More than half of ACA marketplace enrollees would be likely to pick up extra work if healthcare costs increase by $1,000 per year, a Dec. 4 KFF analysis found. With enhanced tax credits set to expire at the end of…
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Two New York state lawmakers are pressing the state’s health department to investigate UnitedHealth Group’s physician practice arm, Optum, according to a Dec. 3 report from Mid Hudson News. New York state Sen. Peter Harckham and Assemblyman Matt Slater called…
The U.S. Government Accountability Office found significant fraud risk in the ACA application process, according to a Dec. 3 agency report. Auditors applied for coverage under fictitious identities to test marketplace enrollment controls. The marketplace approved coverage for the four…
Aetna is bundling pharmacy prescriptions and medical procedures into a single clinical review, according to a Dec. 4 news release. Providers previously had to submit two prior authorizations, but, as of November, providers only have to file one medical review,…
The 12 months since UnitedHealthcare CEO Brian Thompson was fatally shot have been among the most turbulent in UnitedHealth Group’s history. The company has cycled through senior executives, disclosed billions in unexpected medical costs, confirmed it is under criminal investigation…
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At the Fall 2025 Becker’s Payer Issues Roundtable, industry leaders explored how clinical intelligence and digital transformation are redefining the payer-provider relationship. The session, titled “From Policy to Payment: Clinical Intelligence Driving Health Plan Innovation,” featured Andrea Willis, MD, senior…
In healthcare, success has always depended on collaboration, but never more so than today. As the industry continues its transition from fee-for-service to value-based care (VBC), it’s become clear that progress depends on how well payers, providers and patients align…
Independence Blue Cross is partnering with Chubb to offer supplemental gap insurance to large employer group members that select high-deductible health plans. The Chubb GAP plan will reimburse employees up to $10,000 per individual or $20,000 per family annually for…
From naming a former FDA commissioner to its board of directors to striking a deal to sell its last South American business, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since Nov. 13: 1.…
The North Carolina Department of Health and Human Services launched a health plan specifically tailored for Medicaid-enrolled children, youth and young adults, dubbed Healthy Blue Care Together, Dec. 1. The statewide health plan — formed in partnership with Blue Cross…