Payer

At Blue Cross Blue Shield of Minnesota, “parity” is in the title of its top leader on behavioral health.  Brett Hart, PhD, has served as Blue Cross Blue Shield’s president of behavioral health and mental health parity since 2023.  Dr.…

Blue Cross and Blue Shield of Massachusetts has reported a combined after-tax first quarter net income of $37 million on revenue of $2.6 billion (1.4% net margin).  The results reflect an operating and other loss of $9.8 million (-0.4% operating…

UnitedHealth Group has agreed to a $1.85 million settlement to resolve a class action lawsuit alleging the company violated the Telephone Consumer Protection Act by making unsolicited, pre-recorded or artificial voice calls to individuals without their consent. The original lawsuit…

UnitedHealth Group is the largest insurer in the United States by membership and the largest employer of physicians in the country.  Here’s 50 things to know about the healthcare giant:  Editor’s note: This story was originally published in June 2023…

Centene shareholders have voted down a proposal asking the company to commit to a specific target for reducing greenhouse gas emissions.  The proposal was voted down by 325 million shares to 97 million shares, according to regulatory documents Centene filed…

UnitedHealth Group is under criminal investigation by the Justice Department for alleged Medicare Advantage fraud, The Wall Street Journal reported May 14. Citing individuals familiar with the matter, the outlet said the DOJ has been investigating the company since at…

College students are reporting fewer mental health challenges than they were two years ago,  but rates of serious mental health conditions “remain stagnant,” according to a report from UnitedHealthcare.  The company published its third annual College Student and Graduate Behavioral…

Higher medical costs that have hurt UnitedHealth Group’s Medicare Advantage business are beginning to crop up in other lines of business, CFO John Rex told investors in a May 13 conference call.  That day the company also pulled its earnings…

Payers have faced state penalties in 2025 for slow reimbursements, improper claims denials, and mental health parity violations. Fines in 2024 are here. Payers fined by states in 2025:

More than 24 million individuals enrolled in individual coverage through federal and state marketplaces during the 2025 open enrollment period.  According to CMS data published May 12, 24.3 million people enrolled in ACA coverage in for 2025, a 13% increase…