Payer

UnitedHealthcare is facing a lawsuit of alleged wrongful Medicare Advantage care denials, and lawmakers are eyeing new regulations on the program. 

Patients in value-based care relationships were more likely to receive preventive screenings than those in fee-for-service only, according to Humana's 10th annual value based care report. 

Differences in the clinicians Medicare Advantage and traditional Medicare beneficiaries see have some effect on differences in avoidable hospitalization rates between the two programs, a study published Nov. 10 in JAMA Health Forum found. 

Five payers have been named to the 21st annual list of Military Friendly Employers, which measures an organization's commitment, effort and success in creating sustainable and meaningful benefits for the military community.

Almost 36 payers and employers are not renewing their contracts next year with senior companionship company Papa, Bloomberg reported Nov. 15.

From UnitedHealth Group facing a proposed class-action suit over Medicare Advantage care denials, to Elevance settling with a former executive who left for a similar role at Molina, here are six lawsuits and settlements involving payers that Becker's has reported…

From facing a proposed class-action suit over Medicare Advantage care denials to implementing the second wave of its plan to cut 20 percent of its prior authorization requirements, here are 10 updates on UnitedHealth Group Becker's reported since Oct. 31.  

Connecticut's employee health plan is using a lifestyle management program to control the costs of weight loss drugs, Politico reported Nov. 15. 

Humana's value-based care efforts in Medicare Advantage saved around $8 billion in 2022 compared to traditional Medicare, according to the company's annual value-based care report published Nov. 15. 

UnitedHealth Group and its health insurance arm, UnitedHealthcare, are facing a proposed class-action lawsuit alleging an AI algorithm wrongfully denied Medicare Advantage patients care.