The Musculoskeletal Crisis: Costly, Complex, and Persistent Musculoskeletal (MSK) conditions account for nearly $1 in every $6 spent on healthcare in the United States. Beyond the staggering costs, these conditions profoundly impact people’s daily lives, limiting mobility, productivity, and overall…
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Oscar Health’s individual exchange membership grew 45% year over year. The insurer reported its first-quarter 2025 earnings May 7. The company posted $275.2 million in net income in the first quarter, up 55% from the same time last year. Here…
From naming a new Optum CEO to its planned acquisition of Amedisys heading to mediation, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since April 14: 1. UnitedHealth Group has 1,000 uses for AI…
Clover Health reported a major boost in profitability and overall membership in its first quarter earnings published May 6. The company’s Medicare Advantage membership stands at 103,418, up 30% year-over-year from just under 80,000. MA membership may hit up to…
The North Carolina House of Representatives has passed a bill aimed at reforming the prior authorization approval process. The bill requires payers to notify physicians within a specific timeframe if the medical necessity of a service is being questioned. It…
Healthcare costs keep rising, and employers are looking for new ways to manage their employees’ care. In a survey published by Imagine360, more than a third of respondents said they had skipped or postponed necessary healthcare because of the cost. …
VSP Vision has named Scott Nehs chief legal officer and general counsel. Mr. Nehs will be responsible for all legal affairs across the company’s lines of business. He previously served as senior vice president, general counsel and corporate secretary at…
UnitedHealth Group has 1,000 uses for AI technology currently in production across its insurance, care delivery and pharmacy businesses, The Wall Street Journal reported May 5. The applications are split between generative AI and more traditional AI and are being…
Blue Cross Blue Shield of North Carolina is seeking sanctions against LifeBrite Community Hospital of Stokes (N.C.) in a longstanding legal dispute that centers around allegations of fraudulent billing practices. The dispute began in 2018 when LifeBrite accused BCBSNC of…
From plans to exit the individual ACA exchange market to naming a new chief medical officer, here are eight updates on Aetna that Becker’s has reported since March 11: 1. The Department of Justice filed a sweeping lawsuit against Humana,…