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UnitedHealth expects $455B in 2025 revenue: 10 notes
UnitedHealth Group expects revenues of up to $455 billion in 2025. -
10 providers seeking payer contracting talent
Ten providers recently posted job listings seeking leaders in payer contracting and relations. -
BCBS Michigan faces 'sharp deterioration' in income: 5 notes
AM Best downgraded the outlook for Blue Cross Blue Shield of Michigan from stable to negative based on a "sharp deterioration" in underwriting and operating income. -
UnitedHealthcare CEO shot and killed in New York City
UnitedHealthcare CEO Brian Thompson was shot and killed Dec. 4 in what appears to be "a brazen and targeted attack," according to the New York Police Department. -
Blue Shield of California taps chief growth officer
Blue Shield of California has named Ellen Sexton executive vice president and chief growth officer. -
CMS ups UnitedHealth, Centene star ratings after court challenges
CMS has updated the star ratings for some UnitedHealthcare and Centene Medicare Advantage contracts following a successful court challenge from UnitedHealthcare. -
Oscar backs ICHRA startup in $6M funding round
StretchDollar, a startup platform for administering ICHRAs, has closed on a series of seed rounds for a total of $6 million in funding. -
How much insurers pay for weight loss drugs
The prices for some GLP-1s have dropped significantly in recent years for individuals covered by Medicare and commercial insurance, according to a new report from HHS. -
How do you know if your company’s culture strategy is missing the mark?
When Humana began its diversity, equity and inclusion (DEI) journey, the focus was on caring for a culture of belonging for our employees. -
States ranked by coverage losses if ACA subsidies expire
Enrollment in ACA plans hit a record high of 21.4 million in 2024, driven by premium subsidies. -
The largest commercial insurer in every state | 2024
Blue Cross Blue Shield companies have the largest market share among commercial insurers in the majority of states, according to the American Medical Association's annual "Competition in Health Insurance" report. -
Michigan Medicine to shutter health plan
Michigan Medicine will shutter its health plan, U-M Health Plan, at the end of 2025. -
Aetna employee sentenced to 5 years for claims fraud
A former Aetna employee has been sentenced to five years in prison in Ohio over his involvement in several fraudulent claims schemes. -
What are the insurance commissioners talking about? 5 healthcare notes
At the National Association of Insurance Commissioners Fall 2024 meeting on Nov. 18, state insurance regulators focused on artificial intelligence, mental health parity and other emerging challenges in the health insurance industry. -
Payer group 'deeply concerned' by Medicare weight loss drug coverage proposal
Some insurers are sounding the alarm that Medicare coverage of weight loss drugs could increase premiums. -
Highmark posts $529M profit through third quarter
Highmark Health reported $22.1 billion in revenue and $529 million in net income in the first nine months of 2024. -
UnitedHealthcare beats CMS in Medicare Advantage star ratings lawsuit
UnitedHealthcare has prevailed in its lawsuit against CMS regarding the methodology used to calculate its 2025 Medicare Advantage star ratings. -
Closing behavioral health gaps: How integrated insights reduce ER costs + boost ROI
Untreated mental health conditions often prevent people from seeking medical care, leading to more expensive emergency treatments. Personalized, targeted outreach based on AI-enabled insights can help address this problem. -
How much each state has spent to expand Medicaid
States spend nearly $40 billion annually on expanded Medicaid coverage under the ACA, according to KFF. -
44% of large employers cover weight loss drugs for obesity: Mercer
Employer-sponsored insurance costs rose about 5% in 2024, driven in part by coverage of expensive weight loss medications, according to Mercer's National Survey of Employer-Sponsored Health Plans.
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