Payer

The nation's largest insurers have warned of increasing medical costs next year, driving up medical loss ratios and member premiums. 

UnitedHealthcare is expecting medical costs for its Medicare Advantage members to keep rising, the company's top executives said. 

Optum, UnitedHealth Group's health services arm, is a major player in many corners of the healthcare industry, including pharmacy, primary care and revenue cycle management. 

A California bill aiming to reform the prior authorization process has advanced out of the Assembly health committee, according to the California Medical Association.

More than 2 million people have lost Medicaid coverage during the redetermination process as of July 13, according to KFF's Medicaid enrollment and unwinding tracker. 

More people are using behavioral health services compared to a year ago, UnitedHealth Group executives said. 

Medicare Advantage plans could face mounting pressures in 2024 as medical utilization increases, and payers should prepare for shifts in the market, analysts say. 

Competition between Blue Cross Blue Shield companies is increasing after a 2022 antitrust settlement that struck down some agreements limiting competition between BCBS Association members, according to a July 13 report from Advisory Board. 

Anthem Health Plans of Virginia and its HealthKeepers managed care unit have agreed to pay $300,000 to settle allegations from the state's insurance department that it was not paying claims as quickly as was required by law, the Richmond Times-Dispatch…

UnitedHealth Group recorded double-digit growth in revenue year over year across its lines of business at UnitedHealthcare and Optum, according to the company's second-quarter earnings report released July 14.