hospitals and clinics identified in a new HHS report to the…
Prior authorization data is now public — but it is not giving much to work with. CMS’ Interoperability and Prior Authorization Final Rule from 2024 focused on easing prior authorization across government-affiliated healthcare programs. Involved payers now have to report…
Consider the arc. Paper charts gave way to electronic records, and electronic records got rich enough that data stopped being scarce. What did not change is that the work between departments still moves at the speed of someone remembering to…
Sep 9, 2026 12:00 PM - 1:00 PM CDT
Presented by:
Presenters:
- Sarah Galyon
- William A. Conrad, MD
Health insurers denied between 12% and 18% of standard prior authorization requests across Medicare Advantage, Medicaid managed care and ACA marketplace plans in 2025, with wide variation among the largest payers, according to a KFF analysis published Aug. 13. CMS…