Over 8,700 Bronx residents partook in New York City-based EmblemHealth’s community diabetes wellness program in its first year, according to a Nov. 12 news release from the insurer. The program offers screenings, nutrition workshops and individualized support, hosting 109 events…
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Aetna’s new “level of severity inpatient payment” policy is now set to kick off next year instead of Nov. 15, according to a Nov. 6 company document. As part of the reimbursement approach, Aetna will approve inpatient stays without a…
State insurance regulators are issuing warnings around what they describe as unfair practices by Medicare Advantage insurers to restrict enrollment. Amid rising costs and increased regulatory pressures, insurers have been adjusting their broker commission structures this year as many look…
UnitedHealth Group is working to position itself as a frontrunner in the wider healthcare industry’s ongoing technological transformation, with AI at the heart of its strategy to innovate, improve operational efficiency, and enhance the experience of its customers. As the…
As part of the ongoing enterprise-wide recalibration effort to improve financial performance, UnitedHealth Group leadership shared in late October that it would be moving its finance business at Optum under the umbrella of Optum Insight, the company’s data and analytics…
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Business services provider Conduent faced a data breach going into 2025, leaving insurers scrambling. According to the company, the breach could have revealed members’ names, social security numbers, insurance information and medical data. Here are three updates on how the…
During fiscal year 2025, Medicaid enrollment dipped while spending grew, according to a Nov. 13 KFF brief. The nonprofit organization hired Health Management Associates to consult state Medicaid directors across the country on recent trends. Florida, Kansas and Mississippi did…
Major payers reported mixed third-quarter results amid rising medical costs and operational headwinds, a stark contrast to the more robust performance seen by some of the largest for-profit health systems. Becker’s compared Q3 performance across six major payers — UnitedHealth…
Indiana is removing MDwise as a managed care health plan offered within the state’s Medicaid programs, effective Jan. 1. MDwise is part of Grand Blanc, Mich.-based McLaren Health Care. Its current Medicaid contract with Indiana was awarded in 2023, and…
Elevance Health’s Medicaid business is expected to reach a low point on profits in 2026, according to the company’s CFO, Mark Kaye. While speaking at the UBS Global Healthcare Conference on Nov. 11, Mr Kaye said the company anticipates its…