UnitedHealth Group and Optum have settled a lawsuit filed by two former employees who had alleged that the company violated state and federal employee notification laws during mass layoffs in August 2023. The lawsuit, filed in the District Court for…
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Cigna is launching a suite of AI tools designed to help members navigate their health benefits. The new features are being rolled out in phases on Cigna’s member portal, according to a June 12 news release. Here are four things…
Blue Cross Blue Shield of Michigan will lay off 220 employees, the company said in a statement shared with Becker’s. The Detroit-based insurer has eliminated more than 600 positions, it said in a June 12 statement. Of those, 400 were…
Proposed changes to Medicare Advantage are unlikely to be included in a final budget deal, The Hill reported June 11. Senators had floated adding provisions of the No UPCODE Act, which targets overpayments in the program, to the massive federal…
Blue Shield of California and University of California Health hospitals, clinics and physicians across six academic health centers will go out of network on July 10 without a new contract in place. The network split would affect commercial, ACA, Medicare…
Tupelo, Miss.-based North Mississippi Health Services is out-of-network with UnitedHealthcare Medicare Advantage plans, as of June 1. The split affects UnitedHealthcare MA and dual-eligible special needs plans. North Mississippi Health Services is still in-network with UnitedHealthcare commercial, individual and Medicaid…
Medicare Advantage members are most likely to disenroll from their health plan because of four main reasons: difficulty accessing care, low plan generosity, dissatisfaction with care quality, and the type of plan (HMO vs. PPO), according to a June study…
The Trump administration has boosted payment rates for Medicare Advantage plans, but is also planning what it calls “aggressive” steps to ramp up audits of potential overpayments. Here are seven things to know about the Trump administration’s approach to Medicare…
Enrollment in Blue Cross Blue Shield plans declined slightly between 2022 and 2024, according to a June 10 report by Mark Farrah Associates, a healthcare industry data aggregator. The report examined differences between BCBS and non-BCBS plan growth between 2020…
CVS Health and a former Express Scripts president have reached a settlement with Cigna over allegations that her departure violated a noncompete agreement. Amy Bricker served as president of Express Scripts — Cigna’s pharmacy benefit manager — before resigning in…
