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…
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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…
Horizon Blue Cross Blue Shield will pay New Jersey $1.25 billion over 18 years from its conversion to a nonprofit mutual holding company— but where these funds should go has sparked debate, NJ Spotlight News reported May 19. In 2022,…
In January, Centene named Alan Silver as president of its Ambetter Health Solutions business, colloquially becoming the company’s first ICHRA president. Individual Coverage Health Reimbursement Arrangements allow employees to shop on the ACA marketplace for a health plan using a…
A group of lawmakers is urging a federal court to allow a lawsuit alleging UnitedHealth Group overcharged the federal government for Medicare Advantage claims to continue. Led by Washington Rep. Pramila Jayapal, 29 U.S. representatives signed on to an amicus…
Univera has named Paul Valley as its next president, The Buffalo News reported May 15. Art Wingerter, the insurer’s current president, plans to retire in July. Mr. Valley is Univera’s vice president of sales and joined the company in 2022,…
At Blue Cross Blue Shield of Minnesota, “parity” is in the title of its top leader on behavioral health. Brett Hart, PhD, has served as Blue Cross Blue Shield’s president of behavioral health and mental health parity since 2023. Dr.…
UCare will lay off 80 employees, around 5% of its workforce, the nonprofit insurer confirmed in a statement to Becker’s. The move comes as the company faces steep losses. In 2024, UCare reported a $504 million loss, a margin of…
Blue Cross and Blue Shield of Massachusetts has reported a combined after-tax first quarter net income of $37 million on revenue of $2.6 billion (1.4% net margin). The results reflect an operating and other loss of $9.8 million (-0.4% operating…
Colorado Gov. Jared Polis signed legislation May 14 that directs the Colorado School of Public Health to research and draft model legislation for a universal healthcare system in the state. The Colorado School of Public Health will be tasked with…