Payer

Engaging individuals who suffer from behavioral health issues, so that they can be guided to the best care and providers, is a challenging task for health plans. Success often depends on luck in having them pick up the phone and…

UnitedHealth Group executives said they're not planning any major shakeups to their Medicare Advantage business as other insurers plan to pull back their offerings in 2025. 

An Oklahoma jury has handed UnitedHealthcare a win in its ongoing legal battle with physician staffing company TeamHealth. 

UnitedHealth Group has surpassed $1 billion in affordable housing investments since the company began prioritizing housing developments in 2011.

Many people disenrolled from Medicaid during the redeterminations process were likely unaware they had coverage to begin with, a study published in the May issue of Health Affairs found. 

Chronic kidney disease and end-stage renal disease increase morbidity, decrease quality of life, and can be extremely costly for the healthcare system. By using artificial intelligence (AI), healthcare providers can identify high-risk patients at earlier stages, which allows them to…

CVS Health executives are bracing to lose up to 10% of Aetna's Medicare Advantage members next year, Bloomberg reported May 14. 

Hospitals in Georgia and Florida charge employers and commercial insurers rates 345% higher than Medicare, according to a Rand Corp. report published May 13. 

Centene's Wellcare and value-based physician enablement company Wellvana have inked a multi-year primary care partnership for Wellcare Medicare Advantage members in Georgia, Tennessee and Texas. 

The average Medicare Advantage beneficiary can choose between dozens of plans. With so many options, one of the fastest-growing Medicare Advantage startups is trying to set itself apart with a grassroots approach.